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Los Angeles

Parent, Family & Professional

Roadmap for Audiology Services

Comprehensive Guide

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ACKNOWLEDGEMENTS

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This project was supported by the Health Resources and Services Administration under the Leadership Education in Neurodevelopmental Disabilities (LEND) Grant T78MC00008 of the Maternal and Child Health Bureau of the Health Resources and Services Administration (HRSA). This information or content are those of the authors and should not be construed as the official position or policy of HRSA or the U.S. government

This project was supported in part by the Health Resources and Services Administration (HRSA) under the Leadership Education in Neurodevelopmental Disabilities (LEND) Grant 5 T73MC11044 and by the Administration on Disabilities (AOD) under the University Center of Excellence in Developmental Disabilities (UCEDD) Grant 90DDUC0106 of the U.S. Department of Health and Human Services (HHS). This information or content and conclusion are those of the author and should not be construed as the official position or policy of, nor should HRSA, AOD, HHS or the U.S. Government infer any endorsements.

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Purpose and Acknowledgements

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The goal of this project is to increase knowledge about early hearing healthcare. This resource can support families with deaf or hard of hearing children and the multidisciplinary team members who work with them. The guide provides a roadmap to support the achievement of earlier identification and intervention for children with hearing loss, with a potential of better outcomes for these individuals. Information of local pediatric audiology centers services/interventions and resources at a local and national level are also included.

After reviewing the document, please fill out this brief questionnaire: Questionnaire

This will allow authors to continue revising content, implement feedback,

and to ensure it is up-to-date and accessible.

A special thank you to all authors and those who have contributed to this project:

Jazmin Miramontes, B.A and Hannah Wilson, B.A

Alexis Deavenport-Saman, DrPH, Amanda Tyree, MA, CCC-SLP

Anna Linscott, B.A. and Samantha Rodriguez, B.A.

Kate “Bug” Allen, B.S. and Crystal Ortiz, B.S.

Kristina Rousso, Au.D.

If you have any questions or suggestions, please contact

Kristina Rousso, Au.D., kristina@hearwithyou.org

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California Leadership Education in Neurodevelopmental Disabilities

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Located in the heart of Los Angeles, the California Leadership Education in Neurodevelopmental and Related Disabilities (CA- LEND) Training Program is one of the oldest LEND programs in the United States. Since 1966, LEND has been training leaders, educating community providers, conducting research, and promoting systems change for children with or at risk of Neurodevelopmental Disabilities (NDD) including those with Autism Spectrum Disorders.

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Table of Contents

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Topic

Page Number

7

11

16

25

27

30

38

43

51

53

55

56

60

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Table of Contents

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Topic

Page Number

65

69

72

76

78

79

83

89

93

96

101

107

110

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Hearing Health

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The Importance of Hearing Health

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Why is hearing health important for children?

Slight and mild hearing levels, temporary or permanent, can cause significant challenges for developing children, such as…

These children are ten times more likely to be academically unsuccessful, and are at increased risk for learning disabilities.

This group may miss out on social communication, may be viewed as “lazy” or daydreaming, and have difficulty in group settings.

Any level of reduced hearing can have a significant impact on a child’s life and well-being.

Identifying a hearing difference by six months of age, followed by appropriate intervention, leads to better language development outcomes.

Listening Fatigue

Attention Problems

Higher Stress Levels

Behavior and Social Problems

Lead K Family Services, 2026

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A Note on Wording

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There are different uses of wording when describing a person’s ability to hear. According to The American Speech-Language-Hearing Association (ASHA)...

Deaf and Hard-of-Hearing

A collective group, inclusive of an entire spectrum of individual with different hearing levels and cultural identities.

Hearing Loss

Describes hearing thresholds outside of the range of typical hearing.

Other inclusive terms: reduced hearing, decreased hearing levels, hearing difference, and Deaf-gain

Deaf vs. deaf

“Deaf” refers to identify as part of a culture that uses signed languages and views Deafness not as a disability.

“deaf” refers to those who are audiologically deaf, but may or may not be part of Deaf Culture

For more information on these terms, please visit ASHA.org Hearing-Related Topics: Terminology Guidance

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Hearing Loss: It takes a team!

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Checklist for Supporting Families of Children With Hearing Loss

Early Detection and Diagnosis:

  • Newborn Hearing Screening: Ensure your baby undergoes a newborn hearing screening after birth.
  • Developmental Milestones: Monitor and track your child’s developmental milestones, including responsiveness to sounds.
  • Follow-up Auditory Evaluation: Schedule follow-up auditory evaluations if there are concerns or if your child did not pass the initial hearing screening.

Seeking Professional Support:

  • Consult Audiologist: Schedule an appointment with an audiologist for a comprehensive hearing assessment.
  • Pediatrician Consultation: Discuss your concerns with your child’s pediatrician and seek referrals to specialists if necessary.

Educational and Support Resources:

  • Research Hearing Loss: Educate yourself about the different types of hearing loss and available treatments.
  • Explore Communication Options: Investigate various communication options, as one or more may work for your child and family.
  • Connect with Support Groups: Join local or online support groups for parents of children with hearing loss.

Assistive Technologies:

  • Hearing Aids: If recommended, discuss and explore the possibility of using hearing aids with the audiologist.
  • Cochlear Implant Evaluation: If applicable, consult with specialists about cochlear implant options.

Early intervention:

  • Enroll your child in early intervention programs to promote language and communication skills.

Communication Strategies:

  • Learning alternative communication modalities: Consider learning supplemental or alternative communication modalities to facilitate language learning and communication.

Regular Monitoring:

  • Regular Check-Ups: Schedule regular check-up with healthcare professionals and specialists to monitor progress.

Emotional Well-being:

  • Prioritize your own well-being and seek support if needed. Parenting a child with hearing loss can be challenging, and your mental and emotional health is important.

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How We Hear

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How We Hear:

  • Outer ear:
      • Consists of the ear canal and eardrum. Sound (vibration) travels down the ear canal, reaching the eardrum and causing it to move or vibrate.
  • Middle ear:
  • A space behind the eardrum that contains three small bones. This chain of tiny bones is connected to the eardrum at one end and to an opening to the inner ear at the other end.
  • Vibrations from the eardrum cause the bones to move which causes fluid in the inner ear to move.
  • Inner ear:
  • Movement of the fluid in the inner ear, or cochlea (koh-klee-uh), causes movement in tiny structures called hair cells. Movement of the hair cells sends electrical signals from the inner ear up the auditory nerve (also known as the hearing nerve) to the brain.

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Familiar Sounds Audiogram

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An audiogram (as seen above), is a graph that shows the softest sounds a person can hear across different frequencies or pitches. The pictures show loudness and pitch of speech sounds and sounds in our environment. The shaded area is where most conversational speech sounds occur.

5

Uchanski & Davidson, 2024

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How to Interpret Your Audiogram

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The horizontal (x) axis of an audiogram displays frequencies (or pitches) ranging from very low pitches on the left to the very high pitches on the right.

�The vertical axis (y) axis displays loudness ranging from very quiet (-10 dB HL) at the top to very loud (110 dB HL) at the bottom.

Normal Hearing

Mild

Moderate

Moderate-Severe

Severe

Profound

Slight

Audiogram Key

Right AC O

Left AC X

X

Y

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How to Interpret Your Audiogram

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Your audiologist may have written X’s and O’s on this graph. The X’s represent the softest level the LEFT ear hears and the O’s represent the softest level the RIGHT ear hears. Different centers may use other symbols (please refer to the key* on your audiogram).

The red line on the graph above represents the cut-off for normal hearing used for children (15 dB HL). If the X’s and O’s are plotted louder than the red line (towards the bottom of the graph), this represents a hearing loss. If they are plotted softer (towards the top of the graph), this indicates typical hearing.

Where on the graph the X’s and O’s are plotted demonstrates the “degree of the hearing loss”, or the level of hearing loss. The next section describes the different levels of hearing loss.

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Degrees and Types of Hearing Loss

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Degree vs. Type of Hearing Loss

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Degree of Hearing Loss:

  • Describes how much hearing loss is present

  • Usually represented in terms like “mild, moderate, severe…”

  • Used to determine if child should be fit with hearing aids or different types of amplification

  • Based on the softest sounds that your child can hear at different pitches

Type of Hearing Loss:

  • Describes where the hearing loss is occuring

  • Uses terms like “conductive, mixed, or sensorineural”

  • Used to help determine what type of intervention should be used - could be surgical or could be using a type of hearing device

  • Based on differences in sounds presented in ear (using the whole system) and presented using bone conduction (stimulating inner ear only)

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Degree of Hearing Loss

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Degree of Hearing Loss

Decibels (dB HL)

Communication Implications

(EHDI Wyoming, 2025)

Normal Hearing

-10-15 dB HL

Child has access to all sounds at soft levels; should be able to develop speech/spoken language spontaneously

Slight

16-25 dB HL

May have listening difficulties in noisy environments, miss short words (an, the), quiet consonant sounds (f, k, p, s, t), and grammatical word endings (-ed and -s)

Mild

26-40 dB HL

Minimal listening difficulties in quiet environments; however, may have difficulties in noisy environments.

Difficulty hearing conversations, missing fragments of speech, up to half of classroom discussions, issues with learning early reading skills

Moderate

*Everyday speech and conversations occur at this range of loudness*

40-55 dB HL

May have difficulties in quiet environments and will have difficulties in noisy environments. Will hear conversational speech at a raised volume in quiet.

Without early intervention, will most-likely have delayed/disordered syntax, limited vocabulary, flat-voice quality

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Degree of Hearing Loss

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Degree of Hearing Loss

Decibels (dB HL)

Communication Implications

Moderate-Severe

*Everyday speech and conversations occur at this range of loudness*

55-70 dB HL

Listening difficulties in both quiet and noisy environments.

May miss all speech information without intervention - most likely delayed spoken language, syntax, reduced speech intelligibility, and flat voice quality

Severe

70-90 dB HL

Does not hear most conversational speech in quiet, extreme difficulty in noisy environments. May hear loud environmental sounds.

Conversational speech is NOT audible

Loud speech can even be difficult to hear/understand

Profound

>/= 91 db HL

Extreme listening difficulties in both quiet and noisy environments. May hear extremely loud sounds.

Child may perceive sounds as vibrations.

It is important to note that different clinics might describe ranges in different ways - if you are unsure of what your child’s degree of hearing loss means, ask your audiologist to explain it in more detail.

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Types of Hearing Loss

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Conductive Hearing Loss (CHL)

Hearing loss affecting the outer and/or middle ear is called a Conductive Hearing Loss, or CHL.

This type of hearing loss may be permanent or temporary. It may be able to be treated by medical intervention by a pediatrician or Ear Nose and Throat Physician, or ENT. If it can not be medically treated, a hearing aid may be appropriate.

Common causes of CHL are presented on the next page. Keep in mind that this list does not include all the causes of CHL and it is important to ask your audiologist or pediatrician clarifying questions.

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Conductive Hearing Loss - Common Causes

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Pathology

Description

Visual

Ear Infections, or “Otitis Media”

Inflammation and fluid in the middle ear - might lead to pressure/pain and possible draining fluid

Stenotic Ear Canal

Narrowing of the ear canal

Atresia

Absence or closure of the ear canal

Microtia

Underdeveloped external ear, or “small ear”

Anotia

Absence of the external ear

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Types of Hearing Loss

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Sensorineural Hearing Loss (SNHL)

Hearing loss affecting the inner ear (cochlea) and/or the auditory nerve (CNVIII) is called Sensorineural Hearing loss, or SNHL.

This type of hearing loss is commonly permanent and is typically managed with hearing aids or cochlear implants.

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Types of Hearing Loss

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Mixed Hearing Loss (MHL)

Hearing loss that has both conductive and sensorineural components is called a Mixed Hearing Loss, or MHL.

This type of hearing loss has a portion of likely permanent hearing loss and a portion that may need medical management.

Hearing aids and/or medical management may be appropriate for this type of hearing loss.

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Types of Hearing Loss

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Single-Sided Deafness (SSD)

Sensorineural hearing loss that affects one ear, while the other ear is not affected, is called Single-Sided Deafness, or SSD.

SSD can be a common condition for children born with hearing loss. It is often caused by differences in internal anatomy, such as the inner ear being less formed or a small/missing nerve connecting the inner ear the brain.

SSD presents with unique challenges. It can affect the way a child determines where sounds are occurring, or it can affect how they learn language and speech (despite having one “good” ear).

It is important to still treat SSD as a hearing loss as it can still affect the language and speech development of a child.

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Causes of Hearing Loss

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Congenital (From Birth)

Causes of Hearing Loss

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Early Intervention Goals

1:3:6

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Roadmap for Families

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1 MONTH:

HEARING SCREENING

3 MONTHS:

DIAGNOSIS OF HEARING LOSS

6 MONTHS:

INTERVENTION

MANAGEMENT AND EARLY INTERVENTION SERVICES

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Roadmap for Families

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WHY FOLLOW 1:3:6 GUIDELINES?

Undetected reduced hearing can put children at risk for delays in speech and language development, academic achievement, and social and emotional development (Davis, Elfenbein & Bentler, 1986). These outcomes can be significantly improved by early diagnosis of hearing loss and timely intervention (Yoshinaga-Itano et al., 1988).

To address earlier intervention for children with a hearing difference, the Early Hearing Detection and Intervention (EHDI) system recommends that children should be screened by one month, diagnosed by three months, and start intervention by six months – known as the "1:3:6" guidelines.

This guide will break down each step from the newborn hearing screening to diagnosis and intervention for children with reduced hearing.

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Step 1:

Newborn Hearing Screening

by 1 Month of Age

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WHY: Newborn Hearing Screening

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WHY SCREEN INFANTS FOR HEARING LOSS?

Approximately 1-3 per 1,000 infants in the United States are born with a permanent hearing loss in one or both ears (CDC, 2019).

Prior to universal newborn hearing screenings, children were not often identified with hearing loss until speech/language concerns were apparent (18 months - 3 years of age).

The California Department of Healthcare Services (DHCS), Children’s Medical Services (CMS) has implemented a statewide Newborn Hearing Screening Program to navigate earlier identification of hearing loss leading to improved outcomes for speech and language learning.

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WHO: Newborn Hearing Screening

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WHICH BABIES SHOULD BE SCREENED FOR HEARING LOSS?

EVERY BABY!

Newborn hearing screenings are universal across the United States with the goal of providing screenings to 100% of babies born. Hearing loss can be invisible for the first few years of life; however, hearing is crucial for spoken speech/language development, academic achievement, and social development (Davis, Elfenbein & Bentler, 1986). Newborn hearing screenings are the first step in ensuring children with hearing loss receive timely identification and intervention, leading to better outcomes. CDC data from 2022 shows 99.5% of California infants received a newborn hearing screening.

The goal is for 100% of newborns to receive a newborn hearing screening.

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HOW: Newborn Hearing Screening

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HOW ARE INFANTS SCREENED FOR HEARING LOSS?

There are two types of technology used to screen infants’ hearing; Automatic Auditory Brainstem Response (aABR) and Otoacoustic Emissions (OAE).

The technology utilized depends on the birthing facility and possible risk factors associated with your infant.

Both screening tools identify infants that may have a hearing difference.

aABR Screening

OAE Screening

Picture Reference: Union Audiology Centre

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My Baby Did Not Receive a Hearing Screening!

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WHAT IF MY BABY DIDN’T RECEIVE A SCREENING AT THE HOSPITAL?

If your baby did not receive a hearing screening at their birth facility, it’s recommended that your baby be scheduled for a “rescreening”, or outpatient appointment shortly after discharge.

WHAT IF MY BABY WAS BORN AT HOME OR WITH A MIDWIFE?

If your baby was born at home or with a midwife and did not receive a hearing screening, it is important to be scheduled for one shortly after birth.

If you are unsure where to go for a hearing screening contact your designated Hearing Coordination Center or visit EHDI Pals Hearing Facility Search

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Northern Region

Northern California Hearing Coordination Center (NCHCC)

1183A Quarry Lane

Pleasanton, CA

Phone: (800) 645-3616, Press #3

Fax Number: (800) 866-1074

E-mail: hccnorthern@natus.com

Southern Region

Southern California Hearing Coordination Center (SCHCC)

1200 California St., Suit 108�Redlands, CA 92374�Phone: (909) 793-1291;

Toll Free: (877) 388-5301�Fax: (909) 498-7982�Email: southern.hcc@natus.com

Hearing Coordination Centers

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All newborn hearing screening results will be reported to Hearing Coordination Center (HCC) based on geographic location, your pediatrician, and your insurance company. The HCC will track newborn hearing screening results to ensure infants receive timely audiologic care. If you have any questions about your newborn’s hearing screening or are unsure about the next steps, please reach out to your designated HCC for guidance.

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Outpatient Hearing Screening

(or Rescreen)

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OUTPATIENT SCREENING (AKA RESCREENING)

An outpatient hearing screening is necessary when your infant does not pass or did not receive the newborn hearing screening at the hospital.

Your hospital should have provided you with information on the rescreen. Some hospitals will schedule an appointment for you while others require you to call and schedule.

If you are unsure where to go for the rescreen, contact your hospital. If you have difficulties contacting the hospital, visit EHDI PALS Hearing Facility Search for a voluntary list of sites that provide hearing screenings.

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Importance of Outpatient Screenings

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It is important that you attend this outpatient hearing screening to determine if further hearing testing is needed!

THE RESCREEN SHOULD OCCUR BY THE TIME YOUR INFANT IS 1 MONTH OLD.

Remember: the earlier your child is diagnosed with a hearing difference, the earlier they can receive appropriate intervention/services leading to better outcomes.

For more information on why an outpatient screening is important, watch this video of families discussing the importance of follow up: Loss and Found Video

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Screening Results

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Screening Results

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After your baby receives the hearing test, results will either indicate a PASS or a REFER.

WHAT DOES A PASS MEAN?

A pass on the newborn hearing screening means that your baby likely hears within the typical hearing range. Although your baby passed, it is important to monitor speech and language development as hearing loss can develop at any time. Also, if your baby has certain risk factors, they may need to be monitored by audiology even if they passed the newborn hearing screening.

WHAT DOES A REFER MEAN?

A refer means that your baby did not pass the newborn hearing screening and needs further audiologic (hearing) testing. It is important to visit a pediatric audiologist to fully evaluate your infant’s hearing at this time. There are many reasons a baby will not pass a newborn hearing screening, however, do not assume hearing status will resolve over time. A timely diagnostic evaluation is needed to determine if your baby has hearing loss and to better understand hearing levels.

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Screening Results: REFER

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If your baby did not pass, a referral should have been made for a diagnostic evaluation. If you are unsure where to go for this visit, contact the facility where the newborn hearing screening was performed or contact your designated HCC.

The diagnostic evaluation should be scheduled before your infant turns 3 months old.

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1:3:6 Parent Checklist

  • Birth to 1 Month

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1:3:6 Parent Checklist Link can be found here: https://www.infanthearing.org/documents/ParentRoadmap.pdf

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1:3:6 Parent Checklist

  • 3 months to 6 months

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1:3:6 Parent Checklist Link can be found here: https://www.infanthearing.org/documents/ParentRoadmap.pdf

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Milestones and Risk Factors

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Developmental Milestones

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Even if your baby passed the newborn hearing screening, monitoring developmental milestones is very important.

If there are any concerns that your child is not reaching typical developmental milestones, a referral to pediatric audiology is recommended.

Some resources that can be used to monitor progress are…

  1. CDC Milestones
  2. Med-El A Child's Journey - Parent's Checklist

If you have any questions, ask your pediatrician!

If you have questions or concerns about development and are seeking assistance, reach out to Help Me Grow at (833) 903-3972 or visit their website at Help Me Grow LA

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CDC’s Milestone Tracker

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Access developmental milestones conveniently on your phone by searching for “CDC’s Milestone Tracker” on your app store. The CDC has developed this app to assist parents and families in tracking milestones.

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Developmental Milestones

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Check (✔) If Met

Age

Speech/Language Milestones

Hearing/Listening Milestones

0-3 months

Coos, gurgles, cries, makes sounds like “oooo” and “aahh”

Quiets or smiles when you talk, turns head towards voices

4-6 months

Vocalizes different vowel sounds, laughs, makes squealing noises

Responds to familiar voices, reacts to toys with sound

7-9 months

Babbles different sounds (e.g., mamama, bababa)

Turns to name, recognizes names of familiar objects or people

10-15 months

First words (typically has 1-3 words), gestures (pointing, waving)

Tries to copy sounds you make

Understands simple directions paired with gestures (e.g., “give me” while holding out your hand)

16-18 months

Says words for common objects, people and some actions.

Uses long strings of babbling mixed with real words using speech-like inflection.

Looks around when asked “Where” questions, points to body parts

18-24 months

Typically produces around 50

or more single words

Begins to combine two words to create phrases (e.g., more banana)

Points to pictures in a book when asked such as “Where is the dog?”

2-3 years

Longer sentences, basic grammar including plurals, -ing verbs, and some past tense verbs

Pronunciation of words becomes more clear to familiar listeners

Understands simple questions, follows two-step commands

Answers questions such as “What do you do when you’re sleepy?”

3-4 years

Says sentences with 4+ words

Correctly pronounces t, k, g, f, y and “-ing” in words

Follows more complex instructions

Identifies objects based on descriptions

4-5 years

Complex sentences,

Pronounces most consonants correctly and speech is understandable in conversation

Understands location word such as “behind”, “between”

Answers questions about a story

Information gathered from ASHA and CDC

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Risk Factors

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Even if your baby passed their newborn hearing screening, a diagnostic audiologic evaluation may be necessary.

There are certain risk factors that are associated with an increased risk of developing hearing loss. These babies need to be closely monitored as hearing can change over time.

The following two pages list the agreed upon Risk Factors for Early Childhood Hearing Loss by the Joint Committee on Infant Hearing (2019).

If your baby has any of the following risk factors, ensure the proper referrals have been made to see a pediatric audiologist. If you are unsure how to seek out a referral, talk to your child’s pediatrician.

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Risk Factors

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RISK FACTOR

RECOMMENDED DIAGNOSTIC FOLLOW-UP

Family history of early, progressive or delayed onset permanent childhood hearing loss

by 9 months of age

Neonatal intensive care of more than 5 days

by 9 months of age

Hyperbilirubinemia with exchange transfusion

by 9 months of age

Aminoglycoside administration of more than 5 days

by 9 months of age

Asphyxia or Hypoxic Ischemic Encephalopathy

by 9 months of age

Extracorporeal membrane oxygenation (ECMO)

No more than 3 months following ECMO and at least every 12 months until child is school-age

In utero infections (herpes, rubella, syphilis, and toxoplasmosis)

by 9 months of age

In utero infection with cytomegalovirus (CMV)

No more than 3 months and at least every 12 months until age 3

Mother and infant with Zika

aABR screening by 1 month and diagnostic evaluation (ABR by 4-6 months OR VRA by 9 months)

Joint Committee on Infant Hearing, 2019

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Risk Factors

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RISK FACTOR

RECOMMENDED DIAGNOSTIC FOLLOW-UP

Craniofacial malformations (microtia/atresia, ear dysplasia, oral facial clefting, white forelock, microphthalmia

Congenital microcephaly, hydrocephalus (congenital or acquired)

Temporal bone abnormalities

By 9 months of age

The over 400 syndromes associated with hearing loss. (e.g., Alport, Charcot Marie Tooth, Pendred, Goldenhar etc.) For more information visit hereditaryhearingloss.org

By 9 months of age

Bacterial or viral infections associated with hearing loss (herpes, varicella, meningitis, encephalitis).

No later than 3 months following infection and every 12 months until child is school-age

Significant head trauma

Chemotherapy

No later than 3 months following occurrence and continued monitoring per findings

Caregiver concern regarding hearing, speech, language, developmental delay or developmental regression

Immediate referral and monitoring per findings or continued concerns.

Joint Committee on Infant Hearing, 2019

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Risk Factor:

CMV - Cytomegalovirus

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WHAT IS CMV?

Cytomegalovirus is a common viral infection. About 30% of individuals have contracted the virus by age 5 and 50-70% by age 40 with the majority showing no symptoms at all.

  • Congenital CMV (cCMV) is when a mother is infected with CMV during pregnancy and the virus is passed onto the baby.

HOW COMMON IS cCMV?

It is estimated that about 1 in 200 babies will be affected by cCMV, making this the most common congenital virus worldwide. The majority of babies with cCMV will not show any symptoms of the virus at birth and about 75% will never have concerns.

cCMV AND HEARING LOSS.

cCMV is the most common non-genetic cause of congenital hearing loss.

  • Hearing loss may be present at birth or develop over the first 3-5 years of a child’s life.
  • Hearing loss can range in severity and may affect one or both ears.

Ongoing monitoring for hearing loss is needed for these children

TIMELY cCMV SCREENINGS.

Unfortunately, many parents are unaware if their babies have CMV at birth. If your baby is less than 21 days old, ask your birth facility for a cCMV screening if your infant has not already received one.

Timely screening / diagnosis of cCMV leads to improved care and outcomes for children.

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Step 2:

Diagnosis of Hearing Loss

by 3 months of age

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Diagnosis Overview

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Southern California

Pediatric Audiology Facilities

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CLINIC NAME

CONTACT/ADDRESS

Burbank Audiology Center

22211 W Magnolia Blvd.

Suite 100

Burbank, CA 91506

Phone: 818-859-7730

Casa Colina Audiology Center

255 East Bonita Ave., Building 1D

Pomona, Ca 91767

Phone: 1-909-596-7733 x3535

Fax: 1-909-450-0345

Children’s Hospital Los Angeles

4650 Sunset Blvd.

Los Angeles, CA 90027

Phone: 323-361-4593

Referral Fax: 323-361-8988

Hear Center

301 E Del Mar Blvd.

Pasadena, CA 91101

Phone: 626-734-6555

Fax: 626-796-2320

House Children’s Hearing Center

1127 Wilshire Blvd, Suite 1620

Los Angeles, CA 90017

Phone: 213-423-7200

John Tracy Center

2160 West Adams Blvd.

Los Angeles, CA 90018

Phone: 1-213-748-5481

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Southern California

Pediatric Audiology Facilities

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CLINIC NAME

CONTACT/ADDRESS

Pacific Neuroscience Institute

11645 Wilshire Blvd #600

Los Angeles, CA 90025

Phone: 310-582-7640

Rady Children’s Hospital- San Diego

Restorative Care and Community Services

(Previously, Providence Speech and Hearing)

Orange/Irvine:

Phone: (714) 636-4490

Santa Ana:

Phone: (949) 628- 0752

Orange/Mission Viejo:

Phone: (714) 882-5941

UCLA Health

Links to Locations and Phone Numbers:

https://www.uclahealth.org/locations/search?s=audiology

Phone: 310-825-5721

USC Caruso Family Center (CFC) for Childhood Communication

1640 Marengo St., Suite 100

Los Angeles, CA 90033

Phone: 855-222-3093

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Diagnostic Evaluation by a

Pediatric Audiologist

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If your baby did not pass the newborn hearing screening or has risk factors for childhood hearing loss, a diagnostic evaluation should be conducted before your baby turns 3 months old. (Review the risk factors on pages 43 and 44 to determine if your baby should have a diagnostic test). It is important that this test be performed by a pediatric audiologist.

The diagnostic evaluation will determine if your child has hearing loss and if they do, what type and degree of hearing loss your child has.

There are different types of tests that allow an audiologist to evaluate different parts of the ear.

Tests that evaluate the health of the ear:

  • Tympanometry
  • Otoacoustic Emissions (OAEs)
  • Acoustic Reflex Thresholds (ARTs)

Tests of hearing levels at different frequencies:

  • Auditory Brainstem Response (ABR)*
  • Visual Reinforcement Audiometry (VRA)
  • Conditioned Play Audiometry (CPA)
  • Conventional Audiometry

*The Auditory Brainstem Response is an accurate measure of hearing for infants; however, behavioral testing (VRA, CPA and conventional audiometry) is considered the gold standard. Even if your child has normal hearing results on a diagnostic ABR, behavioral testing as they grow older is recommended to verify hearing sensitivity.

Pediatric audiologists are essential to diagnose and treat childhood hearing loss. They have specialized training and equipment that is specifically tailored to the needs of young children who are developing speech and language. .

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Ear Health Tests

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Tympanometry

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TYMPANOMETRY

Tympanometry is a quick objective measurement that assess how well the eardrum moves. This test does not measure hearing, but rather assesses how well sound can move through the ear. An audiologist will be able to tell if your baby has fluid in their ears with this test.

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Otoacoustic Emissions (OAEs)

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OTOACOUSTIC EMISSIONS

Otoacoustic emissions (OAEs) are a quick objective test that evaluates the health of the hearing organ (the cochlea). A healthy cochlea produces a quiet output of sound (or an echo) in response to receiving a sound. The OAE test measures this echo response. If responses are measured, this typically means hearing is normal/near-normal; however, a mild hearing loss cannot be ruled out using this type of test.

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Acoustic Reflex Thresholds (ARTs)

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Acoustic Reflex Thresholds

A healthy ear has a small reflex response when exposed to loud sound. The audiologist can measure this reflex to determine if the pathway is working correctly. It is not a test of hearing, but rather an evaluation of the middle ear reflex and part of the auditory pathway to the brain. This measurement helps us better understand behavioral hearing responses as these threshold levels are associated with certain degrees and types of hearing loss.

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Tests to Determine

Hearing Levels

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Auditory Brainstem Response (ABR)

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AUDITORY BRAINSTEM RESPONSE (ABR)

An auditory brainstem response (ABR) is an accurate and reliable measure of hearing for infants. The audiologist will place stickers (or electrodes) on your infant and measure the brain’s response to sound at different frequencies or pitches. This test allows audiologists to determine if there is a hearing loss and what type/degree. For infants less than 6 months of age, this test is typically performed under natural sleep. For children older than 6 months, the test may be performed under sedation.

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Visual Reinforcement Audiometry (VRA)

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VISUAL REINFORCEMENT AUDIOMETRY (VRA)

Visual reinforcement audiometry (VRA) is a type of behavioral test where your child is trained to turn to toys that light up in the room when they hear a sound. This type of testing is typically performed for children aged 6 months - about 3 years. Your child may wear headphones/ earphones for this test and will sit on your lap. A test assistant may be present in the room with you to assist with the test.

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Conditioned Play Audiometry (CPA)

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CONDITIONED PLAY AUDIOMETRY (CPA)

Conditioned Play Audiometry (CPA) is a type of behavioral test where your child is trained to play a game, put a toy in a bucket, etc., in response to sound. This type of testing is typically performed for children aged 3 years-5 years. Your child will be asked to wear headphones / earphones during this type of testing and it is performed when a child can follow simple directions. A test assistant may be present in the room to help your child play the game.

Picture Reference: Pine Tree Society

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Conventional Audiometry

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CONVENTIONAL AUDIOMETRY

Conventional audiometry is when your child raises their hand or presses a button in response to sound. This type of testing is typically performed for children aged 5 years and older. Your child will be asked to wear headphones / earphones for this test.

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How to Prepare for a Childhood Hearing Test

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Childhood Hearing Test Examples

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Videos Demonstrating Childhood Hearing Tests

https://www.access-audiology.com/pediatric-audiology

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ABR Tips

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TIPS FOR A SUCCESSFUL ABR

An ABR test is performed when an infant is sleeping. It can take anywhere from 45 minutes to 2 hours, therefore ensuring your infant sleeps well for this amount of time is important. There are certain recommendations that an audiologist will make to ensure for a successful ABR. Bringing a friend or partner along for the evaluation is helpful to ensure these tips are followed!

1. Sleep deprivation

If safe and possible, it is recommended to arrive to the ABR appointment with a sleepy, but awake infant. Keeping your baby up later the night before, waking them up earlier the morning of, and ensuring they do not sleep on the way to the appointment ensures a sound sleep during testing.

2. Hunger

If safe and possible, it is recommended to try to withhold feeds so that the baby arrives to the appointment hungry. Once prepared for the test, the baby can eat to fall and stay asleep for the testing.

3. Comfort

Dress your baby in comfortable clothing and bring a familiar blanket so they are comfortable during the test. If your infant sleeps better in your arms, you may be asked to hold your baby for the duration of the test. Your comfort is equally important! Make sure you wear comfortable clothing and bring any other things that you think may help during the test.

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What if my child will not cooperate for hearing testing?

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There are many reasons why a child may not be able to complete a full hearing test (age, developmental status, alertness, etc.,)

However, there are certain things you can do at home to help promote a successful hearing test.

  1. Practice wearing headphones / earbuds at home.

  • Play sounds on your phone and give a reward/ flash your flashlight when your child turns their head to the sound.

  • Play a listening game at home. Ask your child to put a toy in a bucket every time they hear a sound.

  • Show your child videos of other children doing hearing tests to know what to expect.

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Diagnosis

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“Your Child Has Hearing Loss”

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Discovering that your child has reduced hearing can bring up a wide range of emotions. You may feel shocked, confused, or sad. Or, you may feel relieved or even excited! Following a new diagnosis, your feelings may change and it may even feel like you are on a roller coaster. Take time for yourself to feel these feelings and know there is not one way to react to the news that your child has reduced hearing.

A majority of children with reduced hearing are born into families with hearing parents. Therefore, it is common to not know much about hearing loss. Ask questions! Your audiologist is there to help and support you through this new diagnosis. When questions come up, ask!

Your audiologist will have recommendations for you following the diagnosis of hearing loss. It may be a lot to keep track of! Keep this guide close and use it to help navigate appointments and to keep track of questions.

Embrace the available support services, including educational planning, counseling, and community resources. Recognize that your active involvement is important in shaping your child’s path forward. This journey is unique for each family, and the professionals involved are ready to provide not only expertise but also empathy and encouragement as you navigate the road ahead.

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Parent Stories - Quotes from Families with Deaf/HH Children

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I was wondering how I was going to take him out into the world with the (hearing) aids on… Looking back now, I can’t believe I was worried about these things…

There is no right or wrong answer. As parents of children with hearing loss, we need to all support each other in the decisions we make for our children.

The young woman asked me why I was learning Sign Language and I explained that our daughter was Deaf, she said Oh! In an excited voice… it was refreshing to see the look on this girl’s face.

We were introduced to a whole new world, where Deafness was not a disability but an identity.

Like all kids he does know how to use his hearing difference to his advantage. “I didn’t hear you tell me to clean my room.” He is an inspiration to me.

We were shocked by the diagnosis… I was surprised by how anxious I was… it was an emotional time but after the surgery we all felt relieved…

For him, these tools are part of his life… we may learn other tools, such as sign language for the times he doesn’t have his cochlear, but for now, we have our hands full.

There’s something very special about you. You’re Deaf and that’s a beautiful thing.

Stories accessed at Parents of Deaf Children.org (Copyright 2024)

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Questions for your Audiologist and Team

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Questions to Ask Your Audiologist

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  1. Does my child have hearing loss? If so, what type?

  • Is the hearing loss permanent?

  • Does my child need additional hearing testing?

  • How often should my child have a hearing test?

  • Will my child’s hearing change? Will this hearing loss get worse or better?

  • Is there hearing loss in both ears? Do the ears have the same hearing levels?

  • What could have caused the hearing loss?

  • Would you recommend genetic testing and counseling?

  • Does my child need a hearing aid or a cochlear implant? Explain the process of obtaining these devices.

  • Will my child develop speech and language without hearing technology?

  • What are other communication options?

  • Should I start early intervention?

  • How do I describe this to my family?

  • Is there a family support group I can contact?

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Questions to Ask Your Audiologist

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As you navigate this new diagnosis of hearing loss, jot down questions of your own and bring to your next audiology visit.

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CHILD Questionnaire

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Phonak’s Children’s Home Inventory for Listening Difficulties or “CHILD” Questionnaire

  • For children 3 - 12 years old
  • A tool used by audiologists and early educators to determine a child’s use of hearing at home
  • Includes questions for parents and older children!

Can give great examples of hearing and listening behaviors to observe at home

To access an English version of the Questionnaire, visit the following website:

CHILD Questionnaire

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Step 3:

Intervention by

6 Months of Age

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Intervention Overview

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Next Steps: Treatment/Management Options

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The treatment and management options for children with hearing loss depends on the type and severity of the hearing loss. The goal of treatment/management is to provide early access to language.

Medical Intervention (surgery, medication, etc)

Following a diagnosis of hearing loss, a referral to an Ear Nose and Throat (ENT) Specialist. They will evaluate your child’s ears medically to determine if surgery or medication is recommended for the hearing loss. They will also provide medical clearance for hearing devices (hearing aids, cochlear implants).

Hearing Aids

Hearing aids are an option for many permanent or long-standing hearing losses. There are two main types of hearing aids: traditional hearing aids and bone conduction hearing aids. The following two pages explain the differences of these devices.

Cochlear Implants

Cochlear implants are for hearing loss in the range of moderate to profound or when hearing aids are not providing adequate access to speech sounds for speech understanding. A trial with a hearing aid is necessary before implantation.

Assistive Listening Devices (ALDs)

Assistive listening devices cover a wide range of technology that helps improve access to auditory information. Some can be used with hearing aids and some can be used on their own. A few examples include remote microphone systems, induction loops, and personal amplifiers.

Communication Strategies

Access to language is critical. Each family can choose which language or combination of languages is best for their unique needs and goals. Some options include spoken language, sign language, signed exact language, or cued speech.

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Support Team

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Other Professionals On Your Medical Team

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Professional

Roles and Responsibilities

Audiologists

Conduct hearing assessments, provide hearing devices, fittings, and offer rehabilitation services.

Otolaryngologists (ENT) Specialist

Specialize in treating ear, nose, and throat disorders; manage conditions affecting hearing. For children, a visit to the ENT is needed following a hearing loss evaluation.

Pediatricians

Specialists in the branch of medicine focusing on the health, development, and well-being of infants, children, and adolescents.

Speech-Language Pathologists (SLPs)

Assist with speech and language development; collaborate with audiologists, multidisciplinary teams, and family for therapy.

Social Worker

Provides community resource information, help gain access to community and state funded services, provides emotional support. Addresses social and environmental factors affecting overall health.

Auditory-Verbal Therapist (AVT)

Specializes in auditory skill development. Supports individuals with hearing loss in acquiring language and communication skills.

Occupational Therapist (OT)

Focuses on building skills for daily living, play, school participation, and independence by addressing motor, sensory, self-care, and social-emotional development.

Physical Therapist (PT)

Targets gross motor skills and physical development. Aids mobility, strength, and coordination.

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Other Professionals On Your Medical Team

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Professional

Roles and Responsibilities

Developmental - Behavioral Pediatrician

Specializes in the developmental aspects of pediatrics. Assesses and manages developmental challenges in children.

Pediatric Neurologists

Specializes in diagnosing and treating neurological disorders in infants, children, and adolescents.

Genetic Counselors

Provides information and support to individuals and families about genetic conditions, inheritance patterns, and the potential risks associated with genetic disorders.

Opthamologists

Specializes in the diagnosis, treatment, and prevention of eye diseases and disorders. There are certain genetic conditions that affect both hearing and vision.

Cardiologist

Specializes in the study, diagnosis, and treatment of disorders related to the cardiovascular system, which includes the heart and blood vessels.

Early Interventionists

Group of professionals who provide early intervention services - in the home or in a school based setting.

Cochlear Implant Teams

Comprising surgeons, audiologists, and rehabilitation specialists; evaluation and management of cochlear implant cases.

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Next steps: ENT Evaluation

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Following a diagnosis of hearing loss, a referral must be made to an Ear, Nose and Throat (ENT) provider.

  • The ENT will evaluate the ears medically and determine if surgery/ medication is needed.
  • The ENT may be able to help determine the cause of the hearing loss.
  • The ENT may recommend imaging to help determine the cause of hearing loss.
  • The ENT will provide medical clearance for hearing device use if appropriate.
  • Consider follow-up with your provider.

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Device Types

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How a Hearing Aid Works

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A hearing aid works by amplifying sounds to make them audible for individuals with hearing loss.

  1. Microphones: The hearing aid contains a microphone that picks up sounds from the environment.

  • Amplifier: The incoming sounds are then processed and amplified by an electronic amplifier within the hearing aid.

  • Receiver (Speaker): The amplified signals are sent to a tiny speaker, known as the receiver, which delivers the enhanced sound into the ear.

  • Earhook: A small piece of plastic that helps keep the hearing aid on the ear and connects the body of the hearing aid to the tubing.

  • Tubing: Plastic tubing that helps deliver amplified sound to the ear. Tubing will need to be changed frequently due to growth of the child and general wear and tear.

  • Earmold: A custom piece that fits into the child’s ear allowing for sound to enter the ear canal. Like tubing, earmolds will frequently be changed due to growth.

Hearing aid options for your child should be discussed with your managing audiologist

Earmold (6)

Tubing (5)

Earhook (4)

Microphone (1) and speaker (3)

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How a Bone Conduction Hearing Aid Works

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A bone conduction hearing aid works by sending environmental sounds to the hearing organ through vibrations. This type of device may be appropriate for individuals with conductive or mixed hearing losses, or those with single-sided deafness (SSD). When children are young, it can be used with a headband. As a child grows older, it can be surgically implanted. Surgical bone conduction devices can be connected through an abutment (as seen above) or through a magnet surgically implanted under the skin.

  1. Microphones: The device contains a microphone that picks up sounds from the environment.

  • Sound processor: The environmental sounds are processed within the device.

  • Vibration Transducer: Instead of a traditional speaker, a bone conduction device sends processed sound directly to the hearing organ through vibrations.

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Bone Conduction Hearing Aid

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How a Cochlear Implant Works

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Courtesy of Cochlear Americas

A cochlear implant is made up of equipment worn on the outside of the ear and equipment surgically placed inside the ear. During surgery, a cut is made behind the ear and the internal pieces (receiver and electrode array) are secured under the skin and hair. The electrode array is placed into the cochlea, stimulating the hearing nerve when turned on.

1. External hardware (includes microphone, speech processor, coil/cable and battery)

    • The microphone captures sound in our environment.
    • The speech processor converts the environmental sound into a digital signal.
    • The coil receives the signal and sends it to the internal receiver through a magnet.

2. Internal receiver

    • The signal is sent through the skin to the implant, where it is converted to electrical energy.

3. Electrode array

    • The electrical energy is sent to the electrode array within the cochlea, where it stimulates the hearing nerve.

4. Hearing nerve

    • The stimulation of the hearing nerve sends the signal to the brain that perceives it as sound

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Cochlear Implant

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Hearing Device Funding

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Community Resources:

Hearing Aid Funding

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California Children's Services (CCS)

CCS is an income-based Medi-Cal program for children under 21 years of age with certain health conditions, including hearing loss. If eligible, CCS is a supplementary insurance plan that will cover the cost of hearing aids (including bone conduction devices and cochlear implants), supplies, and audiology services. If your audiologist or pediatrician believes your child has a CCS eligible condition, you will be referred to apply for CCS.

DO I QUALIFY?

Your child may qualify if they meet the following:

  • is under 21 years old
  • has a health problem that is covered by CCS
  • is a resident of California
  • and has one of the following:
    • family income of $40,000 or less
    • out-of-pocket medical expenses expected to be more than 20 percent of family's adjusted gross income
    • a need for an evaluation to find out if there is a health problem covered by CCS
    • was adopted with a known health problem that is covered by CCS
    • a need for the Medical Therapy Program
    • Medi-Cal, with full benefits

For more information, contact your local CCS office: https://www.dhcs.ca.gov/services/ccs/Pages/CountyOffices.aspx

English Application: English - CCS Application Link

Spanish Application: Spanish - CCS Application Link

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Community Resources:

Hearing Aid Funding

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Hearing Aid Coverage for Children Program (HACCP)

The HACCP program offers hearing aid coverage and supplemental coverage for California residents ages 0-20.

WHAT IS COVERED?

  • ​Hearing aids, assistive listening devices (ALDs) and surface-worn bone conduction hearing devices.
  • Supplies (earmolds and hearing aid batteries​).
  • Medically necessary hearing aid accessories
  • Hearing aid-related audiology and post-evaluation services
  • For a full list, see: HACCP Resources

WHO IS ELIGIBLE?

  • Children and youth 0-20 years of age, residents of California
  • Not eligible for Medi-Cal
  • Not currently enrolled in CCS​ for a hearing-related condition
  • Valid hearing aid prescription or provider referral
  • Does not have other health coverage for hearing aids or other health coverage has a coverage limit of $1,500 or less for hearing aids
  • Household income under 600% of the federal poverty level (FPL)

HACCP Eligibility

HOW DO I APPLY?

For more information about the application process, see: HACCP Application

Of note, HACCP does not cover cochlear implants; however, many private insurance plans do.

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Community Resources:

Hearing Aid Funding

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The HearAid Foundation

This is a not-for-profit 501(c)(3) California-based organization helping children and adults who need financial assistance obtain hearing aids.

Newport Beach, CA

Email: hearaidfoundation@gmail.com

Phone: (949) 436-8218

Website: https://hearaidfoundation.org/

United Healthcare Children’s Foundation

This is a foundation which provides medical grants to children for a variety of services, including hearing aids.

Attn: MN017-W400

9700 Healthcare Lane

Minnetonka, MN 55343

Phone: 1 855-MY-UHCCF / 1 (855-698-4223)

Email: uhccfcustomerservice@uhc.com

Website: https://www.uhccf.org/

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Communication Options

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Communication Modalities

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Modality

Description

Resources

Listening and Spoken Language (LSL) Therapy

Focuses on developing listening skills for spoken language comprehension; involves early intervention and parent participation.

Los Angeles Unified (LAUSD)

333 South Beaudry Avenue

Los Angeles, CA 90017

Email: tdk0434@lausd.net

Website: https://sped.lausd.org/apps/pages/deafeducation

Alexander Graham Bell Association for the Deaf & Hard of Hearing�3417 Volta Place, NW, Washington, DC 20007�(202) 337-5220 — (Voice)�(202) 337-5221 — (TTY)

Website: www.agbell.org

Hearing First

Website: https://www.hearingfirst.org/contact-us

American Sign Language (ASL)

Visual-gestural language using hand movements and facial expressions; effective for profound hearing loss and can be utilized as a supplement or language for any degree of hearing loss.

ASL at Home

PO Box 601147

Sacramento, CA 95860-1147

Phone: 916-245-0327 (text/voice)

Website: https://www.aslathome.org/

Los Angeles Unified (LAUSD)

Marlton School

4000 Santo Tomas Dr

Los Angeles, CA 90008

Phone: (323) 296-7680

Website: https://marltonschool.lausd.org/

California State University, Northridge

Deaf Project

18111 Nordhoff Street

Northridge, CA 91330-8265

Phone/Voice Phone: (818) 677-4007

Email: deafproject@csun.edu

Website: https://www.csun.edu/node/245911

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Communication Modalities

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Modality

Description

Resources

American Sign Language (ASL) cont.

Visual-gestural language using hand movements and facial expressions; effective for profound hearing loss and can be utilized as a supplement or language for any degree of hearing loss.

American Society for Deaf Children (ASDC)

3820 Hartzdale Drive, Camp Hill, PA 17011�Email: info@deafchildren.org�Phone (Voice Hotline, Toll-free): (800) 942-2732�Phone (Voice): 1-866-895-4206�Phone (Voice): (717) 703-0073

Website: www.deafchildren.org

GLAD

2222 Laverna Ave

Los Angeles CA 90041

Phone (Voice): 323-892-2225

Phone (Voice/TTY): 323-478-8000

Website: https://gladinc.org/

Signing Exact English (S.E.E)

A manual communication modality that utilizes literal English.

The S.E.E. (Signing Exact English) Center for the Advancement of Deaf Children

P.O. Box 1181, Los Alamitos, CA 90720�(562) 430-1467 — (Voice, TTY)

Website: https://handsandvoices.org/comcon/articles/see.htm

Email: seecenter@seecenter.org

Total Communication

Combination of methods (speech, sign language, visual aids); adaptable to individual needs and strengths.

Bimodal/Bilingual Approach

Combines visual language (e.g., ASL) with spoken language; promotes proficiency in both modalities.

Los Angeles Unified (LAUSD)

Marlton School

4000 Santo Tomas Dr

Los Angeles, CA 90008

Phone: (323) 296-7680

Website: https://marltonschool.lausd.org/

Cued Speech

Hand cues alongside speech to clarify language; enhances lip-reading and speech perception.

National Cued Speech Association

P.O. Box 2733

Fairfax, VA 22031-2733

Phone: 800-459-3529

Email: info@cuedspeech.org

Website: https://cuedspeech.org/

Tactile Communication

Involves touch and tactile cues for communication; beneficial for those with additional sensory impairments.

Tactile Communications, LLC.

Mammoth, OR

Website: https://www.tactilecommunications.org/Resources/

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Early Intervention

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Next Steps:

Early Intervention and IFSP

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Hearing loss can impact speech and language development, learning, social skills, and listening skills. It is important for children with hearing loss to be enrolled in Early Intervention services that offer support for deaf and hard of hearing children. To enroll, a child’s overall development will be evaluated. If the child qualifies, the support and services are written into a legal document called the IFSP - Individualized Family Service Plan. This plan focuses on the child’s development and family needs. It also ensures services are provided.

Learn more about an IFSP here: https://successforkidswithhearingloss.com/writing-ifsp-child/

Early Intervention will

  • Promote language and communication skills.
  • Help you understand your child’s hearing levels and listening/communication needs.
  • Support you and your family.
  • Keep track of your child’s overall developmental progress.
  • Help you communicate with your providers about milestones and development.

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Next Steps: Early Intervention

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California Early Start (ES) Program

Early Start is California’s early intervention program for. It is designed for infants and toddlers at risk of or experiencing developmental delays and their families. This program provides the services that are determined in the IFSP.

Learn More and Contact:

https://www.dds.ca.gov/services/early-start/

Phone: 800-515-BABY (2229)

Email: earlystart@dds.ca.gov

CA-EHDI LEAD-K Family Services

Following a diagnosis of hearing loss, your audiologist will refer you to LEAD-K. This program is part of Early Start and is specifically designed to support children with hearing loss.

This program functions as the current California Early Hearing Detection and Intervention (EHDI) Program. The program connects families to their local school district, early intervention visits, parent mentors, Deaf coaches and other supports outlined in the Individualized Family Support Plan (IFSP). They will also work with the Department of Education, Department of Developmental Services, and the Department of Social Services to ensure your family is receiving all necessary support.

Learn More and Contact:

https://www.leadkfamilyservices.org/

Phone: (916) 367-0511

Early Start Referral Form: https://www.leadkfamilyservices.org/early-start-referral-form/

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Next Steps: Early Intervention

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Regional Center

Infants and toddlers ages 0-36 months who have a developmental delay or are at risk, may be eligible to receive services through the Regional Center. Qualifying diagnoses may be eligible for services beyond 36 months. Regional centers provide diagnosis and assessment of eligibility, and helps plan, access, coordinate and monitor services and supports.

There are 21 community-based regional centers. Their contact information can be found here: https://www.dds.ca.gov/rc/listings/. For more information, contact your pediatrician.

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Next Steps: > 3 years Services

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Los Angeles Unified (LAUSD)

LAUSD provides services for eligible students ages 3-22 years with a documented hearing loss that negatively impacts communication skills and/or access to their curriculum. Services are provided through the Deaf and Hard of Hearing Itinerant Program of Special Day Program. A focus of DHH services is the development of language skills, listening skills, and self-advocacy skills with emphasis on use of residual hearing and hearing assistive technology.

LAUSD provides 3 day programs to meet the needs of students:

  • Listening and Spoken Language (LSL) Special Day Programs
  • Total Communication (TC) Special Day Programs
  • ASL/English (written): Marlton School Special Education

LAUSD audiology provides evaluation (including Central Auditory Processing Disorder) and consultative services for students, teachers families, and other staff.

Contact Information:

333 South Beaudry Avenue

Los Angeles, CA 90017

Email: tdk0434@lausd.net

Website: Deaf and Hard of Hearing Program LAUSD

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Community Resources

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Community Resources

Support Groups

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No Limits For Deaf Children and Families

A non-profit organization based in the United States that focuses on providing theater arts programs and educational opportunities for deaf and hard-of-hearing children with the goal of developing communication skills, expanding vocabulary and grammar, and understanding character development.

Culver City Headquarters

​9801 Washington Blvd. 2nd Floor

​Culver City, CA 90232

Phone: 310-280-0878

Website: No Limits for Deaf Children and Families

Email: dreambig@nolimitsfordeafchildren.org

John Tracy Center

A non-profit organization dedicated to providing early intervention and education services for young children with hearing loss. The clinic’s mission is to offer support to families of children with hearing loss, emphasizing early diagnosis, parent education, and intervention services to facilitate the development of spoken language.

Los Angeles

2160 West Adams Blvd.

Los Angeles, CA 90018

Long Beach

740 E Wardlow Rd.

Long Beach, CA 90807

San Gabriel

207 S. Santa Anita St, #300

San Gabriel, CA 91776

Phone: 1-213-748-5481

Email: web@jtc.org

Website: John Tracy Center

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Community Resources

Support Groups

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California Hands and Voices

A parent-driven, non-profit organization providing families with the resources, networks, and information to improve communication access and educational outcomes for their children. California Hands & Voices is dedicated to supporting families with children who are Deaf or Hard of Hearing in a respectful and non-judgmental manner regarding language opportunities, communication tools or educational approaches.

15274 Andorra Way

San Diego CA 92129

Email: info@CaHandsandVoices.org

Website: CA Hands and Voices

Professionals, refer a family here: Refer a Family

Deaf Access Program

This program was established to ensure that public programs in the state are accessible and adapted to meet the needs of the deaf and hard of hearing children, adults and families,enabling them to achieve economic independence and fully participate in mainstream society.

Voice: (916) 653-8320 (Voice)

Videophone: (916) 330-3242 (Videophone)

Email: Deaf.Access@dss.ca.gov

Website: Deaf Access Program

Greater Los Angeles on Deafness Inc. (GLAD)

A non-profit organization based in Los Angeles, California, that provides a range of services and advocacy for deaf and hard of hearing community.

2222 Laverna Ave

Los Angeles CA 90041

Video Phone: 323-892-2225

Voice/TTY: 323-478-8000

Website: GLAD

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Community Resources

Support Groups

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California State University, Northridge (CSUN) Deaf Project

CSUN’s Deaf Education And Families (DEAF) Project provides services and educational opportunities for families with Deaf or Hard of Hearing (DHH) children. Examples of services include:

  • Empowerment activities
  • Connections with local school districts and early start programs
  • Support groups for parents and families
  • Exposure to deaf role models
  • Collaboration with community agencies and programs
  • Respect for the cultural, linguistic, and socioeconomic needs of families and children.
  • American Sign Language Classes.

18111 Nordhoff Street

Northridge, CA 91330-8265

Phone/Video Phone: (818) 677-4007

Email: deafproject@csun.edu

Website: CSUN Deaf Project

California School for the Deaf, Riverside

California School for the Deaf is a school that provides community, services, and education for children ages 3-12 years old who are Deaf/Hard of Hearing.

3044 Horace Street

Riverside, CA 92506

Email: info@csdr-cde.ca.gov

Website: California School for the Deaf - Riverside

Marlton School

Marlton School is a K-12 public school for Deaf/Hard of Hearing students in Los Angeles, California. It offers a bilingual program in ASL and English.

4000 Santo Tomas Dr

Los Angeles, CA 90008

Phone: (323) 296-7680

Website: Marlton School - LAUSD

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Community Resources

Support Groups

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Hear With You Foundation

Mission: to wholeheartedly support individuals with hearing loss and their families.

Dedicated to bringing a wide range of resources, community events, education, and treatment opportunities to the community,, making it easier to access support. Focused on creating a strong sense of community for the hard-of-hearing population, where everyone feels understood and empowered.

Email: info@hearwithyou.org

Website: Hear With You

Instagram: @hearwithyoufoundation

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Community Resources

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Following knowledgeable advocates and professionals on social media can be very helpful. Below are social media accounts to follow!

Instagram: @Listenwithlindsay

Instagram: @Audlatinx

Instagram: @mama.hu.hears

Instagram: @hearinghealthfoundation

Instagram: @MyBattleCall

Instagram: @hearwithyoufoundation

Instagram: @carusofamilycenterusc

Instagram: @hearingfirst

Instagram: @nolimitsspeaks

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National and Professional Resources

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National Resources

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National Center for Hearing Assessment & Management (NCHAM)�Utah State University�2615 Old Main Hill

Logan, UT 84322�E-mail: mail@infanthearing.org�Phone: (435) 797-3584

Website: NCHAM

Boys Town National Research Hospital (Baby Hearing)

555 N 30th St., Omaha, NE 68131

Phone (Voice): (402) 452-5000�Phone (Voice, Toll-free, 24hr): (800) 448-3000Phone (TTY, Toll-free, 24hr): (800) 448-1833�Website: Baby Hearing

Alexander Graham Bell Association for the Deaf & Hard of Hearing3417 Volta Place, NW, Washington, DC 20007�Email: info@agbell.org Phone (Voice): (202) 337-5220�Phone (TTY): (202) 337-5221

Website: A.G.Bell

American Society for Deaf Children (ASDC)

3820 Hartzdale Drive, Camp Hill, PA 17011�Email: info@deafchildren.org�Phone (Voice Hotline, Toll-free): (800) 942-2732�Phone (Voice): 1-866-895-4206�Phone (Voice): (717) 703-0073

Website: ASDC

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Professional Organizations

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American Academy of Audiology (AAA)

11480 Commerce Park Drive, Suite 220

Reston, VA 20191�Phone (Voice, Toll-free): (800) AAA-2336�Phone (Voice): (703) 790-8466 �Fax: (703) 790-8631

Website: AAA

American Academy of Otolaryngology — Head and Neck Surgery

1650 Diagonal Road

Alexandria, VA 22314�Email: info@entnet.org�Phone: (703) 836-4444

Website:AAO-HNS

American Academy of Pediatrics (AAP)National Headquarters:

345 Park Blvd

Itasca, IL 60143�Phone: (800) 433-9016

Washington DC Office:

601 13th Street, NW Suite 400

North Washington, DC 20005

Phone: (202) 347-8600

Website: AAP

American Speech-Language-Hearing Association (ASHA)�2200 Research Blvd

Rockville, MD 20850�Email: actioncenter@asha.org�Phone: (800) 638-8255

Website: ASHA

Disclaimer:

This is a non-exhaustive list; there are many other resources nationally and locally that could be considered professional resources that are not included in this list.

Availability and web links for these resources are subject to change.

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ACKNOWLEDGEMENTS

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This project was supported by the Health Resources and Services Administration under the Leadership Education in Neurodevelopmental Disabilities (LEND) Grant T78MC00008 of the Maternal and Child Health Bureau of the Health Resources and Services Administration (HRSA). This information or content are those of the authors and should not be construed as the official position or policy of HRSA or the U.S. government

This project was supported in part by the Health Resources and Services Administration (HRSA) under the Leadership Education in Neurodevelopmental Disabilities (LEND) Grant 5 T73MC11044 and by the Administration on Disabilities (AOD) under the University Center of Excellence in Developmental Disabilities (UCEDD) Grant 90DDUC0106 of the U.S. Department of Health and Human Services (HHS). This information or content and conclusion are those of the author and should not be construed as the official position or policy of, nor should HRSA, AOD, HHS or the U.S. Government infer any endorsements.