Strategies for Treating Children with Hearing Impairment in the

120 Pages·2010·3.4 MB·English

STRATEGIES FOR TREATING
CHILDREN WITH HEARING
IMPAIRMENT IN THE SCHOOLS
JAMY CLAIRE ARCHER, M.S., CCC-SLP
GINA CROSBY-QUINATOA, M.S.P., CCC-SLP
University of South Carolina Cochlear Implant
Program
Agenda
The effects of hearing loss
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Goals of Amplification
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Speech & language diagnostics
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Using specific techniques in auditory-based therapy
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The 3 Ts: Ensuring Success in Schools
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Trouble-shooting
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Optimizing the classroom
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Conclusion and Question & Answer
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THE EFFECTS OF HEARING
LOSS
Taking the Audiogram into school
PREVALENCE AND EFFECTS OF
HEARING LOSS
Stats from National Institute on Deafness and
Other Communication Disorders (NIDCD)
Hearing loss affects approximately 17 in 1,000
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children under age 18
Incidence increases with age: Approximately 314 in
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1,000 people over age 65 have hearing loss and
40 to 50 percent of people 75 and older have a
hearing loss
Stats from the American Speech-
Language-Hearing Association (ASHA)
Among African-American, Cuban-American,
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Mexican-American, Puerto Rican, and non-Hispanic
White children, it is estimated that approximately
391,000 school-aged children in the U.S. have
unilateral hearing loss
According to Niskar and colleagues, approximately
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14.9% of U.S. children have low-frequency or high-
frequency hearing loss of at least 16 dB hearing
level in one or both ears
Newborn Hearing Screening
The Hearing Journal, April 2006
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90% of infants born in US are undergoing routine
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hearing screenings before leaving the hospital
The overall estimates are between 1 to 6 per 1,000
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newborns are born with congenital hearing loss
In 2005, 2% of all infants (80,000) failed their hearing
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screening
8,000-12,000 of those ultimately were diagnosed with
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some degree of congenital loss
MarkeTrak VII Survey, September 2007
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Only half of parents come back for more detailed audiological
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testing in a timely manner - Can be as late as age 3 years
Recently this has improved to 66% follow-up
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Why?....
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Shortage of pediatric audiologists skilled at evaluation and HA fitting
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for infants
Inadequate reimbursement for audiologists
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Some physicians don’t know to refer for follow-up
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States are still working on their data systems to track and manage
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screening program
Lack of family awareness of the problems caused by hearing loss
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Hearing Aid Use
MarkeTrak VII:
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Only 12% of the hearing impaired pediatric population
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have hearing aids
1.2 million children ages 0 to 17 in the United States:
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parents admitted that their children had “hearing difficulties,” and
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the children did NOT use amplification
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The top three reasons for non-adoption of hearing aids are
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“minimization of hearing loss” (84%), “recommendations
from a professional” (80%), and “degree or unique nature
of hearing loss” (76%)
Assistive Listening Devices
MarkeTrak VII:
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About 1 in 3 students received some form of classroom
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assistance
1/3 received preferential seating
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But only 3 parents indicated assistive listening devices in the
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classroom
Improvements following implementation of the recommended
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intervention
grades (61%)
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social skills (46%)
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classroom behavior (51%)
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self-esteem (49%)
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