Transcript Early Speech Development - Infant & Toddler Connection of

Early Speech Development
• Suprasegmentals (voice patterns)
– Vocalization (voice on/voice off)
– Duration
– Loudness
– Pitch
– Vowels
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Later Speech Development
• Vowels
• Consonants
• Voiced/voiceless distinctions (“d” v.
“t”)
• Consonant Blends (“br” “spl”) last to
develop
Audiogram Showing
“Speech Banana”
(Mehr, 2002)
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Speech Expectations
• With consistent early amplification,
voicing will occur
• With consistent intervention, speech
sound patterns will be reinforced
• With parent involvement and
collaborative teamwork, language will
emerge
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“Is my baby too young to
wear hearing aids?
Resources for obtaining
Hearing Aids
Hearing Aid Loaner Bank
Blue Ridge Care Connection for Children
• Provide hearing aids and FM systems up to
age 18
• Loan for 6 months while in process of
obtaining permanent ones
• Contacts:
• Lisa Powley or Sandra Woodward
• 866-596-9367
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Financial Assistance for
Hearing Aids
• www.audientalliance.org/ Audient An
Alliance for Accessible Hearing Care
• www.sotheworldmayhear.org/ So the
World May Hear
• www.paiojd.org/hike/ HIKE Fund, Inc.
• www.dmas.virginia.gov/ Department of
Medical Assistance Services (Medicaid)
Assist families with Hearing
Aid challenges
• Feedback
– When nursing or feeding, turn off aid on that
side
– When baby is sleeping, may remove aids
– Replace ear molds as infant outgrows them (6 –
8 wks)
• Keeping aids on the baby
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Critter clips
Toupee tape
Water wings
Pilot cap
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Purchasing Hearing Aids
• Things to be aware of:
• Find a pediatric audiologist with experience in
working with very young children
• Request for a trial period before purchasing
• Get insurance coverage for the aids if lost or
broken
• Product guarantees in writing
• Be an advocate for hearing aid care, routine
evaluations, and new ear molds
Process of Cochlear Implants
Candidacy
Hearing Aid trial (3 months)
Surgery (as early as 12 months)
Activation
Therapy
What Can You Encourage
Families to Do?
• Become comfortable with listening devices and
learn to troubleshoot
• Develop a schedule if necessary to increase
wearing time of hearing aid/fm system/cochlear
implant
• Draw the child’s attention to environmental noises
throughout the day
• Ensure that the audiologist is part of your team!
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• Provide enriching listening
experiences in the home
• Add language to baby’s play routines
(ex. - Pair a sound with a toy each
time they play with it (see Sindrey)
• Speak to baby in an interesting,
animated voice.
• Talk about what baby is playing with
or looking at; describe what she sees.
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Helping Families to Make
Informed Decisions
• Provide Communication Choices
• Consider amount and quality of functional
hearing (Oticon & ADA)
• Observe child and determine the method
that seems to fit his needs – consider
additional challenges
• Family must be willing and able to use
method(s) effectively and consistently
(lifestyle and values)
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What you can do
• Stay informed (www.asha.org)
• Learn about other successful
programs (for example:
www.beginningsvcs.com)
• Become an advocate
• Form or join parent support groups
(Parent to Parent)
• Don’t allow a wait and see attitude
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Websites
• www.infanthearing.org/videos/index.html
EHDI Educational & Training Videos
• www.agbell.org Alexander Graham Bell
Association, promotes oral education
• http://jtc.org/ John Tracy Clinic Free
services worldwide for parents of children
with hearing loss
• www.hearingjourney.com Activities for
infants and toddlers to promote listening and
speaking skills by Dave Sindrey, M.CI Sc.Cert.
AVT
• www.oraldeafed.org Free materials that
promote oral education
Websites for Sign
Language
• www.lifeprint.com/index.htm
American Sign Language
• www.signingtime.com/ Signing Time
signs for babies
• www.mybabycantalk.com/ My Baby
Can Talk Signs for babies
• www.readysetsign.com/index2.html
Sign Language Course
Virginia Department of
Deaf & Hard of Hearing
Contact:
Pamala Richardson
804-662-9502
1-800-552-7917
[email protected]
www.vddhh.org
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RESOURCE BINS
EXCELLENT SOURCE OF MATERIALS
MAY BE LOANED FOR 3-6 MONTHS
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Learning to Talk Around the
Clock ©
• Themes based on natural routines
and activities
• Talking points to share with parents
• Scripted dialogue to help
professional
• Signature behaviors to promote
language and listening
Thematic Units
Learn to Talk Around the Clock ©
• Listen Around the
Clock
• Mealtime
• Getting Dressed
• Little Helper
• On the Go
• In the Garden
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In the Kitchen
Celebrations
Outdoor Play
Playtime
Bath Time
Bedtime
Assessment Tools
• Cottage Acquisition Scales for Listening,
Language and Speech (CASLLS)
• MacArthur Bates Communication
Inventory
• SKI-HI Language Scale
• Infant/Toddler Meaningful Auditory
Integration Scale (IT-MAIS)
• Early Listening Function (ELF)
A special thank you to
Debbie Pfeifer and Ann Hughes
for contributing invaluable information,
advice and guidance for this
presentation.