Transcript HEARING TEST ACT

Hearing Screening
LICA Referrals
School District #68
August 26, 2008
Hearing Screening:
CHILD (vision and) HEARING TEST ACT
Title 77, Chapter I, Subchapter J, Part 675: Hearing Screening
WHO?
•All children K, 1, 2, 3
•All children in special education
•Any child referred by teacher
•All transfer students
WHEN?
Annually
EXCLUSIONS?
•Ear examination by physician AND audiologic evaluation
within last 12 months
•Parent objection on religious grounds
Hearing Screening:
CHILD (vision and) HEARING TEST ACT
STEP 1
Screen #1
Screen #2
STEP 2
Threshold Audiogram
STEP #3
Medical/Educational
Audiologic Review
Sections 675.120 & 675.130
What happens
after this?
“A child is considered to have “failed” the threshold test
and is referred for a medical evaluation and an educational
screening evaluation if either or both of the following
criteria are met…” (675.130)
“Medical examination must be immediately
recommended…The names of these children shall be reported
to the LEA, or its designee, for educational screening
including audiological review
(675.140)
“Educational screening means a review of the
student’s current grade placement; classroom
functioning level; achievement scores; teachers’
ratings of classroom performance regarding attention
and concentration, reading, arithmetic, spelling, oral
language and written language skills; and teacher’s
descriptions of oral and written language
performance, ability to hear in the classroom, and
speech development” (675.20)
“Audiological review means a review of hearing screening
results by an audiologist (675.20)
SCREENING: all mandated students
THRESHOLD AUDIOGRAM:
#1
Students failing screen #2
AUDIOLOGIC REVIEW:
Referral
Students whose threshold audiogram meets
referral criteria
criteria
#2
Audiogram
Medical
Educational
(SIFTER)
AUDIOLOGIC REVIEW
HEARING SCREENING FOLLOW-UP PROCEDURES
 THRESHOLD AUDIOGRAM REFERRAL CRITERIA MET
 REFERRAL PROCESS INITIATED
SIFTER to teacher to complete
 green audiogram, blank Treating Physician’s report, cover letter to parent(s)
WAIT NO LONGER THAN 6 WEEKS
 COLLECT SIFTER, Treating Physician’s report (or information regarding medical
status from parent(s)
 SEND TO LICA:
 pink audiogram (initial test) and any additional hearing test results obtained
since initial threshold test ( e.g. retest at school; report from private audiologist)
 completed SIFTER
 Treating Physician’s report (or any information provided by parent
(e.g. no appt scheduled yet; referral made to ENT; under treatment)
WITHIN ONE WEEK:
 Above information returned, along with cover memo with recommendations
For which children should Audiologic Review
be conducted?
Why should information be sent in for
Audiologic Review if:
• the physician said everything is OK?
•a re-screehing at school showed
normal hearing?
•a community-based audiologist
said hearing was within normal limits?
Do we need signed consent from the parents
to send information to LICA for audiologic review?
????????????
LICA Referrals/Contact
WHO?
•Cannot accurately screen hearing
•Recommended following Audiologic Review
•Hearing loss identified
•Hearing aids or assistive listening device recommended or being used
•Known hearing loss, but no current (within one year) audiologic report
•504 plan/IEP exists that addresses issues related to hearing loss
•Concern about listening
HOW?
•Complete LICA Referral
•Inform parent of referral, provide copy of rights
•Obtain LEA and NTDSE signatures
•Send to LICA
WHAT?
•Parents contacted for appointment, observe evaluation
•Parents provided immediate feedback
•District contacted by phone as needed, with report to follow
Judy Elkayam, AuD, CCC-A
Licensed and Board Certified
Audiologist
847-803-9444 x 233
[email protected]