Here are instructions for getting Mushclient to work with screen readers. Mushclient is a MUD client, which can allow visually impaired people to play MUDs (Multi-user Dungeons).
MUSHclient, and these plugins, process complete lines only. This means that certain lines, such as prompts with no newline at the end will be spoken after the next line comes in. There are several ways around it.
For muds that support it, enabling Convert IAC EOR/GA to new line in the Output item of the configuration will translate certain telnet sequences into a newline for you. You may have to enable it mud-side (e.g. config +telnetga on smaug). If your mud doesn't support it, enabling this won't hurt anything.
Most muds allow you to put a newline after your prompt, or turn it off entirely. help prompt will usually say how.
In character creation where this is usually an issue, you'll just have to review the screen in order to read the last line of output that may have come in.
If you are using JAWS and the plugin does not speak, you might need to install JFWAPICtrl.dll. This automatic installer should do it for you. To do this manually: