Lisa Bowers PhD CCC SLP Speech Development in Children with Hearing Loss Chapter Six pages 230236 Speech development and Hearing Loss infants with HL will produce typical vocalizations These include ID: 590443
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Slide1
Introduction to Aural Rehabilitation
Lisa Bowers, Ph.D. CCC-
SLPSlide2
Speech Development in Children with Hearing Loss
Chapter Six (pages 230-236)Slide3
Speech development and Hearing Loss
infants with HL will produce typical vocalizations
These include:
crying, coughing, reflexive vocalizations and then they will babble and say vowels
Differences (if HL is undetected):
fewer consonant-like sounds (6-10 months)
delay in reduplicated babblingSlide4
Areas of deficit
resonance
suprasegmental
features
intensity, fundamental frequency and duration
reduced speaking rateSlide5
Assessment
typically includes traditional articulation and phonology tests
e.g.,
GFTA, Khan Lewis, KAT, PAT, SPAT
Overall speech intelligibility
speech understood by the listenerSlide6
Intervention – A Family Centered Approach Slide7
The Importance of
Family Involvement
Most successful
High levels of family involvement
Enrolled early in intervention
Source: Moeller MP. Early intervention and language development in children who are deaf and hard of hearing.
Pediatrics
. 200;106:E43.Slide8
Missed Developmental Milestones
Newborn: Cries, startles to loud sound
2-3 months: Differentiates cries, forms sounds in back of mouth (“goo”)
4-6 months: Turns head toward sound, makes nonspeech sounds (raspberries), squeals and babbles in melody of native languageSlide9
Missed Developmental Milestones
6-12 months: Babbles, gestures to communicate, knows his or her name
12-18 months: Strings sounds together, says first words
18-36 months: Says short sentences, sings songsSlide10
The Team Approach
Pediatrician—but not their area of expertise
Deaf educator
Audiologist
Speech-Language PathologistSlide11
Family-Centered Approach
Yields the best options
integrates listening and talking in daily
life
Even if they’re implementing sign
Slide12
Goals for Infants and Toddlers
Develop auditory and language skills
teach infants to identify sound and attach meaning
teach parents wats to incorporate “lessons” into daily activities
monitor hearing aid performance Slide13
Early Hearing Detection and InterventionSlide14
Early Hearing Detection and Intervention Programs
Birth admission screen
Follow-up evaluation
Audiologic
referral
Intervention