CLARK, Mo. — Maryann Yoder, 5, will join her sister Edna, 7, and other Amish children in a local one-room schoolhouse in a few years. But until then, speech therapist Anna Crusha provides a different education for the girls, just for the two of them, in their tidy home every Thursday.

Crusha, working for the Sturgeon R-V School District, uses board games and other activities to improve their speech. The sisters are both partially deaf.