The following evaluations are performed before your child receives
cochlear implants. Additional testing will be referred as needed.
Audiological Evaluations. The audiologist will
assess hearing sensitivity and auditory function using
appropriate test methods.
Hearing Aid Evaluations.The audiologist will
measure the ear canal, take mold empressions and
recommend hearing aids and strategies to help your child
Hearing Aid Fitting, Trial and Follow. The
audiologist will program hearing aids and take
measurements. Regular follow up visits are made to check
the hearing aids and answer questions regarding the
aural (re)habilitation process.
Audiological Speech Perception Testing. The
audiologist will test your child's awareness of sounds
and speech understanding to establish a baseline and to
monitor auditory skills progress.
Medical Evaluations. The otolaryngologist will
examine your child to determine the cause of his/her
CT Scan/MRI. The otolaryngologist will determine
if your child meets the medical criteria for cochlear
Speech and Language Evaluation. The
speech-language pathologist will evaluate your child's
communication profile and help define expectations for
speech and language skills.
Developmental Assessments.The developmental
pediatrician will evaluate your child's cognitive
abilities, motor skills, communication/language skills,
social skills and self-help/adaptive skills. Testing can
include criterion-referenced measures, rating scales,
and norm referenced measures using parent report,
teacher report and direct observation.
Genetic Testing. Genetic factors play a role in
over 50% of all childhood hearing impairment. Genetic
testing can help identify the cause of hearing loss,
predict whether it will worsen, help with treatment
decisions, and assure caregivers that no other problems
associated with syndromic forms of hearing loss will
develop. Genetic testing can also help predict the
likelihood that future children will develop hearing
loss. Most genetic tests are performed on DNA obtained
from a blood or tissue sample.
Research indicates that children who receive cochlear implants at a
young age can achieve spoken language skills commensurate with same age
peers with normal hearing. To ensure success, audiological management
and intense habilitation therapy/speech language therapy is a must. We
offer the following evaluations and therapies:
Mapping. In the beginning, mapping visits are
weekly. Sounds are made louder or softer to achieve
clarity and audibility as your child's ear, nerve and
brain adjust to the cochlear implant.
Audiological Monitoring. After implantation, we
will continue to evaluate your child's ability to hear
sounds, sound patterns, word recognition and overall
Speech and Language Re-evaluations. A
re-assessment of your child's skills is completed after
the first 6 months, and annually thereafter, to assess
progress with cochlear implants and assist in
educational and therapeutic planning.
Aural (Re)habilitation/Speech and Language Therapy.
Intense therapeutic services are necessary to help your
child acquire auditory skills necessary to detect and
process sound and derive meaning from the spoken
language, as well as develop spoken language.
Intensive Weekly Therapy. For children who
receive implants at an early age, an intensive auditory
training program is recommended to maximize the child's
benefit with their cochlear implant. Each session
involves direct therapy, as well as parent eduction and
Short-Term Therapy. This is for families who
travel a long distance. The goal of therapy is to
provide the parent with information about habilitation
and how to focus on auditory goals in daily life.
Customized Therapy. The speech-language
pathologist and parents coordinate other therapy
options, such as sign language, therapy for previous
non-users of cochlear implants, assistance transitioning
from manual to oral communication options or traditional
services for children with expressive communication
difficulties/motor speech difficulties.
Parent Training. Parent training is a very
important part of therapy. Each therapy session provides
guidance and coaches parents to create environments that
support listening for the acquisition of spoken language
through the child's daily activities using natural
We offer the Hanen Program. It Takes Two to Talk,
a family-focused program for parents with young children
who have communication difficulties. Through a
combination of group sessions and individual
consultation using videotaping It Takes Two to Talk
helps parents learn how to create and take advantage of
everyday opportunities to their child’s communication
and language development.