The existing outcome literature on the use of oral-only and total communication approaches for young deaf children is reviewed and methodological and practical difficulties of outcome research explored. The authors propose a developmental/transactional, clinically based process model for evaluating the effectiveness of early intervention.…

This paper argues that current practices in total communication classrooms have basically assigned the responsibility of communication to hearing-impaired students who must adapt to the variation in communication behaviors displayed by each of their teachers. The paper advocates use of a model communication and language policy designed to…

The SKI HI program, a home intervention model for hearing impaired infants and their families, is described. An overview of the program is provided, followed by separate sections on administrative, direct service, and support service topics (sample subtopics in parentheses): child identification and processing (statewide hearing screening model,…