DEPARTMENT

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Just In TimeJust In Time

forfor

FamiliesFamilies

Early Hearing Detection and Intervention (EHDI)Early Hearing Detection and Intervention (EHDI)

R

Just In TimeJust In Time A Star isA Star is

BornBorn

Just In TimeJust In Time Newborn Hearing ScreeningNewborn Hearing ScreeningNewborn Hearing Screening

Just In TimeJust In Time so your baby’s care isso your baby’s care is Right on TimeRight on Time

All babies need a hearing test calledAll babies need a hearing test called

a �“hearing screeninga �“hearing screening�”�”

It�’s important because�…It�’s important because�…

A lot of children have hearing loss,A lot of children have hearing loss,

but you can�’t see hearing lossbut you can�’t see hearing loss

Deaf and hearing babies can look the sameDeaf and hearing babies can look the same

Deaf and hearing babies both make soundsDeaf and hearing babies both make sounds

Deaf babies can have hearing parents andDeaf babies can have hearing parents and hearing babies can have deaf parentshearing babies can have deaf parents

That�’s why we screen all babies beforeThat�’s why we screen all babies before

they leave the hospitalthey leave the hospital

When babies are screened earlyWhen babies are screened early

Hearing loss can be foundHearing loss can be found

Babies can get �“Early Intervention�” servicesBabies can get �“Early Intervention�” services

EEarly Intervention refers to programsarly Intervention refers to programs and services available for childrenand services available for children and their familiesand their families

Early Intervention helps babies grow andEarly Intervention helps babies grow and develop to their highest leveldevelop to their highest level

Babies are never too young to get a hearing testBabies are never too young to get a hearing test

Just In TimeJust In Time BeforeBefore

11

MonthMonth

Early Hearing Detection and Intervention (EHDI)Early Hearing Detection and Intervention (EHDI)

Just In TimeJust In Time Before Your Baby is 1 Month OldBefore Your Baby is 1 Month Old

Get your baby�’s hearing checked (screened)Get your baby�’s hearing checked (screened)

Understand the results of your babiesUnderstand the results of your babies hearing screeninghearing screening

Talk to your health care providerTalk to your health care provider (example: doctor) about your baby�’s(example: doctor) about your baby�’s hearing screeninghearing screening

Ask questionsAsk questions Hearing ScreeningHearing Screening

What should I do after theWhat should I do after the

hearing screening?hearing screening?

If your baby passes the hearing screening:the hearing screening:If your baby passes �–�–�– Watch how your baby grows and learnsWatch how your baby grows and learnsWatch how your baby grows and learns

If your baby does not pass (fail, no pass, refer) If your baby does not pass (fail, no pass, refer) the hearing screening:the hearing screening:

�–�–�– Watch how your baby grows and learnsWatch how your baby grows and learnsWatch how your baby grows and learns �–�–�– Talk with your baby�’s health care provider Talk with your baby�’s health care providerTalk with your baby�’s health care provider �–�–�– Make an appointment for a full hearing testMake an appointment for a full hearing testMake an appointment for a full hearing test

before 3 months of agebefore 3 months of agebefore 3 months of age

A hearing specialist (called an audiologist)A hearing specialist (called an audiologist)A hearing specialist (called an audiologist) can give your baby a full hearing testcan give your baby a full hearing testcan give your baby a full hearing test

What should I do after theWhat should I do after the

hearing screening?hearing screening?

If your baby�’s health care provider says that yourIf your baby�’s health care provider says that yourIf your baby�’s health care provider says that your baby may be at risk for hearing loss:baby may be at risk for hearing loss:baby may be at risk for hearing loss: �–�–�– Watch how your baby grows and learnsWatch how your baby grows and learnsWatch how your baby grows and learns �–�–�– Make an appointment for a full hearing testMake an appointment for a full hearing testMake an appointment for a full hearing test

at these ages:at these ages:at these ages:

3 months old3 months old3 months old

6 months old6 months old6 months old

One year oldOne year oldOne year old

One and ½One and ½One and ½ years oldyears oldyears old

Two years oldTwo years oldTwo years old

Two and ½ years oldTwo and ½ years oldTwo and ½ years old Three years oldThree years oldThree years old

Just In TimeJust In Time BeforeBefore

33

MonthsMonths

Early Hearing Detection and Intervention (EHDI)Early Hearing Detection and Intervention (EHDI)

Just In TimeJust In Time Before Your Baby is 3 Months OldBefore Your Baby is 3 Months Old

If your baby did not pass the hearingIf your baby did not pass the hearingscreening, talk with your baby�’s healthscreening, talk with your baby�’s health care provider to make an appointmentcare provider to make an appointment for a full hearing test (to confirm anyfor a full hearing test (to confirm any hearing loss)hearing loss)

The hearing test does not hurtThe hearing test does not hurt

The hearing test does not take longThe hearing test does not take long

Talk with your health care providerTalk with your health care providerif you have questions (such as cost,if you have questions (such as cost,time, appointments)time, appointments)

Full Hearing TestFull Hearing Test

If Your Baby Has A Hearing Loss:If Your Baby Has A Hearing Loss:

You will be provided with information aboutYou will be provided with information about family supfamily supportport

Your baby will need Early Intervention servicesYour baby will need Early Intervention services

Your baby will need on-going hearing testsYour baby will need on-going hearing tests

Your baby might need to see other health careYour baby might need to see other health care providers (e.g. ear doctor, eye doctor)providers (e.g. ear doctor, eye doctor)

Just In TimeJust In Time BeforeBefore

66

MonthsMonths

Early Hearing Detection and Intervention (EHDI)Early Hearing Detection and Intervention (EHDI)

Just In TimeJust In Time Before Your Baby is 6 Months OldBefore Your Baby is 6 Months Old

Checklist for babiChecklist for babiChecklist for babies with hearing loss:es with hearing loss:es with hearing loss: Hearing Health CareHearing Health Care

Make an ear doctor appointmentMake an ear doctor appointment

Make an audiologyMake an audiology appointmentappointment

If needed, get informationIf needed, get information and medical clearance for:and medical clearance for:

Hearing aidsHearing aids

Cochlear implants (electronic devices surgicallyCochlear implants (electronic devices surgically

placed under the skin behind the earplaced under the skin behind the ear))

Other intervention strategiesOther intervention strategies (therapies or services)(therapies or services)

Education and SupportEducation and Support

Meet wiMeet wi thth EarlEarl y Iny Intervtervention program to makeention program to make a plan for your familya plan for your family

MeMeeett ww ii th otheth other familiesr families

Ask about communication programsAsk about communication programs Early InterventionEarly Intervention

CommunicationCommunication ChoicesChoices Early Intervention and

Communication Choices

Communication Programs YouCommunication Programs You and Your Baby Can Useand Your Baby Can Use

There are many different ways to communicate withThere are many different ways to communicate with your baby such as:your baby such as:

American Sign Language (ASL)American Sign Language (ASL)

Auditory-OralAuditory-Oral

Auditory-VerbalAuditory-Verbal

Cued SpeechCued Speech

Total CommunicationTotal Communication

family�’s

How you communicateHow you communicate with your baby is thewith your baby is the

familyfamily�’�’ choicess choice “What works for your child is what makes“What works for your child is what makes

the choice right”the choice right” ((Hand and Voices)Hand and Voices)

Learn about many ways to talk with your babyLearn about many ways to talk with your baby Pick the one that works for your familyPick the one that works for your family

Decisions you make now can be changed laterDecisions you make now can be changed later

Working With Your Baby�’sWorking With Your Baby�’s HealthHealth

Care ProviderCare Provider

Your baby�’s health care provider can:Your baby�’s health care provider can:

help you when you need helphelp you when you need help

listen to your ideas and your family�’s needslisten to your ideas and your family�’s needs

help you find new medical care if you movehelp you find new medical care if you move

tell you where to find other helptell you where to find other help

Adapted from American Academy of Pediatrics (AAP)/Medical Home July, 2002

Just In TimeJust In Time So your baby’s care is Right on TimeSo your baby’s care is Right on TimeSo your baby’s care is Right on Time

Before ONE month of age:Before ONE month of age:Hearing ScreeningHearing Screening11

Before THREE moBefore THREE monntths of ahs of agge:e: Hearing EvaluationHearing Evaluation33

Before SIX moBefore SIX monntths of ahs of agge:e: Early InterventionEarly Intervention66

Just In TimeJust In Time So Your Star Can Shine!So Your Star Can Shine!

Brought to you in partBrought to you in part by tby thhe Providee Providerr EE dducationucation Subcommittee, Family IssSubcommittee, Family Issuues Committeees Committee

For more information:For more information:

Alexander Graham Bell AssociationAlexander Graham Bell AssociationWeb SitesWeb Sites for the Deaffor the Deaf

http://whttp://www.ww.agbell.orgagbell.org

American Academy of AudiologyAmerican Academy of Audiology http://whttp://www.ww.audiology.orgaudiology.org

American Academy of PediatricsAmerican Academy of Pediatrics http://whttp://www.ww.aap.orgaap.org

American Society for Deaf ChilAmerican Society for Deaf Childrendren http://whttp://www.ww.deafchildren.orgdeafchildren.org

American Speech-Language-HearingAmerican Speech-Language-Hearing AssociationAssociation http://whttp://www.ww.asha.orgasha.org

Web SitesWeb Sites Auditory-Verbal International, Inc.Auditory-Verbal International, Inc. http://www.listen-up.org/oral/a-v.htm

Beginnings For Parents of ChildrenBeginnings For Parents of ChildrenWho Are Deaf or Hard-of-HearingWho Are Deaf or Hard-of-Hearing

http://www.ncbegin.org/

Boys Town NationalBoys Town National Research HospitalResearch Hospital http://www.boystownhospital.org/pages/default.aspx

Early Hearing Detection and Intervention Centers for Disease Control and Prevention,Centers for Disease Control and Prevention, Early Hearing Detection and Intervention

http://www.cdc.gov/hearingloss/

Web SitesWeb Sites FamilFamilyy VoicesVoiceshttp://www.familyvoices.orghttp://www.familyvoices.org

Hands & VoicesHands & Voices http://www.http://www.handsandvoices.orghandsandvoices.org

Health Resources and ServicesHealth Resources and Services AdministrationAdministration http://whttp://www.ww.hrsa.govhrsa.gov

John Tracy ClinicJohn Tracy Clinic http://johntracyclinic.orghttp://johntracyclinic.org

Joint Committee on Infant HearingJoint Committee on Infant Hearinghttp://whttp://www.jcih.orgww.jcih.org

Marion Downs National CenterMarion Downs National CenterWeb SitesWeb Sites for Infant Hearingfor Infant Hearing

http://www.mariondowns.com

National Association of the DeafNational Association of the Deaf http://whttp://www.ww.nad.orgnad.org

National Center for Hearing AssessmentNational Center for Hearing Assessmentand Managementand Managementhttp://whttp://www.infanthearing.orgww.infanthearing.org

National Cued Speech AssociationNational Cued Speech Associationhttp://whttp://www.ww.cuedspeech.orgcuedspeech.org

National Information Center on DeafnessNational Information Center on Deafness http://clerccenter.gallaudet.edu/InfoToGohttp://clerccenter.gallaudet.edu/InfoToGo

Web SitesWeb Sites

http://www.nidcd.nih.gov

National Institutes of Health, NationalNational Institutes of Health, NationalNational Institutes of Health, National Institute on Deafness and OtherInstitute on Deafness and OtherInstitute on Deafness and Other Communication DisordersCommunication DisordersCommunication Disorders http://http://www.nidcd.nih.govwww.nidcd.nih.gov

Office of Special Education andOffice of Special Education andOffice of Special Education and Rehabilitative ServicesRehabilitative ServicesRehabilitative Services

http://www.ed.gov/about/offices/list/osers

http://www.raisingdeafkids.org Raising Deaf KidsRaising Deaf KidsRaising Deaf Kids http://http://www.raisingdeafkiwww.raisingdeafkidds.orgs.org

ww.tdi-online.org

Telecommunications for the Deaf, Inc.Telecommunications for the Deaf, Inc.Telecommunications for the Deaf, Inc. http://whttp://whttp://www.tdiww.tdi--online.orgonline.org