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Kacey and Lacey Sellers, 5, peer out the window of their house in Chauncey, OH. The twins were born deaf, further complicating their life in a struggling rural community.

Neosha Andrews, 24 (L), watches over her 4 children and several neighbor kids in Glouster, Ohio on Saturday, May 24, 2008. For those lucky enough to have jobs, childcare can be hard to come by.

Jesse Sellers feeds his twin daughters Kacey and Lacey, 4, dinner at their home in Chauncey, OH. The twins were born deaf, further complicating their life in a struggling rural community.

Andrew Goins playfully puts his cousin Dylan in the nearly 5 foot deep hole that was dug for a power pole to be installed for their grandmother Leetha's new trailer.

Tylor Woodrum, 16, burns trash in the backyard of his step-mom's house in Carbondale, OH. His father, Dave Woodrum, was killed in August of 2006 in a high-impact 4-wheeler accident. Dave's family had his body cremated and his favorite cock-fighting…

Ritchie Goins, Jeremy Life, Andrew and Dave Goins, and family friend, Mike, move the concrete stairs leading up to a woman's trailer before towing it to its new resting place, Chauncey, Ohio.

The Goins family and other residents of Chauncey stand around talking and swapping stories after working to move part of the family into a new trailer home.

Assimilation into adulthood starts early for many young residents of Southeastern Ohio. Dylan Goins, 4, pretends to smoke a piece of metal he found in the refuse lying around his parent's trailer. Both his parents are smokers.

Jesse Sellers Jr., his hair still wet from a bath, stands in his kitchen holding a trophy he won during his first dirt bike competition. As with many poor families in their Appalachian community, a large percentage of the family income is spent on…

Richie Goins props his feet on a cardboard box to avoid tracking mud into his mother's new trailer home as he sits in the living room with his son.