Factors Affecting Early Services for Children Who Are Hard of Hearing

Author:

Harrison Melody1,Page Thomas A.1,Oleson Jacob2,Spratford Meredith3,Unflat Berry Lauren3,Peterson Barbara3,Welhaven Anne2,Arenas Richard M.4,Moeller Mary Pat3

Affiliation:

1. University of North Carolina, Chapel Hill

2. University of Iowa, Iowa City

3. Boys Town National Research Hospital, Omaha, NE

4. University of New Mexico, Albuquerque

Abstract

Purpose To describe factors affecting early intervention (EI) for children who are hard of hearing, we analyzed (a) service setting(s) and the relationship of setting to families' frequency of participation, and (b) provider preparation, caseload composition, and experience in relation to comfort with skills that support spoken language for children who are deaf and hard of hearing (CDHH). Method Participants included 122 EI professionals who completed an online questionnaire annually and 131 parents who participated in annual telephone interviews. Results Most families received EI in the home. Family participation in this setting was significantly higher than in services provided elsewhere. EI professionals were primarily teachers of CDHH or speech-language pathologists. Caseload composition was correlated moderately to strongly with most provider comfort levels. Level of preparation to support spoken language weakly to moderately correlated with provider comfort with 18 specific skills. Conclusions Results suggest family involvement is highest when EI is home-based, which supports the need for EI in the home whenever possible. Access to hands-on experience with this population, reflected in a high percentage of CDHH on providers' current caseloads, contributed to professional comfort. Specialized preparation made a modest contribution to comfort level.

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing,Linguistics and Language,Language and Linguistics

Reference53 articles.

1. Quantity and Quality of Caregivers’ Linguistic Input to 18-Month and 3-Year-Old Children Who Are Hard of Hearing

2. Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs

3. American Speech-Language-Hearing Association. (2008). Service provision to children who are deaf and hard of hearing birth to 36 months [Technical report] . Retrieved from http://www.asha.org/policy/TR2008-00301/

4. Centers for Disease Control and Prevention. (2012). 2012 Annual data: Early hearing detection and intervention (EHDI) program. Retrieved from http://www.cdc.gov/ncbddd/hearingloss/ehdi-data2012.html

5. The Alignment of CEC/DEC and NAEYC Personnel Preparation Standards

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