Health and human service agencies on the Vineyard are already feeling the effects of severe state budget cuts made last week by Gov. Deval Patrick and are bracing for more in the months ahead.

State funding to Family Planning of Martha’s Vineyard and Martha’s Vineyard Community Services was slashed in the cuts, while directors at the Island Health Care Rural Clinic in Edgartown and the Martha’s Vineyard Hospital were busy this week preparing for spending and hiring freezes.