Early Identification, Communication Modality, and the Development of Speech and Spoken Language Skills: Patterns and Considerations
This chapter focuses on information which has been gained about the speech and spoken language development of children whose hearing loss has been identified through universal newborn hearing screening programs in Colorado. Ninety percent of the children in Colorado whose hearing loss was identified between 1994 and 2004 have participated in the statewide early intervention program (Colorado Home Intervention Program[CHIP]). The chapter begins with a description of this program. Data are then presented that demonstrate rates of development of speech skills by this population, with reference to influential variables and patterns which differ from those of earlier cohorts of deaf and hard of hearing children. Finally, case studies are presented for three children who were identified in Colorado's newborn hearing screening program, who participated in the state's early intervention program, and whose speech and language development has been supported in part by the use of cochlear implants.
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