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ABSTRACT INFORMATION
Title: 'Speech and Language Goals in Clinical Settings for Young Children who are Deaf/Hard of Hearing' Track: 3 - Language Acquisition and Development Keyword(s): speech and language development, young children Learning Objectives: Describe the language needs in young children who are deaf/hard of hearing 2) Recognize the importance of including pragmatic/social skills goals for children receiving speech/pathology services. Abstract: Background: Despite advances in early identification and intervention, our understanding of functional communication skills in children who are deaf/hard of hearing (deaf/HH) is limited. The objective was to assess the types of goals set during therapy and their association with functional language skills. Methods: Children with prelingual mild-profound bilateral hearing loss, ages 3-6 years participating in a study on cognition, language and functional communication were included in this exploratory study. Language goals from clinical settings were reviewed among these children receiving services. Goals were coded in the following categories: 1) Receptive semantic vocabulary based; 2) Expressive semantic vocabulary based; 3) Syntactic/Grammar/Increased mean length of utterance; 4) Pragmatic/Social Language; 5) Articulation/Speech Sound; 6) Aural Rehabilitation; and 7) Voice. Coding occurred with two speech language pathologists to ensure agreement of placement of goals into a speech/language category. Results: Among 66 children who were deaf/HH enrolled in the study, 85% of children were receiving speech/language pathology services. Among 171 documented goals to date, 30% focused on receptive semantic goals, 12% on expressive semantic goals, 15% on syntactic/grammar, 3.5% on pragmatic/social, 18% on articulation, 16% on aural rehabilitation and 6% on voice. Only three children had documented pragmatic or social goals. Conclusion: Despite a high rate of difficulties for children in functional and social communication, pragmatic/social goals are minimally represented in documentation of speech/language goals for children who are deaf/HH. When developing goals for young children who are deaf/HH, it is important to consider including social/pragmatic language development. Presentation: This presentation has not yet been uploaded or the speaker has opted not to make the presentation available online. Handouts: Handout is not Available
PRESENTER(S) / AUTHOR(S) INFORMATION
Susan Wiley - Primary Presenter Cincinnati Children's Hospital Medical Center      Credentials: M.D., Developmental Pediatrician, Professor       Dr. Susan Wiley is a developmental pediatrician with expertise in children who are deaf/hard of hearing. She has many years of experience serving children with multiple disabilities.       ASHA DISCLOSURE: Financial - No relevant financial relationship exist. Nonfinancial - No relevant nonfinancial relationship exist. Laura Smith - Co-Presenter Cincinnati Children's Hospital Medical Center      Credentials: MPH, Clinical Research Personnel       Laura is a clinical research coordinator at the Cincinnati Children's Hospital Medical Center. She has been working with an MCHB funded research study evaluting the impact of cognition and language on functional outcomes in young children who are deaf/hard of hearing.       ASHA DISCLOSURE: Financial - No relevant financial relationship exist. Nonfinancial - No relevant nonfinancial relationship exist. Jareen Meinzen-Derr - Author Cincinnati Children's Hospital Medical Center      Credentials: PhD, MPH       Dr. Meinzen-Derr is quantitative epidemiologist at the Cincinnati Children's Hospital Medical Center. She has focused her research on outcomes of children who are deaf or hard of hearing, and specifically those who have additional developmental disabilities.       ASHA DISCLOSURE: Financial - Receives Grants for Other activities from HRSA.   Nonfinancial - No relevant nonfinancial relationship exist. Sandra Grether - Author Cincinnati Children's Hospital Medical Center      Credentials: PhD - Speech and Language Pathologist       Dr. Grether is a Speech and Language Pathologist who works with children with developmental disabilities. Her expertise is in the field of augmentative and alternative communication.       ASHA DISCLOSURE: Financial - No relevant financial relationship exist. Nonfinancial - No relevant nonfinancial relationship exist.