It is a complex process involving concepts, vocabulary, word knowledge, use in different social situations, narrative skills, expression through writing, understanding rules of grammar, and so on. This involves developing language understanding (reception) and language usage (expression) according to developmental expectations. This involves skill development in production of speech sounds (by themselves, in words, and in conversation), voice quality, speaking rate, breath control, loudness, and speech rhythms.ĭeveloping language. It involves using all kinds of visual cues that give meaning to a message such as the speaker's facial expression, body language, and the context and environment in which the communication is taking place. This goes beyond distinguishing sounds and words on the lips. Auditory perception also includes developing skills in hearing with hearing aids and assistive listening devices and how to handle easy and difficult listening situations. Ultimately, this training increases the child's ability to distinguish one word from another using any remaining hearing. This includes activities to increase awareness of sound, identify sounds, tell the difference between sounds (sound discrimination), and attach meaning to sounds. In fact, infants identified with a hearing loss by 6 months can be expected to attain language development on a par with hearing peers.Īural habilitation/rehabilitation services for children typically involve: The combination of early detection and early use of amplification has been shown to have a dramatically positive effect on the language acquisition abilities of a child with hearing loss. The most debilitating consequence of onset of hearing loss in childhood is its disruption to learning speech and language. Examples of communication modes are auditory-oral, American Sign Language, total communication, Cued speech, and manually coded English. The aural rehabilitation plan is also influenced by the communication mode the child is using. Specific services for children depend on individual needs as dictated by the current age of the child the age of onset of the hearing loss the age at which the hearing loss was discovered the severity of the hearing loss the type of hearing loss the extent of hearing loss and the age at which amplification was introduced. In children, a skill may not be there in the first place, so it has to be taught - hence, the services would be "habilitative," not "rehabilitative." Often with children, aural rehabilitation services would more appropriately be called "habilitative" rather than "rehabilitative." "Rehabilitation" focuses on restoring a skill that is lost.
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