re-educating professionals about spoken language carolyn j. brown, m.s., ccc-slp/a cccdp program...
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Re-Educating Professionals About Spoken Language
Carolyn J. Brown, M.S., CCC-SLP/ACCCDP Program Director
Beth Whitfield, M.Ed., Cert AVTCASTLE Program Coordinator
CCCDP Otolaryngology / Head & Neck Surgery
UNC School of Medicine
2005 EHDI Conference
W.P. BIGGERS, MD CAROLINA CHILDREN’S COMMUNICATIVE
DISORDERS PROGRAM(CCCDP)
Otolaryngology/Head & Neck Surgery
School of Medicine
University of North Carolina-Chapel Hill
History & Purpose
Initiated by W.P. Biggers, M.D. - 1992
Purpose: to provide funding for communication devices for children with hearing loss whose families do not qualify for other public programs, but do not have adequate income to obtain communication devices that are not covered by insurance.
CCCDP Mission
To provide the best hearing possible to NC children with hearing loss whose families have limited resources
To provide on-going services
To increase community awareness
CCCDP Mission
To provide educational opportunities to professionals in the children’s home communities, especially in the rural areas, where little or no services are available to help children with hearing loss learn speech and listening skills.
Financial Assistance Program
Funded through a contract from The North Carolina Department of Health and Human Services
Qualifications for Enrollment:Children under 21 years of age
North Carolina residents
Need for hearing devices or services not covered by other funding programs
An established need for financial assistance
UNC Pediatric Cochlear Implant Program
Harold C. Pillsbury, MD
Department chair & cochlear implant surgeon
Dr. Craig Buchman
Medical Administrative Director and CI surgeon
Dr. Carlton Zdanski - Cochlear implant surgeon
UNC Pediatric Cochlear Implant Program
Carolyn J. Brown, MS Program Director (Audiologist & SLP)Holly Teagle, Dave Catlett, Jennifer Weinstock, Nancy McIntosh, and Debbie Gunter (CI audiologists)Hannah Eskridge (SLP)Two social research assistants: David Perry and Robert Humphreys
UNC Pediatric Cochlear Implant Program
445 children with CIs
Ages 7 months to 18 years
Educationally pro-active
North Carolina NHS Statistics
Numbers as of January 2004 :
Total annual births in NC 117,335*
NC infants screened at birth 98%*
Nat’l Average 93.3%*
Nat’l Average 2002 (previously obtained) 69%*
* Statistics obtained from website: http://www.infanthearing.org/
If early identification and technological advances are going to be beneficial, EARLY habilitation
utilizing a strong auditory approach, which teaches parents
how to develop their child’s spoken language through listening, is
critical.
Early Intervention in NCOffice of Education Services
Number served/ 0 to 3 (2002) 250Communication Methodology Year TC A-O/A-V
1997-98 60% 40% 1998-99 52% 48%1999-00 36% 64%2000-01 33.5% 66.5%2003-04 16%* 84%*
* Statistics from BEGINNINGS
Educational Situation
Most of today’s professionals have been trained to use a manual methodology.
With today’s technology, children with even the most profound hearing loss have the potential to hear and learn to talk.
Educational Situation
Critical shortage of professionals who have the necessary training to facilitate spoken language
For many children, especially in rural areas, educational and therapeutic intervention is often still limited to sign language.
Other NC Programs
BEGINNINGS
UNC-Greensboro (A-O/B-K)
Lenoir-Rhyne
AVI Modules
First YEARS
HOW IS THE CCCDP @ UNC-CH HELPING TEACHERS AND
THERAPISTS PREPARE FOR TODAY’S CHILDREN
WHO ARE DEAF AND HARD-OF-HEARING?
PRIVATE GRANTS
PRIVATE/PUBLIC PARTNERSHIP
CASTLE
Center for Acquisition of Spoken language
Through Listening Enrichment
(a member of OPTIONschools)
The W. Paul Biggers, MD Carolina Children’s Communicative Disorders Program
(CCCDP)
Financial Assistance Program
Pediatric Cochlear Implant Team
CASTLE
Early Intervention and Preschool ServicesAND Professional and Student Training Program
Pediatric Cochlear Implant Audiology
Provides funding for hearing aids, cochlear implants, and services provided at UNC for NC children with hearing loss, whose families’ have limited financial resources
Center for Acquisition of Spoken LanguageThroughListening Enrichment
CI audiology services including mapping, assessment, and maintenance
CASTLE Staff
Beth Whitfield, Program Coordinator Teacher of the Deaf, Cert AVT
Lillian Henderson, Erin Thompson, and Sandra Onisk, Speech-Language PathologistsCassandra Farrington, Office Assistant
CASTLE Objectives
1) to increase direct intervention services
2) to increase preschool opportunities
3) to increase families’ opportunities to learn how to facilitate their child’s language at home throughout the day
CASTLE Objectives
4) to increase the number of hearing-related professionals trained in auditory-based intervention
5) to increase the number of graduates in hearing-related fields who have had practical experience in auditory-based intervention
6) to increase access to auditory-based intervention in rural areas
CASTLE’s Focus
Component 1: Direct services
Component 2: Professional and university student Internship Program
Component 1
Early Intervention Services to Children & Families:Parent Training Program:
1:1 Parent Participation Sessions – for education, guidance, and counseling
Family Learning CenterLibrary of Resources with Internet AccessAges: birth to 5 years old (Kindergarten
Readiness)
For all parents
Early Intervention Services to Children & Families:
Preschool Classrooms:Parent Participation SessionsLanguage intensive and enrichedFor children with significant language delayAges: 3 to 5 years old (Kindergarten Readiness)Individual sessions with TOD or SLP
Component 1
Component 2
Internship Program:Professionals:
Working in the field as SLP, Teacher of HI, or AudiologistStudents on caseload learning spoken languageHands-on practicum to follow workshops/institutes (1:1 coaching on use of new info)Observe & learn about new technologies & medical, surgical, & audio. management of hearing loss
Internship Program :
University Students:
Practicum Placements & Clinical Clock Hours
Students in NC programs in Deaf Education, Speech-Language Pathology, & Audiology
Hands-on experience in auditory-oral approach
Component 2
Internship Program
Application & Self-
Assessment
Pre-Test
Post-Test
Teaching Behaviors
Evaluations
Notebook
CCCDP / CASTLE Activities
School site visits Annual 2-day conferences on interventionStatewide professional workshopsNC Summer Institute in AVTFirst annual Winter Conference (1/2005) for state-wide early interventionistsStudent, professional, & First YEARS internshipsIn-services & mentoring school districts
“Real behavioral change is seldom the result of any single developmental experience, whether it is a one-day workshop, or an intensive week-long program. …even when…real commitments to change behavior [are made], the energizing glow of the experience can fade with time.”
Hermez-Broome, G. (2002). In it for the long haul: Coaching is key to continued development. Leadership in Action, 22(1), 14.
Research Shows…
Study by Center for Creative LeadershipImplemented a follow-up coaching option for its Leadership Development Program in November 1999
Study compared coached group with non-coached group via 2 interviews
Hernez-Broome, 2002
Study Results
Almost 75% of participants reported changes in behavior following the coaching program.
15% of participants reported changes in behavior without the coaching.
Hernez-Broome, 2002
Follow-Up
It is vital to continue to have support to apply new skills and information.
Because of this it is vital to understand that a one-week internship at CASTLE is only the beginning of the training process. On-going coaching and mentoring is critical.
For More Information….For more information please contact:
Beth WhitfieldCASTLE Program Coordinator919-419-1428email: [email protected]
or
Carolyn Brown Program Director919-419-1449 email: [email protected]