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The Adult Services Division (ASD) is responsible for a full array of long-term services and supports for older Vermonters and adults with physical disabilities.

Assistive Technology Program (ATP) provides device demonstrations and loans, equipment exchange, technical assistance, training and information and assistance on assistive technology.

Developmental Disabilities Services Division (DDSD) is responsible for all community-based long-term care services for individuals with developmental disabilities and physical disabilities.

Division for the Blind and Visually Impaired (DBVI) serves individuals who are blind or visually impaired, providing services from vocational services to a variety of support services. Most of the services provided by this Division are contracted out to private or nonprofit agencies.

Division of Licensing and Protection (DLP) grants licenses to and inspects long-term care facilities such as nursing homes, residential care homes, and specialty homes for individuals with developmental and intellectual disabilities. The Division also investigates complaints about abuse, neglect, and/or exploitation of vulnerable individuals.

Division of Vocational Rehabilitation (DVR) operates under the name HireAbility Vermont, providing vocational rehabilitation services to individuals with disabilities, assisting them in preparing for, obtaining, or retaining employment.