18th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 3-5, 2019 • Chicago, IL

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2/27/2017  |   2:00 PM - 2:30 PM   |  Interdisciplinary Assessment of Children with Hearing Loss and Autism or Other Developmental Disabilities   |  Grand Hall D

Interdisciplinary Assessment of Children with Hearing Loss and Autism or Other Developmental Disabilities

It is estimated that at least one-third of children who are deaf or hard of hearing have one or more neuro-developmental or related disabilities. These conditions include autism, intellectual disabilities, social-emotional disorders, sensory integration dysfunction, visual impairment, motor delays, and learning differences. Meeting the complex needs of these children requires the expertise of professionals from several disciplines. Consequently, families and EHDI service providers often encounter difficulty obtaining an accurate diagnosis or appropriate treatment plan. In 2010, a group of professionals at The University of North Carolina-Chapel Hill with expertise in audiology, speech-language pathology, psychology, education, and physical/occupational therapy created an interdisciplinary ‘Hearing and Development Clinic’ at The Carolina Institute for Developmental Disabilities. The mission of this clinical program is to provide an interdisciplinary assessment of children with hearing loss whose families or service providers suspect additional challenges or disabilities. Referrals are accepted from our pediatric audiology colleagues at UNC Hospitals and from the Children's Cochlear Implant Center at UNC. Children and their families are seen for full-day interdisciplinary evaluations by professionals and graduate students from several disciplines. This presentation will begin with a review of comorbidities that occur with hearing loss including their characteristics and prevalence. It will follow with a description of UNC's Hearing and Development Clinic including the referral process, intake procedures, evaluation procedures, interpretative conferences, partnerships with other agencies/service providers, the role of students, and the format used for reports/follow-up. Selected cases will be used to illustrate the challenges and rewards associated with interdisciplinary team assessment of children with hearing loss and developmental disabilities.

  • Describe conditions and disabilities that co-occur with hearing loss and their prevalence
  • List three advantages of an interdisciplinary team assessment of children with hearing loss and developmental disabilities
  • List three challenges associated with interdisciplinary assessment of children with hearing loss and developmental disabilities

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Presenters/Authors

Jean Mankowski (), University of North Carolina at Chapel Hill, jean.mankowski@cidd.unc.edu;
Dr. Mankowski is a child psychologist at the Carolina Institute for Developmental Disabilities where she serves as training Director for NC-LEND.


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Donna Yerby (), University of North Carolina at Chapel Hill, donna.yerby@cidd.unc.edu;
Ms. Yerby is an education specialist at the Carolina Institute for Developmental Disabilities


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Jackson Roush (), University of North Carolina - Chapel Hill, jroush@med.unc.edu;
Dr. Roush is Professor and Director of the Division of Speech and Hearing Sciences, University of North Carolina School of Medicine, Chapel Hill, NC. He also serves as Director of the North Carolina LEND program and is co-chair of the NC EHDI Advisory Board. Dr. Roush has been a pediatric audiologist for 35 years.


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Margaret DeRamus (), University of North Carolina at Chapel Hill, margaret.deramus@cidd.unc.edu;
Ms. DeRamus is a speech-language pathologist at the Carolina Institute for Developmental Disabilities where she serves as a member of the Hearing and Development Clinic.


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Emily Kertcher (), University of North Carolina at Chapel Hill, emily.kertcher@unchealth.unc.edu;
Dr, Kertcher is an occupational therapist at UNC Hospitals and a former OT on the Hearing and Development Clinic team at the Carolina Institute for Developmental Disabilities.


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Christine Kramer (), University of North Carolina at Chapel Hill, christine.kramer@unchealth.unc.edu;
Ms. Kramer is a speech-language pathologist at the Children's Cochlear Implant Center at UNC and with the Carolina Institute for Developmental Disabilities, where she serves as a clinician in the Hearing and Development Clinic.


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Hannah Eskridge (), Children's Cochlear Implant Center at UNC, heskridg@unch.unc.edu;
Hannah Eskridge, MSP, CCC-SLP, LSLS Cert AVT, is the NCFI/ Barnhardt CASTLE Director an associate professor at the University of North Carolina-Chapel Hill. She has been working with children with hearing loss and their families for over 10 years and became certified in auditory verbal therapy in 2005. She directs the Professional Training Program as well as coordinates staff and various other programs. Hannah also conducts Listening and Spoken language parent participation sessions and tele-therapy sessions through the UNC REACH program.


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