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Communication Approaches & Therapy Options

CDHH supports a wide range of communication approaches to meet individual needs and goals. Including:

Speechreading (Lipreading)

Speechreading is a technique for recognizing spoken words by watching the speaker's lips, face and gestures. It is a skill that is learned through instruction and practice, and works best for those with some residual hearing.  Using speechreading techniques with effective communication strategies can greatly improve an individual's ability to interact with others and help reduce some of the feelings of isolation often felt by those with hearing loss.  CDHH offers small group speechreading classes throughout the year.

American Sign Language

American Sign Language is a fully recognized, distinct language that uses signs made with the hands and other movements, including facial expressions and postures of the body.  American Sign Language has its own unique grammatical structure and syntax, and is used by deaf individuals throughout the US and Canada. Different sign languages are used in other parts of the world. CDHH offers a variety of sign language classes to the community throughout the year.

Speech Therapy

Auditory-Verbal Therapy
Auditory-Verbal therapy is a comprehensive approach focused on teaching parents of children who are deaf and hard of hearing how to develop their child’s ability to learn through listening. The participation and efforts of the family are critical to this approach. During  therapy sessions, the parent, child and therapist engage in Play activities that teach the child to use his or her hearing aids or cochlear implant to learn verbal  communication. Through this process, hearing and listening become integrated into the child's personality.

Auditory Oral Therapy
Families who choose an auditory oral communication option for their child may include their child in a Toddler Communication Group and also receive individual speech therapy.  This approach encourages children to develop their auditory and oral communication skills and to use those skills to communicate their needs and wants.  Hearing peers are included as role models in the Toddler Communication Group, and music and rhythmic activities are used to enhance auditory and speech development.

Total Communication
In this approach, conceptually accurate sign language and speech are used simultaneously.  Natural facial expression, body language and/or gestures are also used for communication. Children learning this approach in their Toddler Communication Group are encouraged to use both sign language and speech/vocalization.

Aural Rehabilitation
Adults with hearing loss may choose one-on-one speech therapy. Individual goals are established and the therapy program is specifically designed to reach those goals.

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