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IEP Considerations for the Child with a Cochlear Implant. Darcy Beaver Teacher of the Deaf/Hard of Hearing. Pragmatics vs. Academics. Where are we going?. Family’s goals? Education goals? Keeping this in mind creates your road map!. Observations. In class Out of class

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iep considerations for the child with a cochlear implant

IEP Considerations for the Child with a Cochlear Implant

Darcy Beaver

Teacher of the Deaf/Hard of Hearing

where are we going
Where are we going?
  • Family’s goals?
  • Education goals?

Keeping this in mind creates your road map!

observations
Observations
  • In class
  • Out of class
  • Discussions with teachers
  • Checklists
  • www.cde.com
assessments
Assessments
  • Language levels may be age appropriate due to early programming and therapy
  • Scores may indicate that the student doesn’t “qualify” for special education services since a discrepancy is not present
assessments recommended
Assessments Recommended
  • Cottage Acquisition Scales for Listening, Language & Speech (CASLLS)
  • Preschool Language Scale-4
  • Preschool-Clinical Evaluation of Language Fundamentals (CELF-P)
  • Rosetti Infant Toddler Language Scale
  • MacArthur Communication Development Inventory: Words, Gestures, and Sentences
  • Test of Auditory Comprehension of Language- Third Edition (TACL-3)
  • The Screening Instrument for Targeting Educational Risk (S.I.F.T.E.R)
  • The Reynell Development Language Scales III (RDLS III), 3rd ed.
  • SKI-HI Language Development Scale
  • Oral and Written Language Scales (OWLS)
  • Grammatical Analysis of Elicited Language, Pre-Sentence Level (GAEL-P)
  • Early Speech Perception Test (ESP) for Profoundly Hearing Impaired Children
  • Functional Auditory Performance Indicators (FAPI)
  • Meaningful Auditory Integration Scale (MAIS)/ Infant-Toddler: Meaningful Auditory Integration Scale (IT-MAIS)
  • The Listening Inventory for Education: an Efficacy Tool (LIFE)
assessments cont
Assessments cont.
  • The Arizona Articulation Proficiency Scale –Third Edition
  • The Goldman Fristoe: Test of Articulation 2
  • Identifying Early Phonological Needs in Children with Hearing Impairment
  • Peabody Picture Vocabulary Test (PPVT-3)
  • Expressive One-Word Picture Vocabulary Test
  • Receptive One-Word Picture Vocabulary Test
  • Test of Early Reading Ability-3rd Ed. (TERA-3)
  • Boehm Test of Basic Concepts – Revised (BTBC-R)
  • Bracken Basic Concept Scale- Revised
  • Checklist of Emerging ASL Skills
  • ASL Development Observation Record
  • The American Sign Language Proficiency Assessment (ASL-PA)
  • Test of American Sign Language (TASL)
  • www.nasde.org/Portals/O/Documents /AssessmentTools.pdf
a new approach
A New Approach:
  • We need to use a prevention and surveillance model rather than a failure model to manage this generation of children with hearing loss. Beware of being seduced by how much these children seem to know at a young age.
  • They still need enrichment!

Carol Flexer, 2010

pragmatics
Pragmatics
  • Think of what the student is doing with the information that they have
  • Social skills – are they accurately interpreting situations with peers?
  • Applying information- they can spell, they understand grammar- what happens when they put it into writing?
what do we need to know
What do we need to know?
  • What are the standards expected at each grade level?
  • How are they measured?
  • Content, Content and More Content!
  • What district and state tests occur at each grade level?
  • What accommodations are needed?

Standards

Things to consider

consider all of the domains
Consider all of the domains
  • Involve the family at all times
  • No cookbook approach
  • Keep assessing the child’s needs
goals
Goals
  • Listen, Listen, and Listen some more
  • Resources:
    • www.hearingjourney.com

CLIX

Word Association Syllable Perceptions (WASP)

SPICE (CID)

Cottage Scales

Spelling Tests

Cochlear Implant Center

HOME!!!!

listen in and out of the classroom
Listen in and out of the classroom
  • Early listeners need to have listening goals in a quiet environment
  • As their listening skills advance, then goals can move into more controlled noise situations
  • Lastly, listening goals can be monitored in the classroom – children spend over ½ of their school day listening
words words words
Words, Words, Words
  • Must read everyday to learn vocabulary!

Read out loud!

  • A student needs to know 10,000 words by first grade
  • A student needs to know approximately 100,000 words by 12th grade

TV stays within 10,000 words!

tell me more
Tell Me More…..
  • Phonics
  • Sequencing
  • Retell
reading
Reading
  • Geers (2003)
  • Large numbers of 8-9 yr. olds implanted before 5 years
  • Reading levels within the normal range
  • Geers (2008)
  • When tested again at 15-16 years of age- significant numbers had not progressed
articulation
Articulation
  • Choose targets carefully with eye toward practicing consonants with a variety of vowels
  • Listen for sounds that are present and absent- it will guide us on how well the implant is or isn’t working

Muddy In/Muddy Out (Carol Flexer)

  • Be aware of normal speech development but don’t always feel like that is what needs to be followed
  • Only 25% of speech sounds are visible so keep that in mind when presenting sounds
thoughts
Thoughts?
  • Conclusions: Early cochlear implantation had a long term positive impact on auditory and verbal development but did not result in age-appropriate reading levels in high school for the majority of students.
  • Carol Flexor stated that the reading material for adolescents demands skills in word knowledge, complex vocabulary, making inferences, pragmatic skills of language.
comprehension skills
Comprehension skills
  • Answer questions-verbally and written
  • Understanding age appropriate skills can be the best guide
write it down
Write it Down
  • Understand expectations of each grade level
  • The student may have great language skills but writing it down is a different ballgame!
keep communicating
Keep communicating
  • Team members
  • Family
  • Cochlear Implant center
resources
Resources
  • www.agbell.org
  • www.cochlear.com/HOPE
  • www.hearingjourney.com
  • www.asha.org
  • www.avli.org
  • www.cochlearamericas.org
  • www.advancebionics.com