The auditory-verbal-package-2 (1)
Transcript of The auditory-verbal-package-2 (1)
(Joanna Stith)
“How will I communicate with my child?”
“How will my child communicate?” “How
will I find a program that will prepare my
child academically and socially?”
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Introduction
• Auditory verbal therapy practice is the application of techniques, strategies, condition & procedures which promote optional acquisition of spoken language through listening , which becomes a major force in nature the development of the child personal, social, & academic life.
• Children with appropriate hearing aid, cochlear implant & other sophisticated technology, most children benefit significant from AVT.
• Maximum use of residual hearing.• AVT includes education, guidance, advocacy & family
support.
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• Hearing and active listening become an integral part of communication, recreation, socialization, education, and work.
• AVT is an approach that emphasizes the use of residual hearing to help children learn to listen, process verbal language, and to speak.
• The earliest possible identification of hearing loss with immediate fitting with amplification, as well as prompt intervention helps to reduce the extent of language delay commonly associated with hearing impairment.
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• Auditory-verbal therapy is a method for teaching deaf children to listen and speak using their residual hearing in addition to the constant use of amplification devices such as hearing aids , FM devices, and cochlear implants.
• Auditory-verbal therapy emphasizes speech and listening.
• Children with hard of hearing need help to learn to detect and recognize sounds around them. They must be taught that listening is useful and necessary to verbally communicate
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Types of Hearing Loss
Hearing loss can be described by the
type of loss:
Conductive H/L
Sensorineural H/L
Mixed H/L
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Reading an Audiogram
Child will have had an
audiogram that the therapist and audiologist will use constantly to best plan for child’s
new technology
and learning
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The Difference Between Hearing and Listening
The Australian Pocket Oxford Dictionary (1998)
• Hearing: ‘to perceive with the ear’
• Listening: ‘to hear with attention’
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The Difference Between Hearing and Listening
‘Hearing is when a sound reaches your ears, listening is when it reaches your
brain!’
Listening is not automatic
It takes practice
Principal of auditory verbal therapy
• To detect hearing impairment as early as possible through
screening programs, ideally in the newborn nursery and throughout childhood.
• To pursue prompt and aggressive audiological management and maintenance of appropriate aids (hearing aids, cochlear implants, etc.)
• To guide, counsel, and support parents and caregivers as the primary models for spoken language development and to help them understand the impact of deafness and hearing impairment on the entire family
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• To help children integrate listening into their development of communication and social skills.
• To support children’s auditory-verbal development through one-to-one teaching.
• To help children monitor their own voices and the voices of others in order to enhance the intelligibility of their own speech.
• To use the developmental patterns of listening, language, speech, and cognition to stimulate natural communication.
• To continuously assess and evaluate children’s development and, through diagnostic intervention, modify the program when needed.
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• To provide support services to facilitate children’s
educational and social inclusion in regular education classes
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What is Auditory-Verbal Therapy?
• Immediate practical support for babies, children and their families to access their residual hearing in order to communicate for life.
• Offers hope, encouragement, support, expertise, guidance and nurturing.
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What is Auditory-Verbal Therapy?
• Individualised and family-centred
• Teaches natural spoken language and listening following natural child development models using evidence based research
• Allows the full range of educational, social and vocational choices for child
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Practical Implications
• Immediate fitting of hearing aids or cochlear implant
• weekly sessions with the therapist designed to be fun and practical
• Carry-over activities in the home based on family and child’s needs
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• Entering into a partnership with the therapist and audiological team
• Being child’s advocate
• Learning to stimulate speech, language and communication, plan strategies and make informed decisions
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What is Auditory-Verbal Therapy?
‘Patience ’ with the
team and child
‘Access ’ to the
new technology and
how to use it
‘Relevance ’
engaging activities to
stimulate learning
‘Success ’ to integrate this
process into family
‘Time’ to learn
‘Nurturing ’ for child
‘Expectations ’ that are high and
realistic
PARENTSNEED
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The AVT Framework
• Young children can use technology assisted hearing to learn to listen, process verbal language and to speak.
• These same children can enter mainstream schools and be independent citizens in mainstream society.
• Child needs highly enhanced auditory and language input to reach potential.
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The AVT Framework
• Parents acquire training and knowledge during therapy sessions that are easily transferred to home
• Therapy sessions are always diagnostic and proactive
• Listening and auditory understanding is promoted as part of your child’s day-to-day experience without the use of lip-reading or signing.
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The AVT Framework
• All therapy goals are part of normal developmental goals leading to mainstream schooling
• The ‘structure’ is highly flexible relying on documented therapist and parent evaluations, goal planning and links to established developmental norms
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Developing Listening and Auditory Function
1. Auditory awareness and perception 2. Auditory attention and inhibition 3. Distance hearing 4. Localization 5. Discrimination
6. Auditory feedback and monitoring 7. Auditory memory store 8. Auditory memory span and sequencing 9. Auditory processing 10. Auditory understanding
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Developing Listening and Auditory Function
Activities and games that stimulate children auditory development happen all the time
At: feeding cuddling
playing reading nappy changing bathing
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What can Impact on Child Development?
Your child is developing in four overlapping areas:
Physical Development
Thinking skills
Social and Emotional Development
Communication Skills
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What can Impact on Child Development?
Child’s hearing impairment can impact on all four areas of natural child development
unless listening and communicating becomes part of their personality.
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Basic AVT Techniques
Activities will involve:
games songs toys
fun activities that are easily replicated at home
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The Parent’s Role
PARENTS
can:
be actively involved
be patientJoin support groups
be motivatedProvide a rich listening environment
Stimulate hearing, listening and talking
be kind to yourselves Delight in child’s growth
Love and nurture
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Factor of AVT
Degree of (HI)Cause of (HI)
Effective amplification
Device
Audiological Management
Family’s Participation
Emotional state of the family
Therapist Skills
Child HealthChild’s Intelligence
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Vygotsky (1995)
“One must keep in mind that any child with a disability is first of all a child…. From a
psychological and pedagogical point of view, one must treat the child with a
disability in the same way as a normal one.”
References • Definition of avt downloaded from
http://en.wikipedia.org/wiki/Auditory-verbal_therapy on 16.09.2013
• http://www.annals.edu.sg/pdf/34VolNo4200505/V34N4p307.pdf
• http://www.irishdeafkids.ie/2013/auditory-verbal-therapy-belfast/
• http://speakingofkids.blogspot.in/2012/08/auditory-verbal-therapy-series.html
• Principal of a.v.t. downloaded from http://www.listeningforlife.com/AVTprogram.html
• http://www.hearandsaycentre.com.au/principles-AVT.html
31http://www.hearing.com.au/ViewPage.action?siteNodeId=38&languageId==1&contentId=-1