17th ANNUAL EARLY HEARING DETECTION & INTERVENTION MEETING
March 18-20, 2018 • Denver, CO
3/19/2018 | 2:15 PM - 2:40 PM | Part III: Medical and Audiological Management of Young Children Dually Diagnosed with Hearing Loss and an Autism Spectrum Disorder | Granite A-C
Part III: Medical and Audiological Management of Young Children Dually Diagnosed with Hearing Loss and an Autism Spectrum Disorder
Children with autism spectrum disorder (ASD) have increased medical needs and utilization of health services, yet have been reported to receive less comprehensive and family-centered care. Recognizing and addressing co-morbid medical conditions is an important part of the care for a child with autism spectrum disorder. Appropriate intervention for common co-morbid medical concerns (sleep, GI problems) has been shown to decrease negative behaviors and improve functioning. The comprehensive assessment and treatment of a child with ASD also improves quality of life for their family and perception of care. The presence of ASD can negatively impact outcomes for users of hearing related devices (e.g., hearing aids, cochlear implants). Research suggests that hearing aid and cochlear implant users with ASD may make slower progress in acquiring speech or may be slower to adopt full time device use (Daneshi & Hassanzadeh,2007; Beers, McBoyle, Kakande, Dar Santos, & Kozak, 2014). Successful hearing aid and cochlear implant use may be impacted by symptoms of ASD. Therefore, this population requires a flexible assessment and intervention approach informed by ASD behavioral strategies. This presentation will prepare audiologists with tools for obtaining a more reliable audiological evaluation. Strategies for promoting device compliance will be discussed. For children who would benefit from additional support, a unique model of an interdisciplinary clinic for hearing aid/CI desensitization will be introduced.
- Identify at least three medical factors which may contribute to a child’s behavioral symptoms
- Explain best practices for audiological assessment including patient preparation, booth set up, and appropriate techniques.
- Describe strategies for promoting hearing device use and compliance among children dually diagnosed with hearing loss and ASD.
Presentation:
15805_8017TaylorStevenson.pdf
Handouts:
Handout is not Available
Transcripts:
15805_8017DeborahMood.doc
Presenters/Authors
Robyn Nolan
(), Children's Hospital Colorado, Robyn.Nolan@childrenscolorado.org;
Dr. Robyn Nolan is a developmental behavioral pediatrician at Children’s Hospital Colorado. She completed pediatric residency at the University of Utah, with research focused around care for children with complex medical needs. She did her fellowship for Developmental Behavioral Pediatrics at the University of Colorado, with research focused on the Medical Home for children with autism spectrum disorders. Currently she is an Assistant Professor at University of Colorado School of Medicine. Dr. Nolan has interests in medical education and teaching, clinical systems, and complex special health care needs.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Emily E. Nightengale
(), Children's Hospital Colorado, Emily.Nightengale@childrenscolorado.org;
Emily Elizabeth Nightengale joined the Bill Daniels Center for Children’s Hearing at Children’s Hospital Colorado as an Audiologist in July 2010. She has 14 years of experience as an audiologist specializing in pediatric diagnostic evaluations and management, and she obtained her Pediatric Audiology Specialty Certification in 2012. Emily participates as an audiology team member on the Vestibular Team and as audiology lead for the Help for Hearing Device Users Clinic at Children’s Hospital Colorado. She has been actively working on quality improvement projects, publishing research, and participating in audiology student supervision and mentoring; she obtained the Certificate Holder – Audiology Preceptor certification in 2017. Most recently, Emily enrolled and graduated from the Caritas Coach Education Program, which focuses on human caring and transformation of self and systems to achieve optimal outcomes for her patients. Emily received her Doctor of Audiology degree from Rush University in Chicago, Illinois in June 2008
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Taylor Stevenson
(), Children's Hospital Colorado, taylor.stevenson@childrenscolorado.org;
Taylor joined the Bill Daniels Center for Children’s Hearing at Children’s Hospital Colorado as a 4th year extern in 2016. She is now a practicing Audiologist at Children’s Hospital Colorado as she recently graduated from the University of Utah Audiology Doctoral Program in May of 2017. As a previous LEND (Leadership Education in Neurodevelopmental Disabilities) trainee in Utah, she completed the Autism Enhancement track, for she has specific professional interest in the areas of autism as well as pediatric audiology. She most recently completed training as an Audiology LEND Fellow in Colorado. During this time as a trainee, she presented a poster presentation at the 2017 EHDI conference on “Utilization of Special Care Plans in Audiology for Children with Autism Spectrum Disorder”. This project grew from her interest in creating satisfactory, beneficial, and comfortable testing conditions for children with ASD and their families. Taylor enjoys the ability to work closely with children with special health care needs and their families as a pediatric audiologist.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.
Deborah Mood
(), Colorado Children's Hospital, DEBORAH.MOOD@childrenscolorado.org;
Deborah Mood, Ph.D., is a licensed psychologist with Developmental Pediatrics at Children’s Hospital Colorado. She has a Ph.D. in school psychology from University of Northern Colorado and a specialist degree in school psychology from Gallaudet University. Dr. Mood completed a LEND psychology postdoctoral fellowship at JFK Partners, University of Colorado School of Medicine, after completing an APA accredited psychology internship at the University of Minnesota. She specializes in working with children who are deaf and hard of hearing as well as children with a variety of developmental disabilities including autism spectrum disorder.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exist.
Nonfinancial -
No relevant nonfinancial relationship exist.