This paper discusses the elements of a management program to foster the development of speech production in children and youth with hearing impairments. Emphasis is on sensory management, experiential enrichment, and individual instruction. General cautions (e.g., avoid tension) are also offered. (DB)

This discussion of speech development in infants and toddlers with hearing impairments considers selection and ordering of speech targets; the place of audition in speech teaching; and teaching methods for specific speech elements. Guidelines include helping caregivers internalize strategies to help the child use residual hearing and utilizing an…