Lecture 13 Flashcards
What does the BC’s EHDI Program provide?
Universal newborn hearing screening
Audiological assessment
Hearing equipment (when beneficial)
Centralized service coordination and supports
What are the 3 tenets of BCEHP?
Evidence-based practice
Informed choice and shared decision making
Family centered care
What are the 1-3-6 time targets?
By 1 month - hearing screen completed
By 3 months - audiological assessment completed
By or before 6 months - family involved with early communication development services and supports
What are some implications to the program?
Average age of diagnosis: has gone from >2.5 years to <3 months
Parents don’t expect hearing loss: 95% of children identified with permanent hearing loss have NO family history
Professionals are counselling families earlier
Parents are more informed earlier
What is in the new protocol?
Amplification recommended early in all cases
In-person intervention services for everyone meeting eligibility
Not waiting until speech and language delays evident
Framing hearing loss in terms of “audibility”
Theme of integration of amplification and intervention services
All with permanent HL meet criterion - follow the same care path
More preventative approach
What is the eligibility for funding?
Coverage per eligible child?
Less than 5 years old, permanent hearing loss, unaided SII value, either: bilateral HL <80 in both ears, unilateral hearing loss 5-80
First set of amplification; earmolds, batteries and repairs during eligibility period
What are some of the new materials in the BCEHP Parent Guide?
Parents can receive consistent messaging
Right information at the right time
Health literacy lens: “how parents find and use information”
Answers “What is BCEHP?” and gives key messages about importance of early language access
Automatic referral system - contacted by service coordinator right away.
Helpful tips from parents, important to talk about language and babies
What are three things parents can do?
Stay Informed - go to all appointments (ENT, Audi, Doctor)
Start Services Early - don’t delay until noticing problems
Access Support - figure out which services are good for you
Why service coordination?
Central point of contact and intake for newly identified infants and their families
Are SLPs with experience providing services to families of young deaf and HoH children
Calls next day - prevents stress/delays in treatment
What do service coordinators do?
Respond to parents’ questions
Provide key positive messages and timely information to avoid preventable language delays
Connect families with parents and DHH role models through Hands and Voices’ Guide by Your Side Program
Gives full info about all services available and get families started as early as possible, not later than 6 months old
What are the key messages about this program?
There is no one right method that works for all D/HH children
Given all of the info, you will make the best choices for your family
No decision or choice is final
What is the assessment protocol?
Complete appropriate inventory with caregivers within 3 months of 1st individual session
Reassess every 6 months to inform the individualized family service plan meeting
Individual Family Services Planning Meeting - in first 3 months of intervention, every 6 months review with new evidence, involve Audi, involve others (ASL instructor)
What are some functional listening measures?
LittlEars Auditory Questionnaire
Parent Evaluation of Aural/Oral Performance of Children
What are some BCEHP Pre-Kindergarten Measures?
Preschool Language Scale 5
Kauffman Brief Intelligence Test
American Sign Language Receptive Skills Test
What are the 10 principles? (IDK if need to know?)
Early, timely, equitable access to services Family-provider partnerships Informed choice/decision making Family and emotional support Family-infant interactions Use of assistive technologies and supporting means of communication Quality services, qualified providers Collaborative teamwork Progress monitoring Program monitoring
