My 10 year old daughter is fitted was fitted with a cochlear implant at the age of 3+. Overall, the CI has been beneficial to her. She has always attended a mainstream school with 3 sessions of speech therapy weekly. Academically, she has demonstrated strong potential – averaging decent scores in test and exams – with a lot of remedial teaching by her therapist and several hours of study with lesson teachers and self study (a lot of hard work…I wonder how she copes, but she is a strong child) The teachers in school have no special education training and haven’t been able to teach her in a way that enables her to be adequately imparted in class. As she approaches high school I am looking for high schools either in the UK or US that can accommodate her learning difference. So studying wouldn’t have to be so difficult. She is quite brilliant and it will be a shame for her not to be given the enabling environment to reach her full potential. Her only mode of communication is written and spoken language.
The answer to your question would be different in the United States and the United Kingdom.
If you are interested in your daughter attending a residential (“boarding”) school for the deaf in the U.S., and you are not a resident, state-supported schools for the deaf are not an option. There are several private residential schools for the deaf that your daughter could attend if she qualifies and you are willing to pay full fees. However, virtually all of those schools utilize sign language (to a greater or lesser extent) as well as spoken or written English. Aside from schools for the deaf, regular (“public”) schools in the U.S. are required to provide deaf children with appropriate accommodations. It’s a bit more complicated than that, but the generalization will suffice for the present purposes because the U.S. does not have public boarding schools.
If you are interested in your daughter attending a boarding school for the deaf in the United Kingdom, your daughter qualifies, and you are willing to pay the fees, there is at least one “oral” school for deaf students where your daughter would receive the necessary support services. Generally, however, private (fee-paying) boarding schools in the UK are not required to provide accommodations for deaf children. State-supported regular schools are required to do so, but it is unclear whether the relatively new, state boarding schools are similarly required to provide accommodations or are willing to accept deaf students. (The National Deaf Children’s Society has been working on this front.)You would need to seek them out through the State Boarding Schools’ Association.
Yet another possibility is homeschooling.
Curriculum Officers in my school are saying that phonemic awareness is not critical in learning to read and write because Deaf children don’t hear sounds and cannot be phonemically aware before learning to read and write. How critical is phonemic awareness in the scheme of deaf students learning to read?
It is well documented that developing phonological sensitivity is a necessary aspect of learning to read and write for all hearing learners. Phonological sensitivity is an umbrella term that encompasses both phonological and phonemic awareness; that is the broad array of abilities and skills associated with manipulating the sound structures of a spoken language (e.g., alliteration, rhyming, blending, segmenting). These are critical in order to make sense of the systematic relationship underlying the mapping of sound onto print in the processes of both decoding (word reading) and encoding (spelling), especially in an alphabetic language such as English. The essential role that phonological sensitivity plays in reading and writing development does not change because the learner has a hearing loss.
Some deaf children develop these phonological skills via an auditory route in a similar fashion to their hearing peers through the use of hearing technologies such as hearing aids and cochlear implants. For those children for whom the auditory route is not possible or needs to be supplemented, visual strategies such as Visual Phonics or Cued Speech Language can be used. Research has shown that these approaches are effective in developing phonological sensitivity even in profoundly deaf students.
It should be emphasized that phonology alone (i.e., decoding and encoding in the absence of language) is not sufficient for becoming a fluent reader and writer. However, if deaf learners do not develop phonological sensitivity and the ability to decode and encode with ease and automaticity, they will face challenges in learning to read and write, and in developing age-appropriate literacy outcomes.
For further information on the importance of phonological sensitivity in the literacy learning process, you could visit the Reading Rockets website.
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.
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!
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 work as a teaching assistant in a primary school and work one to one with a deaf child aged 4. The main educational focus for this child is to develop their understanding and ability to use sign language however I’m not sure which way would be the best way to teach this?
I am able to use a basic level of sign language. The student has picked up some signs on their own like drink, toilet and food; however, this is a very slow process, does anyone have any tips?
Your question which is massively important for the pupil with whom you are working. You clearly recognise that the situation you describe is not working, and you are absolutely right to voice your concern.
For this or any child to acquire a language, accessible, fluent language models are necessary, and consistent use is essential. That means that if sign language is the goal, the child will need to be surrounded by fluent and consistent language at school and at home. This may be a huge challenge for the whole family, but it’s an essential ingredient to long-term success. It would be helpful to have them look into NDCS family sign language curriculum.
It would appear from the description of your situation that both you and this child are being put in an untenable position. It is unreasonable for you to be given the responsibility to teach the child sign language: a highly-skilled sign language user trained to work with young children in an educational setting, ideally a native signer, is needed for the child’s future language, cognitive, and social-emotional development. With only a handful or words/signs at the age of four there should be a clear, focussed and frequently monitored language development programme in place for this pupil. If the child already has had extensive exposure to sign language, it also might be worthwhile requesting a cognitive evaluation just in case there are other factors at play.
The circumstances will of course be more complicated than you are able to express in a few short sentences, and it is important, therefore, that a much more detailed and extensive review of the situation is undertaken. In the first instance, you need to discuss this with the class teacher, SENCo and teacher of the deaf as soon as possible.
I have a seven month old daughter just diagnosed with profound hearing loss. What are the main things I should be doing with her immediately (apart from starting sign language, which we did before she was officially diagnosed) to promote her language and literacy acquisition down the track?
You are already doing the most important thing: asking questions. Next, but not unrelated, you should look into family-centered early intervention programs. Descriptions of these, the issues you need to be aware of, and the questions you should be asking can be found in two articles recently published and available from the Journal of Deaf Studies and Deaf Education. Click on “Read Highlighted Articles for FREE.”
Meanwhile, enjoy your daughter and engage in as much communication as possible by talking to her, signing to her, and through touch. Just remember to get her (visual) attention before communicating. You will do great!