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Comprehensive Behavioral Assessment for Identifying Hearing Loss in Infants and Young Children

This guide outlines effective strategies for identifying hearing loss in infants and children under five. It highlights the lack of reliable behavioral measures for children under three months, and emphasizes the importance of parental reports, informal assessments, and formal testing methods like Visual Reinforcement Audiometry (VRA) and Play Audiometry. Key considerations include understanding normal behaviors, the limitations of VRA, and establishing effective communication during assessments. Early identification is crucial for developmental outcomes, making awareness of risk factors essential for practitioners.

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Comprehensive Behavioral Assessment for Identifying Hearing Loss in Infants and Young Children

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Presentation Transcript

  1. TOPIC 6 BEHAVIORAL ASSESSMENT OF INFANTS AND CHILDREN

  2. Identifying Hearing Loss Under 3 Months • Not a purpose at RFP • No reliable behavioral measures for this age range • Be aware of behaviors consistent with normally hearing, normally developing infants • Recall factors that put a child at risk for hearing loss on the high risk registery

  3. Identifying Hearing Loss Through the First Year • Communication checklists • Parents’ reports • Case history • Informal observation • Formal testing • Visual Reinforcement Audiometry • Immittance Audiometry

  4. Sound Field Arrangement for VRA

  5. Typical Response Levels to Sounds from birth-2 years

  6. Limitations of VRA • Minimum response levels aren’t thresholds • Habituation • Inadvertent cues • Sound field limitations

  7. Identifying Hearing Loss in the 1-5 year old • Communication checklists • Parents’ reports • Case history • Informal observation • Formal testing • Play or conditioned play audiometry • Immittance audiometry

  8. Important Points Regarding Play Audiometry • Tell and demonstrate what you want the child to do • Lead the child physically and verbally • Praise the child for good behavior • Be firm • Be clear

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