Service Provision for Children Who Are Hard of Hearing at Preschool and Elementary School Ages
| Autor: | Mary Pat Moeller, Melody Harrison, Jacob Oleson, Richard M. Arenas, Thomas A. Page, Meredith Spratford |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Linguistics and Language Service provision Interprofessional Relations education Language and Linguistics Developmental psychology 030507 speech-language pathology & audiology 03 medical and health sciences Speech and Hearing 0302 clinical medicine Surveys and Questionnaires otorhinolaryngologic diseases Humans Correction of Hearing Impairment Speech communication Longitudinal Studies 030223 otorhinolaryngology Child Hearing Loss Research Articles School Health Services Service (business) Extramural United States Child Preschool Language Therapy Female 0305 other medical science Psychology Inclusion (education) Facilities and Services Utilization |
| Zdroj: | Language, speech, and hearing services in schools. 49(4) |
| ISSN: | 1558-9129 |
| Popis: | Purpose To characterize preschool and school services for children who are hard of hearing (CHH), we described service setting, amount, and configuration and analyzed the relationship between service receipt and student hearing levels and language scores. Characteristics of professionals providing services were described and then used to predict level of comfort with skills supporting listening and spoken language. The amount of provider communication with children's audiologists was also investigated. Method Participants included parents of CHH (preschool n = 174; school n = 155) and professionals (preschool n = 133; school n = 104) who completed interviews and questionnaires as part of a longitudinal study. Children's hearing, speech, and language data were collected from annual testing and analyzed in relation to service data. Results A majority (81%) of preschool-age CHH received services. Children were more likely to be in a preschool for children who are deaf or hard of hearing (CDHH) or exceptional children than a general education preschool. By elementary school, 70% received services, nearly all in general education settings. Sessions averaged twice a week for a total of approximately 90 min. Children who no longer received services performed significantly better on speech/language measures than those who received services, regardless of service setting. Professionals were primarily speech-language pathologists (SLPs) and teachers of CDHH. SLPs reported significantly less comfort with skills involving auditory development and hearing technologies and less frequent communication with the child's audiologists than teachers of CDHH. Overall communication with audiologists was more frequent in the preschool years. Conclusions As preschool-age CHH transition into school, the majority continue to qualify for services. Congruent with national trends, school-age CHH in the Outcomes of Children with Hearing Loss study were most often in general education settings. Without specialized preprofessional or postgraduate training, SLPs and teachers of CDHH did not report comfort with all the skills critical to developing listening and spoken language. This finding supports the need for increased implementation of interprofessional practice among SLPs and teachers of CDHH, as well as audiologists, to best meet the needs unique to this population. |
| Databáze: | OpenAIRE |
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