Re-Educating Professionals About Spoken Language Carolyn J. Brown, M.S., CCC-SLP/A CCCDP Program Director Beth Whitfield, M.Ed., Cert AVT CASTLE Program.

Re-Educating Professionals About Spoken Language

Carolyn J. Brown, M.S., CCC-SLP/ACCCDP Program Director

Beth Whitfield, M.Ed., Cert AVTCASTLE Program Coordinator

CCCDP Otolaryngology / Head & Neck Surgery

UNC School of Medicine

2005 EHDI Conference

W.P. BIGGERS, MD CAROLINA CHILDREN’S COMMUNICATIVE

DISORDERS PROGRAM(CCCDP)

Otolaryngology/Head & Neck Surgery

School of Medicine

University of North Carolina-Chapel Hill

History & Purpose

Initiated by W.P. Biggers, M.D. - 1992

Purpose: to provide funding for communication devices for children with hearing loss whose families do not qualify for other public programs, but do not have adequate income to obtain communication devices that are not covered by insurance.

CCCDP Mission

To provide the best hearing possible to NC children with hearing loss whose families have limited resources

To provide on-going services

To increase community awareness

CCCDP Mission

To provide educational opportunities to professionals in the children’s home communities, especially in the rural areas, where little or no services are available to help children with hearing loss learn speech and listening skills.

Financial Assistance Program

Funded through a contract from The North Carolina Department of Health and Human Services

Qualifications for Enrollment:Children under 21 years of age

North Carolina residents

Need for hearing devices or services not covered by other funding programs

An established need for financial assistance

UNC Pediatric Cochlear Implant Program

Harold C. Pillsbury, MD

Department chair & cochlear implant surgeon

Dr. Craig Buchman

Medical Administrative Director and CI surgeon

Dr. Carlton Zdanski - Cochlear implant surgeon

UNC Pediatric Cochlear Implant Program

Carolyn J. Brown, MS Program Director (Audiologist & SLP)Holly Teagle, Dave Catlett, Jennifer Weinstock, Nancy McIntosh, and Debbie Gunter (CI audiologists)Hannah Eskridge (SLP)Two social research assistants: David Perry and Robert Humphreys

UNC Pediatric Cochlear Implant Program

445 children with CIs

Ages 7 months to 18 years

Educationally pro-active

North Carolina NHS Statistics

Numbers as of January 2004 :

Total annual births in NC 117,335*

NC infants screened at birth 98%*

Nat’l Average 93.3%*

Nat’l Average 2002 (previously obtained) 69%*

* Statistics obtained from website: http://www.infanthearing.org/

If early identification and technological advances are going to be beneficial, EARLY habilitation

utilizing a strong auditory approach, which teaches parents

how to develop their child’s spoken language through listening, is

critical.

Early Intervention in NCOffice of Education Services

Number served/ 0 to 3 (2002) 250Communication Methodology Year TC A-O/A-V

1997-98 60% 40% 1998-99 52% 48%1999-00 36% 64%2000-01 33.5% 66.5%2003-04 16%* 84%*

* Statistics from BEGINNINGS

Educational Situation

Most of today’s professionals have been trained to use a manual methodology.

With today’s technology, children with even the most profound hearing loss have the potential to hear and learn to talk.

Educational Situation

Critical shortage of professionals who have the necessary training to facilitate spoken language

For many children, especially in rural areas, educational and therapeutic intervention is often still limited to sign language.

Other NC Programs

BEGINNINGS

UNC-Greensboro (A-O/B-K)

Lenoir-Rhyne

AVI Modules

First YEARS

HOW IS THE CCCDP @ UNC-CH HELPING TEACHERS AND

THERAPISTS PREPARE FOR TODAY’S CHILDREN

WHO ARE DEAF AND HARD-OF-HEARING?

PRIVATE GRANTS

PRIVATE/PUBLIC PARTNERSHIP

CASTLE

Center for Acquisition of Spoken language

Through Listening Enrichment

(a member of OPTIONschools)

The W. Paul Biggers, MD Carolina Children’s Communicative Disorders Program

(CCCDP)

Financial Assistance Program

Pediatric Cochlear Implant Team

CASTLE

Early Intervention and Preschool ServicesAND Professional and Student Training Program

Pediatric Cochlear Implant Audiology

Provides funding for hearing aids, cochlear implants, and services provided at UNC for NC children with hearing loss, whose families’ have limited financial resources

Center for Acquisition of Spoken LanguageThroughListening Enrichment

CI audiology services including mapping, assessment, and maintenance

CASTLE Staff

Beth Whitfield, Program Coordinator Teacher of the Deaf, Cert AVT

Lillian Henderson, Erin Thompson, and Sandra Onisk, Speech-Language PathologistsCassandra Farrington, Office Assistant

CASTLE Objectives

1) to increase direct intervention services

2) to increase preschool opportunities

3) to increase families’ opportunities to learn how to facilitate their child’s language at home throughout the day

CASTLE Objectives

4) to increase the number of hearing-related professionals trained in auditory-based intervention

5) to increase the number of graduates in hearing-related fields who have had practical experience in auditory-based intervention

6) to increase access to auditory-based intervention in rural areas

CASTLE’s Focus

Component 1: Direct services

Component 2: Professional and university student Internship Program

Component 1

Early Intervention Services to Children & Families:Parent Training Program:

1:1 Parent Participation Sessions – for education, guidance, and counseling

Family Learning CenterLibrary of Resources with Internet AccessAges: birth to 5 years old (Kindergarten

Readiness)

For all parents

Early Intervention Services to Children & Families:

Preschool Classrooms:Parent Participation SessionsLanguage intensive and enrichedFor children with significant language delayAges: 3 to 5 years old (Kindergarten Readiness)Individual sessions with TOD or SLP

Component 1

Component 2

Internship Program:Professionals:

Working in the field as SLP, Teacher of HI, or AudiologistStudents on caseload learning spoken languageHands-on practicum to follow workshops/institutes (1:1 coaching on use of new info)Observe & learn about new technologies & medical, surgical, & audio. management of hearing loss

Internship Program :

University Students:

Practicum Placements & Clinical Clock Hours

Students in NC programs in Deaf Education, Speech-Language Pathology, & Audiology

Hands-on experience in auditory-oral approach

Component 2

Internship Program

Application & Self-

Assessment

Pre-Test

Post-Test

Teaching Behaviors

Evaluations

Notebook

CCCDP / CASTLE Activities

School site visits Annual 2-day conferences on interventionStatewide professional workshopsNC Summer Institute in AVTFirst annual Winter Conference (1/2005) for state-wide early interventionistsStudent, professional, & First YEARS internshipsIn-services & mentoring school districts

“Real behavioral change is seldom the result of any single developmental experience, whether it is a one-day workshop, or an intensive week-long program. …even when…real commitments to change behavior [are made], the energizing glow of the experience can fade with time.”

Hermez-Broome, G. (2002). In it for the long haul: Coaching is key to continued development. Leadership in Action, 22(1), 14.

Research Shows…

Study by Center for Creative LeadershipImplemented a follow-up coaching option for its Leadership Development Program in November 1999

Study compared coached group with non-coached group via 2 interviews

Hernez-Broome, 2002

Study Results

Almost 75% of participants reported changes in behavior following the coaching program.

15% of participants reported changes in behavior without the coaching.

Hernez-Broome, 2002

Follow-Up

It is vital to continue to have support to apply new skills and information. 

Because of this it is vital to understand that a one-week internship at CASTLE is only the beginning of the training process. On-going coaching and mentoring is critical.

For More Information….For more information please contact:

Beth WhitfieldCASTLE Program Coordinator919-419-1428email: [email protected]

or

Carolyn Brown Program Director919-419-1449 email: [email protected]