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Early Intervention 12-2012 - Florida Department of · PDF fileEarly Intervention Services for ... • Pour the milk with the cap on. ... • 13% need some special resource assistance

Oct 21, 2018

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  • EarlyInterventionServicesforChildrenWhoAre Deafor

    HardofHearing

  • LynnW.Miskiel,M.A.,CCCSLP/A,LSLSCert.AVEd

    UniversityofMiamiDebbieInstitute1601NW12AveMiami,FL33155

    [email protected]

  • Acoordinatedandcomprehensivesystemofprograms,services,andresources

    Designedtomeetthephysical,intellectual,language,speech,socialandemotionalneedsofchildrenfrombirthtothreeyearswhohaveadevelopmentaldelayorareatriskfordevelopingadelay.

  • TheFirstStep:NewbornHearingScreening

    Screenedby1month Diagnosedby3months Interventionby6months

  • HearingImpairmentImpacts

    Speech&LanguageDevelopment CommunicationSkills CognitiveDevelopment SocialEmotionalDevelopment

  • BestPractice

    InfantHearingScreening EarlyIdentification EarlyIntervention FamilyInvolvement ProfessionalStandards FamilyChoice

  • WhereDoesEarlyInterventionTakePlace?

    Naturalenvironment Clinic School

  • EarlySteps

    FloridaDepartmentofHealth

    ChildrensMedicalServices

    EarlySteps

    RegionalEarlySteps

    SHINE

  • ServingHearingImpairedNewbornsEffectively(SHINE)

    IndividualizedFamilySupport FamilyEducation NaturalEnvironment Resources

  • FoundationPhilosophiesofSHINE

    Parentsofchildrenrecentlydiagnosedrequireemotionalsupportandinformationabouthearingloss.

    Parentsneedunbiasedinformationaboutcommunicationoptions.

    Activefamilyinvolvementcanenablelanguagedevelopmentatatypicalrate.

  • SHINEGoals

    Familyeducationofimpactofhearingimpairment.

    Knowledgeofauditoryskilldevelopment Knowledgeofstrategiestoprovidecommunicationaccess.

    Monitordevelopmentofcommunicationskills.

  • GoalsofEarlyIntervention

    Receptivelanguage Expressivelanguage Auditoryperception Speechdevelopment

  • CentralAuditoryDevelopment

    Centralauditorysystemishighlyplasticduringthefirst3.5yearsoflife.

    After7yearsofagewithoutauditoryinputMRIstudieshaveshownthattheauditorycortexofthebrainisreorganized.

    MRIstudiesindicatethattheauditorycortexshowsminimalauditoryreceptionaftersevenyearsofage.

    AnuSharma(2002)

  • CorticalAuditoryEvokedPotentials

  • AuditoryAccess

    Hearingaids Cochlearimplants Baha FMsystems

  • CochlearImplants

    Usefulwhenhearingaidsarenoteffective

    Surgicalprocedure Sendelectricalsignalsdirectlytoauditorynerve

    IllustrationcourtesyofCochlearCorporation.

  • BahaImplantableBoneConductionHearingAid

  • BahaBoneConductionAid

  • HowtheBahaimplantworks

  • Auditory/LinguisticLearning

    Childbecomesmoreawareofsound. Connectssoundwithmeaning. Understandsmorecomplexlanguage

    Inquietcircumstances Inavarietyofmoredifficultlisteningconditions.

    ElizabethB.ColeandCarolFlexer,2007

  • WedonthaveearlidsCarolFlexer,2010

  • TrusttheHearing

    Checktechnology Uselistening

  • LevelsofAuditorySkills

    Detection Discrimination Recognition/Identification Comprehension

  • Communication

    Unbiasedinformation Choices Strongemotionstiedtolanguage

  • AUDITORY VISUAL

    ContinuumofCommunicationModality

    AuditoryVerbal

    AuditoryOral

    CuedSpeech

    TC ASL

  • AmericanSignLanguage

    Visuallanguage Hasitsownvocabularyandgrammar Distinctfromanyspokenlanguage

  • Bilingual/Bicultural

    ASLisfirstlanguage Englishorfamilysnativelanguageissecondlanguage

    Focusisonthewrittenformofthesecondlanguage.

  • TotalCommunication

    Combinationofcommunicationoptions Oralandmanual UseofManuallyCodedEnglish,ASL,CuedSpeech

    Useofauditorytechnology

  • CuedSpeech

    Visualcodebasedonthesoundsusedwithinwords

    Handshapesvisuallyrepresentspeechsounds Toolforspeechreadingspokenlanguages Notaseparatelanguage

  • AuditoryOral

    Maximumuseoftechnologyforauditoryaccess

    Focusonlisteningandspokenlanguage

  • AuditoryVerbal

    Oneaspectofauditoryoral Focusondevelopmentoflisteningskills Relianceonhearingaloneduringspecificteachingtimes

    Parenttrainingandparticipationhighlighted CertificationprocessasaListeningandSpokenLanguageSpecialist

  • Choice

    Familiesmusthaveunbiasedinformation Musthavechoice Canmixandmatchapproaches

  • SKIHICurriculum

    Curriculumforfamilycenteredprogrammingforinfantsandyoungchildrenwithhearingloss.

    Topicswithvisuals,handouts,andactivitysheets.

    Sixdaytrainingprogram

  • LanguageDevelopment

    Requiresconsistentexposure Needfluentmodels Needvisualand/orauditoryaccess

  • InterventionStrategiesNotModalitySpecific

    CaregiverStrategies InterventionistStrategies

  • Caregivers

    Bathchildinlanguage Scriptsfordailyroutines Readtotheirchild Controlauditoryenvironment

  • Therapist

    Assessbaselineskills. Establishshortandlongtermtherapyobjectives.

    Provideactivitiesthatwillelicittargets. Monitorprogress.

  • ProvidingTalkingOpportunities

    Sabotage Incompletetasks Ridiculousactions Waittime

  • Sabotage

    Containersthatcannotbeopenedwithouthelp.

    Toysthataretoohightoreach. Toysthatdontturnon.

  • Incompletetasks

    Providejustafewpiecesofafooditem. Offerpartofatoy. Givethepaintbutnotthepaintbrush.

  • Ridiculousactions

    Pourthemilkwiththecapon. Putpantsonadollshead.

  • WaitTime

    Allowstimeforspontaneousproduction. Allowschildtoprocessinformation. Putsresponsibilityforconversationonchild.

  • MonitoringProgress

    AuditorySkills LanguageSkills

  • InfantToddler:MeaningfulAuditoryIntegrationScale(ITMAIS)

    ModifiedversionoftheMAIS Parentorteacherreportscale Assessesauditorybehaviorsofinfantsandtoddlersintheirnaturalenvironment

    Standardizedinterviewtechnique

    S.ZimmermanPhillips,M.J.Osberger,A.M.Robbins

  • ITMAIS

    Isthechildsbehavioraffectedbywearingthesensoryaid?

    Doesthechildspontaneouslyrespondtonameinbackgroundnoisewithonlyauditorycues?

    Doesthechildknowthedifferencebetweenspeechandnonspeechstimuliwithlisteningalone?

  • EarlySpeechPerceptionTestESPT

    Category1:NoPatternPerception Category2:PatternPerception Category3:SomeWordIdentification Category4:ConsistentWordIdentification

    JeanS.MoogandAnnE.Geers,1990

  • LanguageAssessments

    SKIHILanguageDevelopmentScale PreschoolLanguageScale ReceptiveExpressiveEmergentLanguageScale3

  • ListeningRoom

    AdvancedBionicshasdevelopedthiswonderfulwebsitewithmanyactivitiesforstudentsofallages.

    www.hearingjourney.comClickon

    ListeningRoomSelectAgeGroup

  • Reading is a multifaceted skill, gradually acquired over years of instruction and practice.

    TheManyStrandsthatareWovenintoSkilledReading(Scarborough,2001)

    BACKGROUND KNOWLEDGE

    VOCABULARY KNOWLEDGE

    LANGUAGE STRUCTURES

    VERBAL REASONING

    LITERACY KNOWLEDGE

    PHON. AWARENESS

    DECODING (and SPELLING)

    SIGHT RECOGNITION

    SKILLED READING:fluent execution andcoordination of word recognition and textcomprehension.

    LANGUAGE COMPREHENSION

    WORD RECOGNITION

    Skilled Reading-fluent coordination of

    word reading and comprehension

    processes

  • AWordAboutUnilateralHearingImpairment

    22%35%repeatagrade 13%needsomespecialresourceassistance 20%describedashavingbehaviorissues

  • Questions