Wyoming Newborn Wyoming Newborn Hearing SystemsHearing Systems
1992 - Present1992 - Present
Wyoming FactsWyoming Facts
98,00 Square Miles98,00 Square Miles 99thth Largest State Largest State 493,782 People493,782 People Least PopulationLeast Population
More Wyoming FactsMore Wyoming Facts
Highest Point is 13,804Highest Point is 13,804 Lowest Point is 3,100Lowest Point is 3,100 Annual Rainfall is 14.5 inchesAnnual Rainfall is 14.5 inches High and DryHigh and Dry 35,462 Miles of Highway35,462 Miles of Highway Two Towns over 50,000 PeopleTwo Towns over 50,000 People
Frontier State Frontier State
VersusVersus
Rural StateRural State
Geographically ChallengedGeographically Challenged
Wyoming HospitalsWyoming Hospitals
29 Total Hospitals29 Total Hospitals 22 Birthing Hospitals22 Birthing Hospitals 1 Air Force Base Hospital – does not 1 Air Force Base Hospital – does not
currently deliver babiescurrently deliver babies
Wyoming BirthsWyoming Births
6117 in 20016117 in 2001 459 Wyoming residential births 459 Wyoming residential births
outside Wyomingoutside Wyoming 5693 hospital births5693 hospital births
65 at home65 at home 100 non-resident births100 non-resident births
Historical OverviewHistorical Overview
April, 1992April, 1992Department of EducationDepartment of Education
Outreach From Wyoming Department Outreach From Wyoming Department of Educationof Education
Wyoming School for the Deaf 10/75 – Wyoming School for the Deaf 10/75 – Has since closedHas since closed
One on one student to teacher ratio One on one student to teacher ratio at Wyoming School for the Deafat Wyoming School for the Deaf
Historical OverviewHistorical Overview
Preschools – inconsistent application Preschools – inconsistent application of early intervention at bestof early intervention at best
Poor Progress in school age childrenPoor Progress in school age children
Historical Overview, Con’tHistorical Overview, Con’t
Colorado’s WorkColorado’s Work Universal ScreeningUniversal Screening
- Vickie Thompson- Vickie Thompson
Christi Yoshinaga-ItanoChristi Yoshinaga-Itano Early IdentificationEarly Identification Greater Success if identified by six months Greater Success if identified by six months
of ageof age Type of Communication Methods – not as Type of Communication Methods – not as
critical as early identificationcritical as early identification
Elementary Educational Elementary Educational InterventionIntervention
One to One with teacher for the One to One with teacher for the deaf/hard of hearingdeaf/hard of hearing
Pre-teaching – pull out of classroomPre-teaching – pull out of classroom Team Teaching in classroomTeam Teaching in classroom Post TeachingPost Teaching Delays ContinueDelays Continue
WyomingWyoming State Task ForceState Task Force
Wyoming Hearing Screening Wyoming Hearing Screening CommitteeCommittee
Pediatrician (Public Health)Pediatrician (Public Health) Director of MCHDirector of MCH Director of Children’s Special Healthcare Director of Children’s Special Healthcare
Services (CSHS)Services (CSHS) Part C CoordinatorPart C Coordinator Nurse from one Infant ProgramNurse from one Infant Program Department of Education Department of Education
- Preschool Liaison- Preschool Liaison
Wyoming Infant Hearing Wyoming Infant Hearing Screening Committee, contScreening Committee, cont
AudiologistsAudiologists
- Public Schools- Public Schools
- Hospitals- Hospitals Vision Education SpecialistVision Education Specialist GeneticistGeneticist Professor of AudiologyProfessor of Audiology
- University Of Wyoming- University Of Wyoming
Wyoming Infant Hearing Wyoming Infant Hearing Screening Committee, contScreening Committee, cont
Wyoming School District PrincipalWyoming School District Principal Wyoming Department of Education Wyoming Department of Education
Deaf/Hard of hearing Outreach Deaf/Hard of hearing Outreach CoordinatorCoordinator
ParentParent ConsumerConsumer Wyoming Institute for Disabilities Wyoming Institute for Disabilities
(WIND) representative(WIND) representative
Wyoming Newborn Hearing Wyoming Newborn Hearing Systems Advisory BoardSystems Advisory Board
GoalGoal
Reduce the age of Reduce the age of identification of children with identification of children with hearing loss to three months hearing loss to three months
of age and have them entered of age and have them entered into Early Intervention by six into Early Intervention by six
months of age.months of age.
ScreeningScreening
In 2002, 98% of Wyoming newborns In 2002, 98% of Wyoming newborns were screened before being were screened before being discharged from the hospital at the discharged from the hospital at the time of their birth.time of their birth.
Governor’s ParticipationGovernor’s Participation
Press ConferencePress Conference
TV/Radio CoverageTV/Radio Coverage
Newspaper CoverageNewspaper Coverage
Very nice address RE topicVery nice address RE topic
Part C CoordinatorPart C Coordinator
Audiology ConsultantAudiology Consultant
Early Intervention CouncilEarly Intervention Council
Advisory GroupAdvisory Group Need Their SupportNeed Their Support Part C Coordinator worked with EIC Part C Coordinator worked with EIC
to gain supportto gain support
Early Identification, Diagnostic, Early Identification, Diagnostic, Early InterventionEarly Intervention
The on-site training at the hospitals The on-site training at the hospitals also included audiologic diagnostic also included audiologic diagnostic personnel and early intervention personnel and early intervention program personnel.program personnel.
With this group of service providers With this group of service providers together children and their families together children and their families can be guided through screening, can be guided through screening, diagnostic, and intervention diagnostic, and intervention processes in a smooth, more processes in a smooth, more comprehensive manner.comprehensive manner.
DiagnosisDiagnosis
Early InterventionEarly Intervention
IDEAIDEA
Part C and Wyoming Early Part C and Wyoming Early Intervention SystemIntervention System
InterventionIntervention
Wyoming is currently addressing the Wyoming is currently addressing the need for a system of personnel need for a system of personnel development in working with families development in working with families and children who are deaf or have and children who are deaf or have hearing loss.hearing loss.
InterventionIntervention
Wyoming Divided into 14 regionsWyoming Divided into 14 regions 34 Centers within these regions34 Centers within these regions Private, Non-profitPrivate, Non-profit Professional StaffProfessional Staff State ContractsState Contracts Under Department of Health, Division Under Department of Health, Division
of Developmental Disabilities and of Developmental Disabilities and Department of EducationDepartment of Education
Intervention PlanningIntervention Planning
CostCost AvailabilityAvailability All communication methodologiesAll communication methodologies Proven effectivenessProven effectiveness Preservice providersPreservice providers Providers currently working in the stateProviders currently working in the state How to deliver trainingHow to deliver training
Intervention TrainingIntervention Training
To initially address the intervention To initially address the intervention needs of families and their infants, needs of families and their infants, SKI*HI curriculum training was SKI*HI curriculum training was provided to Early Education provided to Early Education personnel three times over a period personnel three times over a period of five years.of five years.
Intervention PlanningIntervention Planning
SKI*HISKI*HI
1.1. Provided with stipendsProvided with stipends2.2. Free registrationFree registration3.3. Wyoming Department of Education Wyoming Department of Education
recertification creditrecertification credit4.4. MaterialsMaterials
a.a. manualsmanualsb.b. graphicsgraphicsc.c. videosvideosd.d. reference books – lending libraryreference books – lending library
Intervention PlanningIntervention Planning
SKI*HISKI*HIRequested individuals attend who would work with Requested individuals attend who would work with
children with hearing loss if/when they were children with hearing loss if/when they were identifiedidentified
20 individuals trained20 individuals trained
““First Aid Class”First Aid Class”
Scattered throughout the stateScattered throughout the state
Mostly Speech Language Pathologists and Special Mostly Speech Language Pathologists and Special Education TeachersEducation Teachers
Intervention PlanningIntervention Planning
SKI*HISKI*HI
22ndnd Basic SKI*HI training Basic SKI*HI training 40 “First Aid” providers40 “First Aid” providers Outreach consultant supportOutreach consultant support
Wyoming Services for the Deaf Wyoming Services for the Deaf Lending LibraryLending Library
Wyoming School for the Deaf – CasperWyoming School for the Deaf – Casper
Ruth AdelmanRuth Adelman
Intervention TrainingIntervention Training
MDT FormatMDT Format MDT SitesMDT Sites MDT ParticipantsMDT Participants
Who is the on a MDT teamWho is the on a MDT team
Parent Parent Audiologist Audiologist Speech and Language PathologistSpeech and Language Pathologist Teacher of the deaf/hard of hearingTeacher of the deaf/hard of hearing Early InterventionEarly Intervention PhysicianPhysician
MDT ContentMDT Content
Model Demonstration Team Model Demonstration Team (MDT)(MDT)
The MDT trainings attended by a The MDT trainings attended by a fairly large number pf participants fairly large number pf participants indicate the success and practical indicate the success and practical application of these trainingsapplication of these trainings
ECDI 5070ECDI 5070Trends in Working with Young Children Trends in Working with Young Children
with Hearing Losswith Hearing Loss Fall ClassFall Class 3 credits3 credits Spring ClassSpring Class 3 credits3 credits Summer ClassSummer Class 2 credits2 credits
Graduate Level ClassesGraduate Level Classes
SequentialSequential
University of Wyoming ClassesUniversity of Wyoming ClassesECDI 5070: ECDI 5070: Trends in Working with Young Trends in Working with Young
Children with Hearing LossChildren with Hearing Loss
Part I in the series of classes focuses on Part I in the series of classes focuses on how to obtain and understand auditory how to obtain and understand auditory status for children who have been referred status for children who have been referred from the hospital screening. from the hospital screening.
University of Wyoming ClassesUniversity of Wyoming ClassesECDI 5070: ECDI 5070: Trends in Working with Young Trends in Working with Young
Children with Hearing LossChildren with Hearing Loss
Part II focuses on Methods of Enhancing Part II focuses on Methods of Enhancing Communication Development for children Communication Development for children who have hearing loss.who have hearing loss.
University of Wyoming ClassesUniversity of Wyoming ClassesECDI 5070: ECDI 5070: Trends in Working with Young Trends in Working with Young
Children with Hearing LossChildren with Hearing Loss
Part III is a Capstone Project in which Part III is a Capstone Project in which students develop in-service training students develop in-service training materials on a component of early materials on a component of early intervention of intervention of infants/toddlers/preschoolers with hearing infants/toddlers/preschoolers with hearing loss.loss.
MCHB FundsMCHB Funds
Grant Began Fall 2001Grant Began Fall 2001 $7000 per year towards tuition for $7000 per year towards tuition for
students taking the University of students taking the University of Wyoming ClassesWyoming Classes
6.5 More people6.5 More people
30.5 people trained30.5 people trained
State Improvement Grant State Improvement Grant FundsFunds
$21,000 each for 5 years or $7000/ $21,000 each for 5 years or $7000/ semester $105,000semester $105,000
At University of Wyoming, $538 for 3 At University of Wyoming, $538 for 3 graduate creditsgraduate credits
$4304 per person, for all three $4304 per person, for all three classes or 24 peopleclasses or 24 people
ECDI 5070ECDI 5070Trends in Working with Young Children Trends in Working with Young Children
with Hearing Losswith Hearing Loss 12 people completed the three 12 people completed the three
classes the 1classes the 1stst year year 24 people completed the three 24 people completed the three
classes the 2classes the 2ndnd year year
Annual Spring Intervention Annual Spring Intervention TrainingTraining
44thth Year YearCarol FlexorCarol Flexor
55thth Year Year Arelene Stredler-BrownArelene Stredler-Brown
Diagnostic PlanningDiagnostic Planning
22ndnd Year YearOAE OAE
Brandt CulpepperBrandt Culpepper
33rdrd Year YearABRABR
Steve AckleySteve Ackley
Sign LanguageSign Language
400 Signs for Baby400 Signs for Baby
- Videos- Videos
- Vocabulary Check list- Vocabulary Check list
- Printed Visual Image- Printed Visual Image Wyoming Equality Network5Wyoming Equality Network5 Sign Sign
Language ClassLanguage Class
- 300 Participants- 300 Participants
More Early Intervention More Early Intervention InformationInformation
Rural nature has made the program very Rural nature has made the program very workableworkable
We really stayed away from communication We really stayed away from communication methodology questions. We therefore have methodology questions. We therefore have the support of the deaf community.the support of the deaf community.
We would suggest beginning with whatever We would suggest beginning with whatever methodology parents were wanting, with methodology parents were wanting, with an agreement to use an objective measure an agreement to use an objective measure to check progress. If there was not progress to check progress. If there was not progress seen, we would have an agreement to seen, we would have an agreement to change methodology.change methodology.
University of ColoradoUniversity of ColoradoFAMILY Assessment PlanFAMILY Assessment Plan
Generated IFSP Items to Generated IFSP Items to be discussedbe discussed
Data Collection/ Follow-upData Collection/ Follow-up
Future DirectionFuture Direction
Publications Publications
Public Relation Articles Public Relation Articles
Medical NewslettersMedical Newsletters Parent Information Center (PIC) Parent Information Center (PIC)
NewsletterNewsletter Early Childhood NewslettersEarly Childhood Newsletters Hospital NewslettersHospital Newsletters Wyoming Newspaper UpdatesWyoming Newspaper Updates
For Addition InformationFor Addition Information
Nancy Hartman PajakNancy Hartman Pajak715 Shield St715 Shield St
Laramie, WY 82070Laramie, WY 82070(307) 721-6212(307) 721-6212
Janet RojahnJanet RojahnDirector of Deaf and Hard of Director of Deaf and Hard of
Hearing Outreach ServicesHearing Outreach ServicesHathaway Building, 2Hathaway Building, 2ndnd Floor Floor
2300 Capitol Ave.2300 Capitol Ave.Cheyenne, WY 82002Cheyenne, WY 82002
Shelldon SkelcherShelldon SkelcherProgram ManagerProgram Manager
186E Qwest Building186E Qwest Building6101 Yellowstone Rd6101 Yellowstone RdCheyenne, WY 82002Cheyenne, WY 82002
Jason JonesJason JonesPart C CoordinatorPart C Coordinator
186E Qwest Building186E Qwest Building6101 Yellowstone Rd6101 Yellowstone RdCheyenne, WY 82002Cheyenne, WY 82002
How do you get to heaven?How do you get to heaven?
Lead a clean life.Lead a clean life. Be nice to Be nice to
everyoneeveryoneDo good deed after Do good deed after
good deedgood deedOr,Or,
just head just head northeast northeast
out of Pinedale on out of Pinedale on County Road 352.County Road 352.