Speech, Language and Hearing Expectations for Children with Hearing Loss and Multiple Impairments

Speech, Language and Hearing Expectations for Children with Hearing Loss and Multiple Impairments

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 and other physical response to sound (both speech and environmental, examples: microwave, car horn, etc.)
  • Response to Ling 6 sounds (ah, oo, mm, ee, sh, ss)

3 Months Hearing Age

  • Imitate 3 of 6 Ling sounds (or use speech device to imitate if nonverbal)
  • Pattern perception (long versus short, etc.)
  • Recognize different intensity and pitch (loud versus soft, high versus low)
  • Imitate or use speech device 3 to 5 Learning to listen to sounds (ex: meow, vroom vroom)

6 Months Hearing Age

  • Complete comprehensive speech/language/hearing evaluation (Celf-P 2, GFTA, ROWEVT, Auditory Placement Test, Functional Communication Profile etc.)
  • Tell the difference between consonants and vowels
  • Recognize pattern for 1-,2-, and 3-syllable words
  • Identify at least 1 or 2 nursery rhymes with hand motions ( Wheels on the Bus, Itsy Bitsy Spider)
  • Understand 3 to 5 familiar phrases ( ex: sit down, give to mom or dad)

9 Months Hearing Age

  • Identify at least 1 critical element in a message (Touch the ball, Feed the cat, etc.)
  • Imitate 10 to 15 Learning to Listen sounds (or use customized speech device)
  • 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 (about 10, or ten core words on speech device)
  • Imitate animal sounds (expand imitation of Learning to Listen sounds)
  • Identify 3 to 5 body parts (on self, in book, or on speech device)
  • Label familiar objects (ball, car, etc.)
  • Identify familiar pictures in a book by pointing (or on Bits Board or speech app)
  • Identify early developing prepositions (on, in, etc.)

18+ Months Hearing Age

  • Advanced vocabulary development
  • Advanced spoken words (Use of Core Words or word combinations on speech device)
  • Readily uses power words and familiar phrases (help me, etc.)
  • Answers “WH” questions (what, where, when, why)

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.

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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.

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