gps: guide to providing services a workshop for early intervention providers mary koch cline, m.a.,...

GPS: Guide to Providing Services A workshop for Early Intervention Providers

Mary Koch Cline, M.A.,Auditory Education ConsultantHamilton, MTmaryekoch@gmail.com

The Learning Center for the Deaf

June 10, 2013

Communication Considerations…. One Child at a Time

Communication Considerations...One child at a time.

Communication Considerations...One child at a time.

Communication Priority Pyramid

Connection

Cognition

Communication

Language

Modality

Precision

In an environment that meets the needs of the individual child.

vision hearing

symbols

wordsLANGUAGE

names

concepts thoughts

literature movies

humor

education

books

stories

employment

ideas

history

poetry

internet

conversations

relationships

friends

Communication Considerations...One child at a time.

Where do we hear?

Communication Considerations...One child at a time.

oommah ooahee ee

sh

The “Speech Banana”

Communication Considerations...One child at a time.

Speech “Submarine”

• Any sounds ABOVE the recorded thresholds CANNOT be detected.

• Any sounds BELOW the recorded thresholds CAN be detected.

Communication Considerations...One child at a time.

What CAN be heard

Communication Considerations...One child at a time.

What CAN’T be heard

Communication Considerations...One child at a time.

Normal Hearing Moderate

Hearing Loss

Severe Severe-to-Profound

Unaided Aided Cochlear Implant

Communication Considerations...One child at a time.

Listen in…

Can you identify the meaning of 3 Afrikaans words in the following clip:

1. _________________2. _________________3. _________________

Communication Considerations...One child at a time.

Listen and look...

Can you identify the meaning of 3 Afrikaans words in the following clip:

1. _________________2. _________________3. _________________

Communication Considerations...One child at a time.

At birth, the human brain is still preparing for full operation. The brain's neurons exist mostly apart from one another.

Nature, Nurture and Early Brain Development Sara Gable, University of Missouri, 2004

Communication Considerations...One child at a time.

• These connections are formed when impulses are sent and received between neurons.

Nature, Nurture &Early Brain Development Sara Gable, University of Missouri, 2004; paulnussbaum.com/gettoknow.html

Communication Considerations...One child at a time.

• It is the creation of these synapses that account for learning.

• Through meaningful repetition, sounds and words become encoded in the auditory memory.

Nature, Nurture &Early Brain Development Sara Gable, University of Missouri, 2004; paulnussbaum.com/gettoknow.html

Communication Considerations...One child at a time.

• New: Language and concepts being presented for the first or second time.

• Review: language and concepts that have been presented repeatedly over a period of at least 2 weeks.

• Routine: The language of the daily activities of the classroom: transition, snack, instructional routines, etc.

Communication Considerations...One child at a time.

Listening and “The Lazy Eye”

HearingThe Weaker

Sense

VisionThe Stronger

Sense

Communication Considerations...One child at a time.

The Auditory “Sandwich”

Auditory

Visual Clarifier

Auditory

Communication Considerations...One child at a time.

Speechreading

Sign

Gesture

Picture

Representational Object

Actual Object

Fish only as “deeply” as is needed to clarify.

Use of Visual Clarifiers

Communication Considerations...One child at a time.

Continuum Navigation Guidelines

A AV VA V

New

Review

Routine

Symbolic representations of “cat”

kӑt(cat)

c a t

gŎtō(gato)

ʃŎ(chat)

Communication Considerations...One child at a time.

22

Spoken language Sign language

...languages with radically different sensory modalities such as speech and sign are processed at similar brain sites.”

Petitto et al

Communication Considerations...One child at a time.

Traditional Communication Continuum

AUDITORY VISUAL

Auditory-Verbal

Auditory-Oral

Cued Speech

SimultaneousCommunication

ASL

LanguageCommunicati

onCognition

Robbins 2001

Communication Considerations...One child at a time.

AUDITORY VISUAL

Communication “choices”Traditionally viewed as a “parking lot”…

Auditory-Verbal

Auditory-Oral

Cued Speech

Simultaneous Communication

ASL

LanguageCommunicati

onCognition

Communication Considerations...One child at a time.

FullyAuditoryCommunicator

MostlyVisualCommunicator

MostlyAuditoryCommunicator

FullyVisualCommunicator

A Av AV VA V

* [Adapted source:Robbins 2000

Communication ContinuumMore like a “skating rink.”

Communication Considerations...One child at a time.

Continuum Navigation Guidelines

A AV VA V

New

Review

Routine

Communication Considerations...One child at a time.

27

RECEPTIVE Modality

Auditory VisualAAv

AV VAV

Role of STUDENT in COMMUNICATION

Expressive ReceptiveEER

ERRE

R

EXPRESSIVE Modality

Oral SignOOs

OS SoS

EXPECTATION INDICATORS

ACADEMIC

21

34

5

AUDITORY

21

34

5

Degree of CHALLENGE

AUDITORY ACCESS

Checklist

moo

sh

ahee

ss

LIN

G 6

SO

UN

D T

EST

hacifmEQ

UIP

MEN

T

AUDITORY COMMUNICATION DASHBOARD ACoRN © 2007Boys Town National Research Hospital

AUDITORY ACCESS & ATTENTION

Noise

quiet loud

Attention

none good

Familiarity

routine new

Context

Lots! None

CONTENT and CONTEXT SIGN LANGUAGE INPUT

Interpreter Use

Interpreter

Sign System

ASL Key words

SEETeacherCASE

Thank you!