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Hearing Head Start Project

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Hearing Head Start Project

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    3. Hearing Health is at the Heart of Language Development

    6. Technological advances in the past 10 years have made it possible to conduct highly reliable physiological hearing screening of children as young as a few hours old. Hearing screening equipment has become: More affordable More portable Easier to use

    8. Universal Newborn Hearing Screening

    10. As many as 50% of infants who refer from newborn hearing screening are lost to follow-up. Hearing loss can occur at any time in a child’s life. Approximately 35% of preschool children will have repeated ear infections before 3 years of age, sometimes resulting in fluctuating conductive hearing loss. Without regular, physiologic screening, hearing loss is often impossible to detect.

    11. Head Start’s “Performance Standards” reflect a long-standing commitment to hearing screening: All children are to receive a hearing screen within 45 days of enrollment; however: Most Grantees are relying on subjective, outdated screening methods such as hand clapping, bell ringing, and parent questionnaires to screen children 0 – 3 years of age. Most Grantees are unaware that Otoacoustic Emissions (OAE) technology, used widely in newborn hearing screening programs, can also be used successfully in early childhood settings.

    13. From 2001 – 2004, NCHAM has been conducting a project helping Grantees. . . Migrant Head Start American Indian Head Start Early Head Start

    14. Hearing Head Start Project Participants in UT, WA, and OR : Receive training and OAE equipment Conduct OAE screening on all children 0 - 3 years of age following a prescribed protocol Document screening and follow-up outcomes; submit data on a regular basis Receive ongoing technical assistance and linkage with additional hearing resources

    15. 104 Migrant, American Indian, and Early Head Start staff trained Representing 19 grantees (69 program sites) in WA, OR, and UT Using 36 pieces of OAE equipment Almost 3000 children screened

    16. OAE Screening/Referral Outcomes 2851 children screened (using a 3 - step screening protocol) 171 (6%) were referred for medical/audiological follow-up

    17. OAE Screening/Referral Outcomes Of the 59 identified with a hearing loss or disorder:

    18. Responses from Head Start Programs

    19. Purchasing OAE Equipment is NOT enough for Head Start Grantees to successfully update hearing screening practices Audiological supervision Training An appropriate screening & follow-up protocol Ongoing technical assistance & linkage to local/state hearing resources

    20. Without training, audiological supervision and an appropriate screening protocol, Grantees are likely to experience problems related to: Inappropriate selection of/care of screening equipment High refer rates – over-referral to physicians/audiologists OAE technology misconstrued as a diagnostic tool Confusion over the screener’s role/limitations Under-identification of hearing loss and other disorders Inappropriate follow-up diagnostic and intervention services

    21. Essential Elements of the Screening Protocol

    22. Essential Elements of the Screening Protocol

    23. Ongoing Technical Assistance Topics

    24. Sustainability & Replicability

    29. Who can help put the pieces together so that ALL young children can . . . .

    30. WE CAN!

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