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Speech & Language

Deafness

earThe term ‘deaf’ can be used to describe all levels of hearing loss in children, from mild to profound.

Hearing losses are common in children. Although the cause and severity can vary, and may be temporary or permanent, all children with a hearing loss will have to work harder to listen and learn.

Sensorineural deafness is a hearing loss in the inner ear. This usually means that the cochlea in the inner ear is not working effectively, and this is a permanent type of hearing loss.

Conductive deafness means that sound cannot pass efficiently through the outer and middle ear into the inner ear. This is often caused by blockages such as wax in the outer ear, or fluid in the middle ear (glue ear). Glue ear is a very common condition, especially in pre-school children. Eight out of 10 children will experience glue ear before the age of 10. Children with a cleft palate or Down Syndrome can be particularly susceptible to glue ear. Most conductive losses such as glue ear are temporary, but some can be permanent.

What You Might Notice:

  • Child does not always respond to their name being called.
  • Struggles to hear and follow instructions, or may misunderstand them.
  • Appears easily distracted and needs support to remain focused.
  • Struggles to keep up with and take part in group conversations.
  • Appears tired and/or frustrated – the child is having to work harder to listen than their peers.
  • May watch others before carrying out activities themselves.
Universal Strategies

Interactions

These techniques can prove helpful when interacting with children with hearing difficulties.

  • Reduce background noise where possible – radio, TV, rustling paper, scraping chairs and people talking can make it difficult for a child to focus on, and understand what you are saying.
  • In classrooms/pre school settings the noise of other children talking/playing, particularly in open plan situations, or outside can be challenging, and a child may need access to a quieter environment at times for some teaching, if possible.
  • Gain the child’s attention before you start to speak – by calling their name or tapping them gently on the arm.
  • Having strategies that gain the class’s attention before whole group instructions are given e.g. a signal such as an instrument being shaken/ teacher with hand up, (that children copy), means that you gain the child’s attention and it is quiet when instructions are being given.
  • Face the child when talking and try to get down to their level - so that they can lip-read and see your facial expression.
  • Avoid doing things that make it difficult to lip-read – this could include moving around whilst you are talking, turning away, having light behind you (as this casts a shadow on your face) and putting your hand in front of your mouth.
  • Allow extra thinking time if needed – it may take the child more time and effort to filter out additional noise and process language in order to think of an answer.
  • Speak naturally and clearly - speaking slowly or too loudly makes lip-reading much more difficult.

Visual Support & Vocabulary

Use visual supports where possible - for example pictures, gestures, signs, demonstrations and writing (if the child can read).

New vocabulary can be tricky for children with hearing difficulties. Specifically teach new vocabulary – a child with a hearing loss will need you to draw their attention to new words and explain their meaning. It is also important to check that the child has accurately heard and remembered new vocabulary.

Hearing Equipment

Some children need special equipment to be able to hear - it is important to be aware of how this works and how to use it effectively.

  • Remember that a hearing aid or cochlear implant will not ‘cure’ a hearing loss – whilst this equipment can significantly improve the child’s hearing, it cannot completely replicate the complex process of hearing sounds. So extra consideration will still be needed to support them at home and school.
  • Check hearing equipment is working every day – like your mobile phone, hearing equipment needs to be charged daily.
  • Use the equipment as advised by the child’s Teacher of the Deaf – this includes the radio aid which may be used to help in noisier situations. It can make a real difference to children.

Who Can Help?

The National Deaf Children's Society has lots of information on recognising and supporting hearing loss. Freephone helpline 0808 8008880.

  • If you are concerned about a child’s hearing, encourage parents to take the child to the GP for a referral to audiology for a hearing check
  • If a child has a permanent hearing loss then they will have a named Teacher of the Deaf who will be able to offer advice about supporting their learning

You can access Speech and Language support by calling Just One Number on 0300 300 0123. Our opening hours are 8am-6pm Monday-Friday (excluding bank holidays).

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