This practicum developed a special program to serve the elementary school child who has a preschool sibling with a hearing impairment. A special book addressing the cognitive and emotional needs of the siblings was written and distributed to 35 children whose families were enrolled in a clinic-sponsored correspondence program and to 15 children whose families participated in on-site clinic programming for preschool children, ages 2-5, with hearing impairments. The book provides information about the anatomy of the ear, hearing loss, assistive devices, communication, and methods of teaching children who have impaired hearing. Feelings which may be experienced by children whose sibling is hearing impaired are described. Games and illustrations are included in the book; additional children's reading materials are identified. A mail-in card allows the child to write to the clinic with questions or concerns. Questionnaires about the book were returned by 12 children and 6 parents from the correspondence group and by 8 children and 7 parents from the on-site group. Based on positive responses, the book is being used on-site and through distance education to include all family members in programming. The child and parent questionnaires are appended. (Contains 27 references.) (SW)