For many, web accessibility begins and ends with making a site accessible to a screen reader user. Most of the work in accessibility has been done in the area of visual disabilities/blindness (27; 23; 8). However, according to the US Census Bureau, 14.3 million Americans age 15 and over have a mental disability. This includes 1.9 million who have Alzheimer's disease, senility or dementia, and 3.5 million with a learning disability (35). Making the web accessible to this population has, for the most part, been overlooked. According to Hudson, Weakley & Firminger (9) (2005),"those with cognitive disabilities and learning difficulties, appear to have slipped through the cracks to a large extent when it comes to website accessibility."