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Millions of Americans experience some degree of hearing loss. The Social Security Administration (SSA) operates programs that provide cash disability benefits to people with permanent impairments like hearing loss, if they can show that their impairments meet stringent SSA criteria and their earnings are below an SSA threshold. The National Research Council convened an expert committee at the request of the SSA to study the issues related to disability determination for people with hearing loss. This volume is the product of that study. Hearing Loss: Determining Eligibility for Social Security Benefits reviews current knowledge about hearing loss and its measurement and treatment, and provides an evaluation of the strengths and weaknesses of the current processes and criteria. It recommends changes to strengthen the disability determination process and ensure its reliability and fairness. The book addresses criteria for selection of pure tone and speech tests, guidelines for test administration, testing of hearing in noise, special issues related to testing children, and the difficulty of predicting work capacity from clinical hearing test results. It should be useful to audiologists, otolaryngologists, disability advocates, and others who are concerned with people who have hearing loss.

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United States. Congress. House. Select Committee on Children, Youth, and Families

Published: 1991

Total Pages: 120


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A Congressional hearing on noise-induced hearing loss, an often overlooked health issue, was held to determine the extent of the problem in children and youth. Congresswoman Patricia Schroeder, who presided, cited the effects of repeated exposure to loud sounds over a period of time, including the role that personal stereos and some common household items can play in hearing loss. The electronics industry was invited to participate in the hearing but was not represented. A fact sheet prepared for the record gives statistics on the number of Americans who are hearing-impaired and summarizes research on the exposure of children and youth, the special hazards of personal stereo use, prevention measures, and the effects of exercise, alcohol, and smoking on hearing. Included are prepared statements and testimony from congressmen from Illinois and Missouri, and from witnesses representing such groups as the record industry, the Central Institute for the Deaf, the University of Michigan Medical Center, the National Institutes of Health, Self-Help for Hard of Hearing People, Hearing Education and Awareness for Rockers, the Car Audio Specialists Association, and the American Speech-Language-Hearing Association. Statements on exposure to firecrackers and the times when a child's hearing should be tested are also included. (LB)
Speech and language are central to the human experience; they are the vital means by which people convey and receive knowledge, thoughts, feelings, and other internal experiences. Acquisition of communication skills begins early in childhood and is foundational to the ability to gain access to culturally transmitted knowledge, organize and share thoughts and feelings, and participate in social interactions and relationships. Thus, speech disorders and language disorders-disruptions in communication development-can have wide-ranging and adverse impacts on the ability to communicate and also to acquire new knowledge and fully participate in society. Severe disruptions in speech or language acquisition have both direct and indirect consequences for child and adolescent development, not only in communication, but also in associated abilities such as reading and academic achievement that depend on speech and language skills. The Supplemental Security Income (SSI) program for children provides financial assistance to children from low-income, resource-limited families who are determined to have conditions that meet the disability standard required under law. Between 2000 and 2010, there was an unprecedented rise in the number of applications and the number of children found to meet the disability criteria. The factors that contribute to these changes are a primary focus of this report. Speech and Language Disorders in Children provides an overview of the current status of the diagnosis and treatment of speech and language disorders and levels of impairment in the U.S. population under age 18. This study identifies past and current trends in the prevalence and persistence of speech disorders and language disorders for the general U.S. population under age 18 and compares those trends to trends in the SSI childhood disability population.
It also discussed treatment for disorders caused by residual problems from early childhood. Step-by-step instructions summarize the implementation of treatment strategies, providing a quick and easy reference tool."--BOOK JACKET.
Acoustics are particularly important to consider when assessing the speech production of young children with hearing loss who use listening and spoken language as their main communication modality. Even though standardized assessments, such as the Goldman-Fristoe test of Articulation-2nd Edition (GFTA-2: Goldman & Fristoe, 2000), are appropriate speech production measures for children with hearing loss, they are not designed to facilitate interpretation related to a child0́9s access to acoustic information (e.g., Flipsen & Connor, 2004; Ertmer, 2010; Flipsen 2011). The Acoustic Monitoring Protocol (AMP; Blaiser & Lamb, 2012) was created to be used with the GFTA-2 Sounds in Words subsection to provide supplemental acoustic information. The GFTA-2 in conjunction with the AMP was administered to 18 children with hearing loss who attended Sound Beginnings Preschool. Three patterns were defined: frequency-based errors, phonological and articulatory errors and developmental errors.