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.