Red Flags: Identifying Barriers to Optimal Auditory Development

Experience Overview

Today’s digital hearing aids with extended bandwidths can provide excellent access to speech and language for children with hearing loss.  In addition, cochlear implants provide significant benefit to appropriate candidates who do not have access to speech through hearing aids. The immediate benefit of digital hearing aids and/or cochlear implants can be so significant that any improvement is assumed to be sufficient, but is it optimal?  Why does the performance and progress of children with hearing aids and/or cochlear implants vary greatly? By observing children’s behaviors, listening carefully to their voices, and utilizing specific evaluations of audition and speech perception, parents and professionals can identify “red flags” indicating less than optimal performance. Course discussions will include how to recognize that a problem exists, to identify the source of the problem, and to determine how to rectify the problem.
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Experience Details


Live sessions are held on Wednesdays, 7:00-8:30pm ET

Learning Credits

This learning experience offers 6 CEUs from the AG Bell Academy for Listening and Spoken Language® (pending)

Learning Level

Applying (Intermediate)

Experience Facilitator

Jane Madell PhD, FAAA, CCC-A/SLP, LSLS Cert AVT

Experience Facilitator

Joan Hewitt Au.D. FAAA, CCC-A, TOD

Learning Structure

For each of our online Learning Experiences, learners gather in a private group space to access the course content. Courses include resources, such as videos, articles, handouts, and quizzes, to help learners comprehend, apply, practice, and reflect on the content of each session. Courses with live interactive sessions are held on Adobe Connect, our virtual classroom, with the course facilitator.

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Learning Objectives

  • Identify red flags in the development of auditory, speech and language skills and needed intervention
  • Analyze the red flags in order to differentiate developmental issues from therapy issues from technology issues which require audiological programming changes
  • Utilize performance measures to identify programming changes that will improve auditory access to speech

CEUs and Participating

Continuing Education Credits (CEUs) are offered for this learning experience. Although there’s no cost to you as a participant to register for this course or CEU credits, your full commitment to participate and engage in the learning is considered your contribution. Learn More


AG Bell

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Hearing First is approved by the Alexander Graham Bell Academy for Listening and Spoken Language® to offer Academy CEUs for this activity. The program is worth a maximum of 6 CEUs. Academy approval of this continuing education activity is based on course content only and does not imply endorsement of course content, specific products, or clinical procedure, or adherence of the event to the Academy's Code of Ethics. Any views that are presented are those of the presenter/CE Provider and not necessarily of the Alexander Graham Bell Academy for Listening and Spoken Language®.

How to Earn CEUs

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How to Access Your Learning Experiences

Tech Requirements

The Hearing First Learning Philosophy

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Hearing First (HF) Learning Experiences and Community Discussions are powerful learning tools to advance the practice of teaching spoken language through listening. These experiences foster the understanding and application of the science and art of LSL practice. The opinions and comments of facilitators and learners in Hearing First Learning Experiences are not necessarily the viewpoints shared by Hearing First and/or by other Community Members. As a reminder, Hearing First Learning Experiences are governed by and subject to the Hearing First Terms of Use, Privacy Policy and Community Code of Conduct, and we encourage all Community Members participating in a Hearing First Learning Experience to review our policies regularly.