Children can only develop spoken language through consistent exposure to the acoustic cues that comprise speech and language. Until recently, hearing levels from the clinical audiogram were the primary measure used to define typical hearing and the presence or degree of a child's hearing loss. While the clinical audiogram remains an important…

Children who are deaf and hard of hearing and their families need access to appropriate early intervention services that are delivered by professionals who are well trained and experienced using their chosen communication approach. Unfortunately, a lack of qualified practitioners, especially in remote and rural communities, and limited funding can…

This manuscript describes a pilot project in which infants in Guam who refer on newborn hearing screening receive diagnostic audiological evaluation conducted by audiologists in Colorado over the Internet (telepractice). The evaluation is completed in real time using commercially-available software and personal computers to control the diagnostic…

Recent advances in videoconferencing technology have resulted in a substantial increase in the use of live videoconferencing--referred to here as telepractice--to diagnose and treat speech, language, and hearing disorders. There is growing support from professional organizations for use of this service delivery model, as videoconferencing…

Since 1946, Utah State University (USU) has offered specialized coursework in audiology and speech-language pathology, awarding the first graduate degrees in 1948. In 1965, the teacher training program in deaf education was launched. Over the years, the Department of Communicative Disorders and Deaf Education (COMD-DE) has developed a rich history…

Pediatric audiologists play a vital role in detection, diagnosis, and intervention for young children with hearing loss and their families. Preparing the next generation of pediatric audiologists necessitates a creative approach that balances the requirements of a broad curriculum with the special skills needed to serve a unique and varied…

Because newborn hearing screening has become the standard of care in the United States, every state has established an early hearing detection and intervention (EHDI) program responsible for establishing, maintaining, and improving the system of services needed to serve children with hearing loss and their families. While significant developments…

Presently, there is a world-wide shortage of professionals qualified to serve children who are deaf and hard of hearing and their families who are seeking a listening and spoken language outcome. To address the crisis of capacity, it is anticipated that an increasing number of professionals not currently serving as mentors will need to engage in…

Developments in universal newborn hearing screening programs and assistive hearing technology have had considerable effects on the speech, language, and educational success of children who are deaf or hard of hearing. Several recent research studies of children who are deaf or hard of hearing and who use spoken language as their primary method of…

This profile describes the University of Hartford's new Master of Education degree program in Aural Habilitation and Education of Hearing-Impaired Children. The Aural Habilitation and Education graduate program was conceptualized as a model partnership between Capitol Region Education Council (CREC) Soundbridge, the largest public provider of…

Text and graphs describe the Dynamic Range Configuration audiogram developed at the Central Institute for the Deaf in St. Louis, Missouri. The audiogram displays the portion of the average speech spectrum audible to the child, with and without amplification, and can be effective in counseling parents and planning appropriate amplification.…

Children with unilateral hearing loss (UHL) are at risk for academic, speech and language and social-emotional difficulties. To date, most of the evidence documented in the literature has been obtained from school-age children, most of whom were diagnosed with UHL after enrollment in school. Following the widespread institution of universal…

Because children who are deaf or hard of hearing are being identified at birth, fitted with advanced hearing technology, and enrolled in early intervention programs, families increasingly seek professionals who can provide services that support their choice of listening and spoken language. The increased demand for these services and shortages of…

Describes alternative approaches to hearing aid fitting with infants and young children in light of recent technological developments. Both audiometric-based and electroacoustic-based procedures are described. Discusses the relative strengths and limitations of each approach to hearing aid fitting in terms of their clinical application with…

Discussion of technological advances in amplification for children with hearing impairments focuses on the advantages and limitations of fitting children with devices that have features such as dynamic-range compression, multiband signal processing, multimemory capability, digital feedback reduction, and frequency transposition. (Author/DB)