Just a Toolbox of Resources - Handouts

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Presentedby:TaylorBrown,M.S.,CCC-SLP

JessieRitter,M.A.,CCC-SLP,LSLSCert.AVEd

Jessie has been working at Sunshine Cottage since February 2006. She received a Bachelor’s Degree in Elementary Education from Louisiana Tech University in 2003 and a Master’s Degree in Communication Sciences and Disorders from Louisiana State University in 2005. Jessie became a Listening and Spoken Language Specialist in 2009. Taylor has been working at Sunshine Cottage since December 2016. She received a Bachelor’s Degree in Communication Sciences and Disorders from the University of Mississippi in 2015 and a Master’s Degree in Speech Language Pathology from the University of Texas at Dallas in 2016. Taylor is in the process of acquiring her Listening and Spoken Language Specialist certification.

Wehaverelevantfinancialandnonfinancialrelationship(s)withtheproductsorservicesdescribed,reviewed,evaluatedor

comparedinthispresentation.

WearefulltimeemployeesatSunshineCottageSchoolforDeafChildrenandareaffiliatedwithoneoftheapplicationswewillbetalkingabouttoday.WeassistedincreatingtheSpeechThat

Worksapplication,whichwascreatedatSunshineCottage.Theschoolreceivesallfinancialbenefitfromthesalesandproceedsoftheapplication,butnobenefitisreceivedbytheSpeech

Departmentoranyindividualpresenter.

The1stAuditory-VerbalPrinciple:•  Childrenneedtohearbeforetheycanlisten.•  Theyneedtolistenbeforetheycanprocessspokenlanguage

throughlistening.•  Theyneedtoprocesstobecomeindependentinspoken

communication.

Caleffe-Schenck,Nancy,2013.GettingStarted

•  Atypicallydevelopingfetusreceives20weeksofauditorystimulationinthewomb.

•  90%ofbraingrowthhappensduringthefirstthreeyearsoflife.(GoogleProjectAspire)

•  Hearinglossisnotabouttheears;it’saboutthebrain!•  Hearingaids,FMSystems,andcochlearimplantsarenotabouttheears;theyareaboutthebrain.Theyare“BrainAccessTools”

•  Ifachildwearshearingtechnologyfor4hoursaday,itwilltakehim/her6yearstoreceivethestimulationatypicallyhearingchildreceivesinoneyear.

Flexer,Carol,2014.AttainingandSustainingLanguageandLiteracyThroughHearingTechnology

Wheneveryouhear“ear”think“BRAIN!”

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Age:22.534567

#ofWords:3005009001500250013,00020,000


•  Ifthechild’stechnologyisnotworneverywakingmoment,nootherinterventionwillsufficeifthefamily’sdesiredoutcomeislisteningandspokenlanguage.

•  Thechild’sauditorybrainmustbeaccessed,stimulated,anddevelopedtoreachthedesiredoutcomeoflisteningandspokenlanguage,andtechnologyistheonlywaythroughthedoorwayforachildwithhearingloss.

•  Themottoshouldbe:“Eyesopen,equipmenton!”


•  T:Therapists(SLP,AVT,AVEd)+

•  E:Educators(ECI,DeafEd,AI,MainstreamTeacher)+

•  A:Audiologists+

•  M:Membersofthefamilyandmedicalcommunity=Successfullisteners!!!!!!!

Foster,Horner,&Jones,Audiologists,SunshineCottageSchoolforDeafChildren,2015.PediatricAudiologyBestPractices:InformationEveryTeamMemberNeedstoKnow.

•  Birthto36months•  Un-aidedtestingevery3months•  Aidedtestingevery3months•  Earmoldsfrequently

•  3yearsto5years•  Un-aidedtestingevery6months•  Aidedtestingevery6months•  Earmoldsevery6–12months

•  5yearsandolder•  Un-aidedandaidedtestingannually•  Earmoldsasneeded


•  Initialstimulationafterclearanceisobtainedfromtheneurotologist

•  Follow-upmappingwithin2-4weeksafterinitialstimulation•  EachCIshouldbemappedatleasttwiceayearorsoonerif

concernsarise•  Ageappropriatebehavioralaudiometrytechniquesshouldbeusedduringtheprogrammingsessions.


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Ludueña,LindaAudiologist,SunshineCottageSchool,2012.

Ageofchild Frequencyofprogrammingandverificationsessions*

1to3years Every3months

3to5years Every6months

6yearsandolder Every12months

*Programmingandverificationshouldbescheduledmore

frequentlyifspeechisnotaudibleorifsteadygainsinspeech/language

skillsarenotbeingattained

0–15dB:Normal15–25dB:Slighthearingloss26–40dB:Mildhearingloss41–55dB:Moderatehearingloss56–70dB:Moderately-severehearingloss71–90dB:Severehearingloss91+dB:Profoundhearingloss

•  InHertz•  LOWtoHIGHpitch•  250Hzthru8,000Hz

FREQUENCY RANGE


RIGHT •  Air Conduction Unmasked =

O •  Air Conduction Masked = r •  Bone Conduction = < •  Bone Conduction Masked =

[

LEFT•  AirConductionUnmasked=X•  AirConductionMasked=o•  BoneConduction=>•  BoneConductionMasked=]

AirconductioninSoundfield=SAided(withhearingtechnology)inSoundfield=AArrowmeansnoresponseatlimitsofequipment.


•  Equipmentshouldbecheckedatthebeginningofeveryday.•  Beforetherapybegins,administertheLingSixSoundcheckto

determineiftheequipmentisfunctioningproperly.•  Workingonauditory-oralskillswithequipmentthatisnot

functioningproperlywillprovetobeineffective.

ü Batterytesterü Listeningstethoscopeü Blowerü Extrabatteriesü Waxloopü Otoease&otofermü Toupeetapeü Scissorsü MonitorearphonesfromCIcompanies,listeningcheckequipmentfromCIcompanies,signalcheckfromCIcompanies

ü TOYSFoster,Horner,&Jones,Audiologists,SunshineCottageSchoolforDeafChildren,2015.Pediatric

AudiologyBestPractices:InformationEveryTeamMemberNeedstoKnow.

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•  DevelopedbyDanielLing•  Sixsoundsandasilentperiod•  Havechild“listen”

•  Childcanlookdown•  Standbehindthechild•  Tryusinganacousticspeechhoop

•  Childwilldetectoridentifysound

•  /a/,/i/,/u/,/s/,/ʃ/,/m/,“nothing”•  Soundrandomlyproduced•  Periodofsilence

•  Toallowchildtorecognizeasoundwasnotproduced•  Speakerasks,“Whatdidyouhear?”•  Childsays,“Nothing!”

•  Canbedonein10-15seconds•  Shouldbedoneat3ft,6ft,and9ft

Intensity

MannerFrequency

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•  Changeinfrequencyofvocalization,voicequalityand/orvocalintensity

•  Omissionorconfusionofconsonantsthatwereformerlypresent

•  Emergenceofdisruptiveorwithdrawnbehavior

•  SignaltoNoiseRatioisthekeytohearingintelligiblespeech–speechmustbe10xlouderthanbackgroundsounds.(Flexer,Carol,2014.AttainingandSustainingLanguageandLiteracyThroughHearingTechnology)

•  Beawareofbackgroundnoise•  Otherchildren•  TV/stereoon•  Dishwasherrunning

•  Roomacoustics•  Hardwoodfloors–noisy•  Arearugs–dampensounds

•  Guideforparentsandtherapistsonauditory-oraltechniques,goals,hierarchies,andtherapy.

http://www.cochlear.com/wps/wcm/connect/64666766-c7e8-47cd-8984-5f2fc3107e6f/product_cochlearimplant_rehabilitationresources_earlyintervention_listenlearnandtalk_en_1.93mb.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=64666766-c7e8-47cd-8984-5f2fc3107e6f

•  Cochlearimplantsideformostbenefit(if1sidedCIonly)

•  6inchesfromthemicrophoneofHAorCI

•  SingleCIdoesnotallowlocalizationofsound

•  Getonthechild’slevel

•  Avoidusinga:•  High-pitchedvoice•  Breathyvoice•  Over-exaggeratedmouthmovements

•  Monotonousvoice•  Useparentese

•  Intonation•  Pitchpatterns

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•  Allowstudentstorelyontheircochlearimplant(s)orhearingaid(s)

•  Inhibitpointing,gesturing,tapping•  “Closethedoor”•  “Sitdown”

•  Don’tgiveitawaywitheyegaze

•  Giveinformationauditorally

•  Givevisualcue•  IfinformationisNOTunderstood

•  ALWAYSgobacktoaudition

•  Emphasizeparticularwordsorsounds•  Intensitychanges•  Pitchchanges•  Durationchanges•  Repetition

•  Useoftargetfrequentlyintherapy

•  Don’tmissanopportunitytousetheirtarget

•  Therapymaybetheonlyopportunityforthechildtohearthetargetagainandagain

•  Comprehensionversespleasingthelistener.

•  “Whatdidyouhearmesay?”•  Childisobligatedtorespondtothequestion

•  Buildsself-confidence•  Checkthemselves

•  Reword•  Repeat•  Visualcue–deliberateuse

ofeyegaze•  Useshorterutterances•  Usesimplerlanguage•  Usefamiliarlanguage

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•  OWL•  Observe•  Wait•  Listen

•  Atleast8secondwaittime•  Limitteachertalk/

explanation

•  Deliberatelydosomethingwrongtocauseareaction

•  Toencouragecommunicationdon’thaveeverythingreadyoravailableforthechild

•  Useonlywhennecessary•  Usetopromptfor

vocalization•  Usetopromptforlistening•  Cansubstituteasastuffed

animal,toy,acousticscreenorbook

•  Repeatingwhatthechildhassaidforreinforcement

•  Repeatingwhatthechildhassaidtodrawattentiontoanerror

•  Expansion:expandthechild’sutteranceforcorrectgrammarbutdonotprovidenewinformation

•  Extension:expandthechild’sutteranceforcorrectgrammarandincludenewinformation

•  Avoidrescuing•  Avoidtranslating•  Avoidyes/noquestions•  Avoidusingapatternof

responses•  Don’toverlookthequiet

childwhoisbehaving•  Teachclarificationstrategies

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EasiesttoHear•  Greatestacousticcontrasts•  Smallsetofchoices(2-4)

•  Distance–closetothe

microphone(6inches)

HardesttoHear•  Lessvaried(minimalpairs…)•  Largeset(4-12)•  Distance–farfromthe

microphone

EasiesttoHear•  Nobackgroundnoise•  Keywordattheendofthe

sentence

•  Slightlyslowerrate

HardesttoHear•  Noisybackground•  Keywordinthemiddleofa

sentence

•  Normalrate

EasiesttoHear•  Increasedpitchvariation

andrhythm

•  Clearenunciation

•  Increasedrepetition

HardesttoHear•  Normalrhythm

•  Lessclearand/orunfamiliar

voice•  Norepetition

EasiesttoHear•  Simplelanguage,short

sentences•  Emphasisonunaccented

words(prepositions,articles)

•  Consonantswhenvowelsarewhispered

HardesttoHear•  Complexlanguage

•  Nospecialemphasis•  Consonantswhenvowels

areshouted

•  Makesureequipmentisworking•  UseanFMSystemorPositioningStrategy•  Roomacoustics•  AuditoryOralStrategies•  Communicationwithparentsandprofessionals

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PracticemakesPERMANENT!–

notPerfect!!!

•  Findservicesinyourarea.•  Familyresourcesincluding:teenresources,financialaidprograms,

andparent/familyblogs.•  Professionalresources-careercenter,parentguidanceeducation

andsupport,listeningandspokenlanguagedevelopment,webresources

•  Advocacyresources•  Conventionsforprofessionalsandfamiliesofferedeverytwoyears

(CEUsavailable).

•  Online event calendar – find online, local and regional events.

•  The Listening Room – free resources to support the development of language and listening skills

•  Hearing Journey •  Familiar Sounds Audiogram •  Ling Six Sounds cards and games •  Tool for Schools – classroom management and

assessment tools •  Tools for Toddlers – free resources for young listeners •  Apps - ABle Clix, AB Listening Adventures, VocAB Scenes,

IT-MAIS

•  Cochlear Hope Online Courses •  Cochlear Hope Speech Sounds – consonants and vowels •  Telephone with Confidence •  Communication Skills Program •  Sound Foundation for Babies •  Sound Foundation for Toddlers •  Cochlear Implant School Resource Guide •  Cochlear Implant Listening Skills Development •  Listen, Learn and Talk Program •  Track a Listening Child •  The Communication Corner

•  HearPeers – online community for implant users •  SoundScape Interactive Listening Activities

•  Birth-Adult

•  My LittlEARS Diary Activities •  Little Listeners •  Mellie Storybook and Coloring Book •  Music and Young Children with Cis •  Loudness Scale Charts •  Online Hearing Test

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•  Productsupportforalldevices•  BrainHearing•  HearingSolutionsforTeenagers•  ConnectlineProducts

•  OnlineHearingTest•  TheListeningRoom•  PhonemePerceptionTest•  eLearning•  ChildHearingAssessmentToolkit(C.H.A.T.)

-Clickon“ForProfessionals”thenchoose“Pediatrics:”-Includeschecklistsandratingscalesforlistening,communicationaccess,placement,self-advocacy,andeducationalperformance.-Thechecklists/scalescanbeemailedtoallteammembers

•  BatteryTester•  ListeningStethoscope•  Earmoldblower•  WaxLoop•  OtoeaseandOtoferm•  ToupeeTape•  Scissors•  Sparebatteries

•  Size13(orangepackage)•  Size675(bluepackage)

•  BatteryTester•  ListeningTestRod•  MagnetTool•  Sparebatteries

•  Size13(orangepackage)

•  BatteryTester•  BahaListeningTestRod•  MagnetTool•  Sparebatteries

•  YourToolbox•  Monitorearphones•  SignalCheck•  Extra675CochlearImplantBatteries

•  ToupeeTape

•  Child’sBackpack•  ExtraBatteries

•  Disposable&/orRechargeable•  RemoteAssistant

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•  YourToolbox•  ListeningCheck•  Headphones/earbuds•  Extra675CIbatteries•  ToupeeTape

•  Child’sBackpack•  ExtraBatteries•  Disposable&/orRechargeable

•  YourToolbox•  MED-ELListener•  Headphones•  SignalChecker•  Extra675batteries•  ToupeeTape

•  Child’sBackpack•  ExtraBatteries

•  Disposable&/orRechargeable•  MED-ELListener•  MED-ELFineTuner

HearingAids•  OticonMedicalPontohttp://www.oticonmedical.com/~asset/cache.ashx?id=38587&type=14&format=web

•  Troubleshootingthesoftbandwww.oticonusa.com

•  Clickon“Products”then“ProductSupport”•  CochlearAmericasBahahttp://www.cochlear.com/wps/wcm/connect/us/home/home#camSukle

•  Clickon“ForRecipients”tab•  Phonakwww.phonak.com

•  Clickon“UsageandSupport”

CochlearImplants•  CochlearAmericashttp://www.cochlear.com/wps/wcm/connect/us/home/home#camSukle

•  (clickon“ForRecipients”tab)•  AdvancedBionicshttp://www.advancedbionics.com/us/en/support/troubleshooting_guides.html

•  MED-ElRondohttp://www.youtube.com/watch?v=R0cVyp0yq3U&feature=c4-overview-vl&list=PLT_--N4wea5BDj9Dqcay-oMJ1T8XpgTG5http://www.youtube.com/watch?v=0QXG5zvDzAs&list=PLT_--N4wea5BDj9Dqcay-oMJ1T8XpgTG5

•  MED-El-Opus2http://www.med.unc.edu/ent/adunka/files/MEDELOPUS2QuickGuide.pdf

•  CochlearAmericas:ListenLearnandTalk-guideforparentsandtherapistsonauditoryoraltechniques,goals,hierarchies,andtherapy.http://www.cochlear.com/wps/wcm/connect/64666766-c7e8-47cd-8984-5f2fc3107e6f/product_cochlearimplant_rehabilitationresources_earlyintervention_listenlearnandtalk_en_1.93mb.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=64666766-c7e8-47cd-8984-5f2fc3107e6f

•  TheListeningRoom-AdvancedBionicsprovidesprintableactivitiesforlisteningdevelopment.

•  FunzeeEverydaySoundsCD-ROMbySuperDuperInc.-Environmentalsounds.

•  CottageAcquisitionScalesforListening,LanguageandSpeech(CASLLS)bySunshineCottage-listening,language,andspeechdevelopmentalhierarchies.

•  www.angelsound.com-Onlinelisteningprogramthatincludes

environmentalsounds,vowelandconsonantdiscrimination,wordidentificationandmore!

•  SoundTouchiPadApp-Environmentalsounds.•  ABleClixiPadApp-AdvancedBionicsapplicationthattargets

vowelandconsonantdiscrimination.•  ContrastsforAuditoryandSpeechTraining(CAST)byProEd-

Informallisteningassessmentandtrainingprogram.•  TelephonewithConfidence-CochlearAmericasprovidesaudition

trainingwiththetelephone.•  AuditoryLearningGuide-http://www.firstyears.org/c4/alg/alg.pdf

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•  SpeechandtheHearingImpairedChildbyDanielLing(2002)•  FoundationsofSpokenLanguageforHearing-ImpairedChildrenby

DanielLing(1989)•  ChildrenwithHearingLoss,DevelopingListeningandTalking:Birth

toSix,3rdEditionbyElizabethCole&CarolFlexer(2016)•  50FAQsaboutAVTeditedbyWarrenEstabrooks•  FacilitatingHearingandListeninginYoungChildrenbyCarolFlexer

(1999)•  CochlearHopeCourses-freewebinars•  www.lslogic.org-onlineprofessionallearningcommunity•  www.sunshinecottage.org-webinarsandfreeaudiobytes•  www.carolflexor.com

•  PacificKid(www.pacifickid.net)•  EnchantedLearning(www.enchantedlearning.com)

•  ArticulationStationApp(byLittleBeeSpeech)•  SpeechThatWorksApp(bySunshineCottage)•  JumboArticBooksandCDROMs•  SpeechCorner(www.speechcorner.com)

•  PrimaryConcepts–ArticulationBoxes(www.primaryconcepts.com)

•  MakeASceneapps(byInnivo)•  MyPlayHomeapps(byPlayHomeSoftwareLtd.)

•  ListeningAdventuresapp(AdvancedBionics)

•  Caleffe-Schenck,Nancy,2013.GettingStarted•  Flexer,Carol,2014.AttainingandSustainingLanguageand

LiteracyThroughHearingTechnology•  Foster,Horner,&Jones,Audiologists,SunshineCottageSchool

forDeafChildren,2015.PediatricAudiologyBestPractices:InformationEveryTeamMemberNeedstoKnow.

•  Ludueña,Linda,Audiologist,SunshineCottageSchool,2012.

TaylorBrown,M.S.,[email protected]

JessieRitter,M.A.,CCC-SLP,LSLSCert.AVEd

[email protected]

Documents

Just a Toolbox of Resources - Handouts