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Preparation Counseling Presenting diagnosis of hearing loss AR Plan Individualized Family Service Plan
Implementation Communication Mode Who will train parents? Assistive Technology Hearing Aids Cochlear Implants Use and Maintenance
Implementation Consistent Device Use Ask parents should track use Explore why device may not be used as much as recommended Child compliance?Parent denial? Modeling good communication Listening goals Sound detection May need to link with visual stimulus then withdraw visual support Sound discrimination Large contrasts (“hop hophop” vs. “Aaaaaaah”) Speech goals Babble production One to two word utterances
Early Intervention Team Parents Pediatrician Audiologist Speech-Language Pathologist Developmental Therapist – Hearing Deaf Mentor
Early Intervention – Birth to 3 Developmental Therapist - Hearing 4-year degree in Deaf Education Bill under Aural Rehab Educate parents on Hearing loss Hearing aids Language development Communication options Deaf mentor Trained & certified through Early Intervention Bill under Family Training/IFSP Educate parents on Living with hearing loss Modeling language Meeting other DHH community members
Components of IFSP Describe the child and family's strengths and challenges and the family's priorities, resources and concerns. Summarize the child's health status, including his/her hearing and vision status. Enter the child's percent of delay as reported or verified by the child's evaluator. Also, describe the child's current level of functioning in each developmental domain. This description should convey to the family and other IFSP team members meaningful information about the area of development. Discuss the child's current functional status with the IFSP team. Use the three Child Outcomes to focus the discussion on the child's functioning during everyday routines and activities. The following decision tree may be used to assist the team in reaching consensus regarding the child's present level of functioning related to each of the three Child Outcomes.
1 Increased oral/auditory communication Buddy Buddy will participate in daily activities, including responding to simple commands, turn-taking during play activities, and expressing his basic needs (hunger, bathroom, etc.). Aural rehab Language therapy DT-H services
Possible areas of focus Audition Speech Language Cognition Communication Perceptual Articulation Vocabulary Theory of Mind Turn-taking