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Sunday, March 23, 2025

Recommendations and Resources to Support the Development of Academic, Verbal, and Cognitive Skills in Children with Hearing Loss


Recommendations for General Cognitive Functioning:

·     Student's FSIQ falls within the Borderline range, indicating potential difficulties in multiple areas of functioning.

·     Intervention strategies:

o  Pre-teaching and re-teaching lessons to provide her with additional exposure to new concepts, thereby aiding comprehension and recall.

o  Present new content through multiple modalities (e.g., visual, auditory) and use simple vocabulary and sentence structure.

o  Set small, measurable academic goals in each subject area and involve Student in creating rewards for meeting them.

o  Track her success using charts to provide a sense of accomplishment.

o  Consider an adaptive behavior assessment to identify goals in self-care, community interactions, and household chores.

o  Engage Student in hobbies and extracurricular activities to build success in multiple areas of functioning.

Recommendations for Verbal Skills:

·     Student's performance on the Verbal Comprehension Index (VCI) was significantly weaker compared to her peers, possibly due to bilingualism.

·     Verbal skill interventions:

o  Use dialogic reading to engage Student with child-specific questions that foster interest, comprehension, and critical thinking.

o  Enrich vocabulary by exposing Student to novel situations and encouraging her to ask about unfamiliar objects.

o  Keep a list of new words Student learns and review them periodically.

o  Encourage verbal discourse in a positive, open environment, asking open-ended questions and giving her time to respond.

o  Encourage Student to engage in age-appropriate conversations outside of school (e.g., ordering food at a restaurant).

o  Provide positive feedback during conversations, including reciprocal conversations and encouraging elaboration on her thoughts.

Recommendations for Fluid Reasoning Skills:

·     Student performed in the Average range on the Fluid Reasoning Index (FRI), making this a strength area for her.

·     Support for fluid reasoning:

o  Encourage Student to identify patterns and predict what comes next in sequences.

o  Help her group objects in different ways and explain her reasoning.

o  Engage in age-appropriate science experiments, where Student forms hypotheses and measures results.

o  Provide activities that are both at her skill level and appropriately challenging to promote further development.

Building Verbal Skills:

·     Family involvement:

o  Set aside time each evening for discussing the day’s events, minimizing distractions during the conversation.

o  Ask Student open-ended questions, avoid interrupting, and allow her time to respond fully.

o  Provide positive feedback when she engages in conversation.

o  Develop naming games where Student lists objects based on specific characteristics (e.g., "red," "round").

o  Use story-time activities where Student identifies changes in stories or completes unfinished stories.

·     Classroom support:

o  Reduce complexity in classroom discourse by controlling vocabulary, simplifying multi-step commands, and offering written support.

o  Organize new information into visual categories to help retain it more easy (e.g., using diagrams, graphs, or pictures).

o  Use visual support for lessons and text to reinforce learning.

Building Visual-Spatial and Fluid Reasoning Skills:

·     Family and teacher support:

o  Encourage Student to complete puzzles that involve matching shapes and colors.

o  Support her in identifying sequences of activities (e.g., performing and replicating actions).

o  Develop stories with Student as the central character, allowing to draw/select pictures to represent the sequence of events.

o  Ask Student to identify what happens before and after an event in a story to develop sequential reasoning.

Building Processing Speed and Working Memory Skills:

·        Memory strategies:

o  Use "chunking" techniques to help Student remember information. For example, group a phone number (555-5678) into chunks (5, 55, 56, 78).

o  Link new information to familiar concepts to improve memory retention and ease her ability to recall new facts.

Resources

Articles

1.       "Supporting Language Development in Children with Hearing Loss" (Hearing Health Foundation)
This article discusses strategies for supporting language development in children with hearing loss, with a focus on improving speech and language skills. Link: HearingHealth Foundation - Language Development

2.       "Strategies for Supporting Children with Limited Verbal Communication" (National Center on Deaf-Blindness)
This article provides strategies for improving communication skills in children with limited verbal abilities, including the use of gestures and alternative communication methods. Link: NCDB- Limited Verbal Communication Strategies

3.       "Improving Cognitive and Verbal Skills in Children with Hearing Loss" (American Speech-Language-Hearing Association) This article outlines strategies for improving both cognitive and verbal skills in children with hearing impairments. Link: ASHA -Cognitive and Verbal Skills

Books

1.       "The Handbook of Child Language" by Paul Fletcher and Brian MacWhinney
This comprehensive handbook covers various aspects of child language development, including cognitive and verbal skills. It’s useful for understanding language development delays and supporting children in these areas.

2.       "Building Early Literacy Skills: A Practical Guide for Parents and Teachers" by Marian R. Whitehead
This book offers practical strategies for supporting early literacy development in children, focusing on language acquisition, cognitive development, and verbal skills.

3.       "The Social Skills Guidebook" by Chris MacLeod
A great resource for parents and educators looking to help children develop stronger social skills. It includes strategies for improving peer interactions, verbal communication, and understanding social cues.

Video Playlists 

  1.  “7 Tips to Help Late-Talking Toddlers from a Speech Therapist: Improving Speech and Language at Home.” This YouTube channel is dedicated to helping parents and educators support speech and language development in children, including those with language delays or hearing impairments. Link: https://youtu.be/6_8-fP2gqfI?si=f4cK5r7OFxKE7imL 
  2.  “Cochlear Americas” (Cochlear Implant Videos) This side provides educational content for parents and professionals working with children who have cochlear implants, offering guidance on maximizing the benefits of cochlear implantation for speech and language development. Link: https://www.youtube.com/@CochlearAmericas/videos 
  3.  “Speech Therapy Ideas” a side that offers practical therapy ideas for improving speech, language, and cognitive skills. This includes strategies for both expressive and receptive language, as well as cognitive development. Link: https://www.youtube.com/results?search_query=Speech+Therapy+Ideas+for+children+with+hearing+loss

Websites for Additional Support

1.       American Speech-Language-Hearing Association (ASHA)
ASHA offers a range of resources for supporting children with speech and language disorders, including those with hearing loss. Link: ASHA Website

2.       National Deaf Children's Society (NDCS)
The NDCS provides extensive resources on how to support children with hearing loss, including advice for parents, teachers, and professionals. Link: NDCS - Supporting Children withHearing Loss

3.       Cochlear Americas - Family Support Resources
Offers a variety of resources for parents and families of children with cochlear implants, with helpful tips on supporting communication and language development. Link: https://www.cochlear.com/us/en/professionals/resources-and-training/professional-education/school-resource-center