Speech, Language and Hearing Expectations for Children with Hearing Loss

Speech, Language and Hearing Expectations for Children with Hearing Loss

Your child needs to wear his or her cochlear implant(s)/hearing technology all waking hours. A typically hearing baby listens for 10 waking hours a day, 365 days a year. A typically hearing toddler listens for 12 hours a day 365 days a year. This is vital for your child to access language and to make adequate progress.

1 Month Hearing Age

  • Head turn as a physical response to sound (Speech/environmental ex: microwave, car horn, etc.)
  • Detection of ling 6 sounds (ah, oo, mm,ee, sh, ss)

3 Months Hearing Age

  • Imitate 3 of 6 Ling sounds
  • Pattern perception (long versus short, etc.)
  • Recognize intensity and pitch ( loud/soft, high/low)
  • Imitate 3 to 5 Learning to Listen sounds ( ex: meow, vroom vroom)
  • Start to teach conditioned play (“listen and drop”)

6 Months Hearing Age

  • Complete comprehensive speech, language and hearing evaluation (Celf-P 2, GFTA, ROWEVT, Auditory Placement Test, etc.)
  • Distinguish between consonants and vowels
  • Pattern perception for 1,2,3 syllable words
  • Identify at least 1 to 2 nursery rhymes with accompanying hand motions ( Wheels on the bus, Itsy Bitsy Spider)
  • Comprehend 3 to 5 familiar phrases ( ex: sit down)

9 Months Hearing Age

  • Identify at least 1 critical element in a message (Get the ball, Show me the cat, etc.)
  • Imitate 10-15 Learning to Listen sounds
  • Identify familiar Learning to Listen sounds by sound (ex: moo, meow, etc.)
  • Identify familiar nursery rhymes by picture pointing from a closed set
  • Imitate variety of consonants by manner( b,p,m,n,h,w)

12 Months Hearing Age

  • First spoken words (approximately 10)
  • Imitation of animal sounds ( expand imitation of Learning to Listen sounds)
  • Identify 3 to 5 body parts
  • Label familiar objects (ball, car, etc.)
  • Identify familiar pictures in a book by pointing
  • Identify early developing prepositions (on, in, etc.)

18+ Months Hearing Age

  • Advanced vocabulary development
  • Advanced spoken words
  • Readily uses power words and familiar phrases (help me, etc.)
  • Answers “WH” questions (Why? When? Where?)
  • Identifies 2+ critical elements in a message (Get the ball and the car.)

Complete Speech/Language re-evaluation completed every 6-12 months to monitor progress while child is enrolled in speech therapy. Annual Speech/Language evaluation thereafter. Minimally, evaluations scheduled at transition points - entering elementary school, middle school, high school, and post-secondary schooling.

Progress and prognosis are affected by age of identification, early intervention, type and degree of hearing loss, other contributing disabilities, cognition, communication choice, family involvement, etc.

request a hearing program appointment

Hearing Clinic Locations

featured video

Braxton turns four today. He received the best birthday gift anyone could get, the gift of hearing.
This video is posted to showcase the talent, innovation and advanced skill of the Hearing Program. Its purpose is not to recruit patients or promote services.

Member of the American Cochlear Implant (ACI) Alliance

Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000