We adopted our daughter when she was seven… no one had ever noticed that she was 95% deaf in her right ear. Now, as a beautiful 14-year-old we have noticed that while she is comfortable in public in our company, she gets overwhelmed in public. While shopping, she needs to stay very close to us, because I think, she doesn’t know how to filter out the sounds that are relevant to her situation. Consequentially, she is reluctant to attend events, activities, or shopping with kids her own age. This fall, she will be attending our local high school with 3,500 other students. Are there some exercises that we can practice to help her prepare for this? We live in a rural area with little or no programs available. She also has some other learning issues.
Your observations of your daughter are astute, and kudos for being her advocate. Single-sided deafness (one normally hearing ear and one ear with significant or total loss of hearing) results primarily in difficulty localizing sounds and hearing in noise, skills that rely heavily on two ears. Public places are typically very noisy and have poor acoustics; therefore the shopping mall, the gym, and the birthday party all may present challenges for your daughter to understand what people are saying.
Though many children with single-sided deafness develop speech and language on track, we know that they are at increased risk for academic challenges, and many, like your daughter, experience frustration and negative social consequences. Speaking openly to your daughter about her hearing loss and encouraging her to advocate for herself will be of great value to her. There are also actions you can take to ensure she receives the best medical management and social and educational outcomes. The first step is obtaining an evaluation by an otolaryngologist (Ear, Nose, and Throat doctor) and a hearing assessment from a pediatric audiologist. It’s important to receive a diagnosis and explore potential causes of the hearing loss to determine if there are any associated conditions or risk for further hearing loss. There may be medical treatment for certain kinds of hearing loss. There are also several types of hearing technology that may be recommended for children with single-sided deafness, such as a bone-anchored hearing aid (BAHA), which is surgically placed in the bone behind the ear, or a contralateral routing of signal (CROS) hearing aid in which a microphone picks up sounds from the side of the deaf ear and sends them to hearing ear.
The next step is requesting an evaluation for special education services from the school system through an Individualized Education Program (IEP). That should include not only assessments of hearing but also the impact of the hearing loss on academics and social and emotional function. This is especially important if your daughter is exhibiting learning difficulties. Whether or not she is determined to qualify for special education services, the school is required by the Individuals with Disabilities Act to provide equal access to communication for your daughter, both in the classroom and at all school events. In cases of single-sided deafness this could mean, among other things, preferential seating, captioned media, and/or the use of an FM system where the teacher or speaker uses a microphone that transmits sounds directly to an ear piece worn by the student. It is critical that your daughter’s teachers be aware of and monitor her performance in class. Request contact with the school district’s educational audiologist, who will be your daughter’s ally.
Last, but not least, your daughter may benefit from counseling. Depending on her needs, she may be better served by either an aural rehabilitationist (speech-language therapist or audiologist) or a clinical psychologist or social worker, or both. Aural rehabilitation therapy focuses on developing listening skills, communication strategies, navigating hearing assistive technology, and self-advocacy, whereas counseling focuses more on social/emotional concerns.
For more information two great links are:
I am a TOD on the high school level. I have been for 18 years. I had four years in the preschool. I am a self-contained teacher and an Inclusion teacher. I was wondering if you had a suggested materials for me to use in the classroom. I currently teach World History. My students have very low Lexile levels. My biggest struggle is reading comprehension and my boss constantly telling me I need to ask higher order questions to my students. My students struggle with basic questions: who, what, where, when, …. My vice principal has a special education degree. I have tried to explain that my deaf students think and process information differently than the special needs and regular education students. Also can you suggest any books that I should read to help me in the classroom with my students? My students’ parents do not sign and two out of three students come from Spanish-speaking homes.
My favorite high-interest, low-reading level materials are published by Steck-Vaughn. The World History book is “World History and You” by Vivian Bernstein which is a 2nd-3rd grade reading level. They also have similar books for other Social Studies courses (America’s Story, World Geography and You). They are short reading selections and include activities and assessments. AGS also publishes social studies books, which are written at a 4th grade level. Reading A-Z is another program that has leveled readers about various topics that may include some information that you are covering. Unfortunately, there are not many other options that I have found that work well with students who are deaf and hard-of-hearing who are reading significantly below grade level. If those texts don’t match up with my student’s needs, I tend to rely on teacher made materials and websites such as edhelper.com and enchantedlearning.com.
If your students are having difficulty reading the material, perhaps you could have the students put the reading portion on hold at first. I’ve had success by pre-teaching new vocabulary with pictures, then story telling and having the students do a non-reading/writing activity (role-playing, make a picture book together, create a time-line with titles/pictures only, etc.) Once they understand the concepts “through the air”, the students can then apply that to the text.
As far as books that you can read, there is a lot of information out there about embedding formative assessment, which has helped me recently in my classroom with struggling learners. Try publications by Dylan Wiliam.
Strategies that I feel are necessary for student success are:
• Visuals – Use as many visuals as you can find.
• Repetition – After the initial instruction, take some time each day to warm up by touching on previous information and do this often.
• Vocabulary – So many students have difficulty reading simply because they don’t recognize the words. This happens even with simple words that they actually DO know the meaning of, but just don’t recognize the written word. Step up your vocabulary study with vocabulary notebooks, word walls, etc. Use pictures along with simple definitions and even pictures of the signs when able. Avoid definitions from the dictionary, which can be confusing for students who are deaf and hard of hearing. Quizlet.com (there is also an app available) is a fantastic way for students to practice vocabulary. It gives the option to add a definition and/or picture for each vocabulary word, as well as games and assessments.
• Real Life Connections – Find a way to connect the information to the students’ real life. This could be by paralleling English to Spanish (written, spoken or signed) or events that have occurred in their everyday life.
I agree that it IS extremely difficult for students to be able to answer higher level questions if they are struggling with basic WH- questions. To improve your students reading comprehension, critical thinking skills, and ability to answer questions, consider trying readtheory.org. It is a tool that offers reading exercises for all ages and reading ability levels. The students start off by answering lower level questions, and as they become more skilled in doing this, they move on to higher level questions. This may be ideal for your students because it gives you the freedom to individualize for each student. In addition, it also gives you analytical statistics for each student about their ability to answer higher order questions, so you can have data to show your boss to back up the way that you question your students.
I am a teacher of a ten year old boy with bilateral BAHAS. In addition to an FM system used in a mainstream classroom, I want to add speech to text where the speaker’s words in real time are transcribed to text on a monitor for the student using a computer or iPad. This student reads and this additional visual reinforcement can serve as amplified feedback. The student could also edit the text to created notes. What technology exists to make this happen? I am thinking a cordless microphone for the speaker, Dragon NaturallySpeaking, and then either a computer or iPad. I also want a word prediction program, but it would be great if this was software or an app that integrated word processing with the voice to text and word prediction all in one platform. Any ideas or suggestions as to best technology to make this a reality?
Speech recognition has been advanced as an accommodation option for deaf or hard-of-hearing (DHH) students. With speech recognition, spoken words or phrases are automatically converted into text. Today’s speech recognition software handles continuous speech and allows the speaker to speak naturally at a conversational pace. These features have generated interest in the use of speech recognition by schools to meet the accommodation needs of their DHH students. However, a steno-based (CART) or typing-based (e.g. C-Print) speech-to-text service is a more practical and effective support option than automatic speech recognition because the speech-to-text service produces a more accurate display of information and it formats the information in a more comprehensible manner. Although speech recognition can function effectively in a variety of situations, such as when a person dictates a memo, it functions with limited effectiveness in supporting a DHH student in a class with hearing students. In this situation, highly accurate text must be produced instantly in real-time in order for students to understand the class material.
If speech recognition is to be used as a support for deaf students in a classroom, a teacher may wear a microphone and dictate directly into the speech recognition software but there is limited accuracy, typically 85%. This level of accuracy means that, on average, more than one out of every 10 words is not correct. The limited accuracy of this use of speech recognition means that, for the text produced with speech recognition, students must devote constant effort to (a) figuring out which words are incorrect, and (b) generating the correct replacements for these incorrect words. This effort is attention that the student should be devoting to the learning of class content. One reason for limited accuracy is that, for speech recognition to correctly translate a word, the word must be in the speech recognition software’s dictionary. Thus, before each class the teacher must ensure that all words, including technical words, are in the dictionary and that the software is able to recognize the teacher’s pronunciation of the words.
Demonstrations by a company promoting a product may show higher accuracy, but efforts to apply speech recognition to regular use in the classroom have not yet been very successful.
Is there evidenced based research available relative to the Expanded Core Curriculum for DHH students?
Several states, including Iowa (this link provided by the Georgia DoE and several others) and Wisconsin, have provided guidance on the Expanded Core Curriculum with regard to DHH learners. However,we cannot find any indication that the recommendations are evidence-based beyond what is generally recommended in educating DHH students (some it, also, without an evidence base). The reference list at the end of the Georgia DoE document are a good starting place for the more general literature, although be aware that a number of the references are incorrect.
It may just be too soon for such research to have emerged, but it is clearly needed. Perhaps investigators working on the issue will see this and offer some references that can be posted.
My son has AIED [Autoimmune Inner Ear Disease, a syndrome involving progressive hearing loss]. He began losing his hearing a little over two years ago at the age of 10. He currently has a profound to moderate sensorineural, bilateral loss. The loss is progressive. He obviously has acquired speech and language as a hearing child. What impact am I looking for as we go forward? Prior to the loss he tested at or above for reading levels, now his reading scores are below grade level. He still makes A’s and B’s in all subjects except math. He does struggle. He attends a small public school with no deaf education resources.
With any child with hearing loss, it is important to monitor different areas of development. The first is language. Based on your description, I am assuming he is using auditory/oral skills. You have indicated that his expressive (spoken) language is on target, but it is also important to monitor his receptive language skills. With the progressive nature of his hearing loss, does he still have good access to spoken language? This may impact his overall functioning, especially in school.
I am not sure what kind (if any) of hearing technologies (hearing aids, cochlear implant, FM system, etc.) he is using, but unless he is using a signed-based language, making sure that he has good audibility is key. If audibility is a concern, providing information in a visual form may be beneficial. His educational needs should also be monitored. It sounds like he continues to do well in school and that is great! If you notice that he is starting to struggle, it is important to question why. Is he understanding what goes on in class? Could support services be provided to help him stay on target? It is important to work with his school to make sure his needs are met. I would work with them to see if he is eligible for an IEP or 504 plan (if he doesn’t already have one). Talk with his teachers, administrators, speech-language pathologists, deaf educators, etc. See if they can work to support his need for deaf education resources.
Finally, it sounds like your son may have had an stressful few years. Often overlooked, it is important to monitor the psychosocial impact of his hearing loss. Does he have a good understanding and acceptance of his hearing loss? Does he have a support system of friends, especially any with hearing loss? Feelings of isolation or questions/concerns about his hearing loss may impact his life. Working with a school psychologist may be beneficial. I hope these suggestions are helpful as you work to provide the best for your son!
We are constantly searching for appropriate assessment tools that address all the developmental areas of young children without penalizing the child because of the language acquisition differences. What do you suggest? We serve children ages 6 weeks through kindergarten with deaf, other communication disorders and hearing siblings all in the same classrooms.
This is a tough one, because communication delays and disorders potentially can affect all areas of development and/or give the appearance of doing so. I expected that most states would offer guidance in this respect…but have been disappointed. The New York State Department of Health does offer information ranging from dealing with the communication challenges per se to cultural issues and parent involvement in assessment. Both West Virginia’s and Minnesota’s Departments of Education offer listings of assessment tools for deaf and hard-of-hearing children that appear likely to be useful for a broad range of children.
A couple of book suggestions: In 2008, the Journal of Pediatric Psychology published a special issue on evidence-based assessment of children with various disorders. You could write to individual contributors to that issue who might seem pertinent. In the general area is Cohen and Spenciner’s Assessment of Children and Youth with Special Needs, 4th Edition. Specifically with regard to deaf and hard-of-hearing children is Edwards and Crocker’s Psychological Processes in Deaf Children with Complex Needs – An Evidence-Based Practical Guide.
With the number of children getting cochlear implants and their parents not using sign language with them, what are their outcomes in mainstream schools…are they still affected like deaf signing children (missing out on full access)? What percentage of the deaf student population in mainstream today, use sign language verses oral?
Several studies have found deaf children with cochlear implants to be reading at or near grade level during the elementary school years, a great improvement over what typically has been seen among deaf children without implants. By high school and college, however, implants are no longer associated with better reading achievement (although use of spoken language is). Interestingly, the same is true of deaf children who are native users of sign language by virtue of having deaf parents. That is, studies have found those children also to be reading at or near grade level during elementary school, but neither parental hearing status nor sign language ability is longer associated with better reading achievement by high school. These findings might suggest that full access is an issue for both groups, but they also may be related to the greater difficulty and complexity of to-be-learned material in the higher grades.
With regard to language use in the mainstream, you would think this would be a straightforward question with a straightforward answer. Unfortunately, it’s not. According to data drawn from the Gallaudet University Annual Survey of Deaf and Hard of Hearing Children and Youth, 19.5% of DHH students under age 13 are taught through spoken language only and 22% through sign language only. For students aged 13 and older, 6.7% are taught through spoken language only and 37.2% through sign language only. Data from the Annual Survey, however, are known to be weighted toward special schools and programs for DHH students, and it does not appear that the data are broken down by school type. According to data from the National Longitudinal Transition Study 2 (NLTSES 2), a study of a nationally representative sample of DHH high school students, 51.6% of students in regular schools use sign language (compared to 98.1% in special schools) and 94.5% of them use spoken language (compared to 59% in special schools). What all of this tells you is that most DHH students use both forms of communication, although knowing their fluencies in each and the contexts in which they use them (including school) would require further investigation.
Allen, T. E., & Anderson, M. L. (2010). Deaf students and their classroom communication: An evaluation of higher order categorical interactions among school and background characteristics. Journal of Deaf Studies and Deaf Education, 15, 334–347.
Marschark, M., Shaver, D.M., Nagel, K., & Newman, L. (in press). Predicting the academic achievement of deaf and hard-of-hearing students from individual, household, communication, and educational factors. Exceptional Children.
Marschark, M., Tang, G. & Knoors, H., Editors (2014). Bilingualism and bilingual deaf education. New York: Oxford University Press.
I am an educational interpreter for a deaf student in high school. She has been taught by a teacher if the deaf all her schooling life in a pull-out English/reading class. This year she was mainstreamed into an English/literature class. She reads at just below grade level. During class, when the (hearing) teacher has the whole class independently read from a book, should I use my finger to guide the student’s reading, or should I sign the whole thing? If the teacher has other children read out loud or uses a audio recording to help read out loud for the hearing students, should I encourage the student to look at the text and guide with my finger, or should I sign the whole thing? The goal I presume is to help enhance reading skills, and my gut tells me to have the deaf student read the visual. But my teacher of the deaf tells me to sign everything. I find that counter intuitive. If the student was learning to read, I would sign and attach the visual word to it at an elementary or preschool level. But this student knows how to read; this is now a high school level reading class. We are talking novels, short stories, etc.
While we have little information about the effectiveness of interpreted education for school age students (e.g., Schick, Williams, & Kupermintz, 2006), researchers have found that college-age deaf or hard-of-hearing (DHH) students may gain equally as much or more knowledge from reading as they do from seeing someone sign a lecture (Borgna et al.,2011; Marschark et al., 2009). This information might be something to consider when you begin having important conversations with the English teacher, the teacher of the deaf, and the student.
First, you should talk with the classroom teacher and teacher of the deaf to gather what their goals are for this activity. If the classroom teacher is listening to the hearing students read to gauge their decoding skills, then helping the DHH student follow along by tracing your finger above the words would be appropriate. This way the DHH student would be ready to read when her turn came. Asking the teachers about their goals will clear up any assumptions on your part and you can work with them to be ensure these goals are met.
Second, you should talk with the student and find out her preferences during English class. The student might prefer to read while you aid in tracking or the student may feel uncomfortable having someone that physically close during class. These preferences should be taken into consideration when deciding how to interpret in the classroom but may not be paramount to the teacher’s goal during the lesson. Your combined knowledge and ability to communicate as an educational team will resolve this issue as well as many in the future.
Borgna, G., Convertino, C., Marschark, M., Morrison, C., & Rizzolo, K. (2011). Enhancing deaf students’ learning from sign language and text: metacognition, modality, and the effectiveness of content scaffolding. Journal of Deaf Studies and Deaf Education, 16(1), 79–100.
Marschark, M., Sapere, P., Convertino, C. M., Mayer, C., Wauters, L., & Sarchet, T. (2009). Are deaf students’ reading challenges really about reading? American Annals of the Deaf, 154(4), 357–70.
Schick, B., Williams, K., & Kupermintz, H. (2006). Look who’s being left behind: Educational interpreters and access to education for deaf and hard-of-hearing students. Journal of Deaf Studies and Deaf Education, 11(1), 3–20.
I am a Teacher of the Deaf in a mainstream setting. I have a teenage student with a cochlear implant. She struggles with feelings of isolation and had a very bad experience at a school for the Deaf a few years ago. She desperately wants to have a friend that actually knows what she is going through but is unwilling to attend any Deaf teen events in the community due to the experience she had at the school for the Deaf. I believed she was bullied pretty severely for having a CI. I would love to help her find a friend that might be going through the same situation so she could videochat or even email. I am having difficulty finding other mainstreamed teens out in the world to with CIs to connect her with and wondered if you had any suggestions.
Some people at NTID have tried to get funding for a “video buddies” project that would allow students like yours to connect. Students who use different communication modalities, are different ages, have different interests could find friends around the country for video or text chats. Unfortunately, they have not yet found a foundation or organization willing to support the project. In the meantime, here are some possibilities:
Hear US Teens https://www.facebook.com/hearusteenspage
There are several active cochlear implant groups on Facebook both brand-specific and general). A few are listed here:
Advanced Bionics www.hearingjourney.com
Connect to Mentor site http://apps.advancedbionics.com/CTM/US
Medel’s Patient Support Group email@example.com
Cochlear Americas: http://www.cochlearcommunity.com/
A new series of captioned interviews with cochlear implant users has been posted on YouTube by an RIT student. The student hopes to educate others about cochlear implant technology and the experience of the users. he first two videos are intended to be educational and humorous.
CI Interview: Braden https://www.youtube.com/watch?v=7CFBOay2tyY
Cochlear Implant: Funny struggles https://www.youtube.com/watch?v=DujSeNPHB48
Leadership Opportunities For Teens http://www.listeningandspokenlanguage.org/LOFT/
Listening and Spoken Language Symposium http://listeningandspokenlanguage.org/
Biennial Northeast Cochlear Implant Conference http://listeningandspokenlanguage.org/
Empowering teens is also addressed with self-advocacy strategies. The document, Self-advocacy for Deaf and Hard of Hearing Students is posted at http://www.handsandvoices.org/needs/advocacy.htm.
I am doing research on the benefits of early language acquisition and teaching d/Deaf babies ASL. I am having trouble locating those who oppose it outwardly in either a scholarly journal or university publication. Do you have any suggestions as to where I may find this information?
I am not aware of credible arguments against teaching sign language to deaf babies, in principle. There are some arguments that sign language can interfere with the development of spoken language, but there is considerable evidence that refutes that position (see below).
At the same time, there also is evidence that children with cochlear implants who are in “oral” programs show better spoken language development than those in sign language or Total communication programs (see below). However, it is unclear whether that is because children with greater spoken language skills (or potential) are more likely to be “oral” programs or dividing children’s – and parents’, early interventionists’ and educators’ – time and resources between two languages is not as efficient as focusing on only one. Without something resembling a randomly controlled trial, this is not a question that is going to be answered easily (see below). Further, the “politics” of the issue are such that even what appears to be support for one position or the other is not going to be accepted by many.
Davidson, K., Lillo-Martin, D., & Chen Pichler, D. (2014). Spoken English language development among native signing children with cochlear implants. Journal of Deaf Studies and Deaf Education, 19, 238–250.
Knoors, H. & Marschark, M. (2012). Language planning for the 21st century: Revisiting bilingual language policy for deaf children. Journal of Deaf Studies and Deaf Education, 17, 291–305.
Lyness, C.R., Woll, B., Campbell, R. & Cardin, V. (2013). How does visual language affect crossmodal plasticity and cochlear implant success? Neuroscience and Biobehavioral Reviews 37, 2621–2630.
Svirsky, M.A., Robbins, A.M., Kirk, K.I., Pisoni, D.B., Miyamoto,
R.T. (2000). Language development in profoundly deaf
children with cochlear implants. Psychological Science, 11,