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Wyoming Newborn Hearing Systems 1992 - Present. Wyoming Facts 98,00 Square Miles 98,00 Square Miles 9 th Largest State 9 th Largest State 493,782 People.

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Presentation on theme: "Wyoming Newborn Hearing Systems 1992 - Present. Wyoming Facts 98,00 Square Miles 98,00 Square Miles 9 th Largest State 9 th Largest State 493,782 People."— Presentation transcript:

1 Wyoming Newborn Hearing Systems Present

2 Wyoming Facts 98,00 Square Miles 98,00 Square Miles 9 th Largest State 9 th Largest State 493,782 People 493,782 People Least Population Least Population

3 More Wyoming Facts Highest Point is 13,804 Highest Point is 13,804 Lowest Point is 3,100 Lowest Point is 3,100 Annual Rainfall is 14.5 inches Annual Rainfall is 14.5 inches High and Dry High and Dry 35,462 Miles of Highway 35,462 Miles of Highway Two Towns over 50,000 People Two Towns over 50,000 People

4 Frontier State Versus Rural State Geographically Challenged

5 Wyoming Hospitals 29 Total Hospitals 29 Total Hospitals 22 Birthing Hospitals 22 Birthing Hospitals 1 Air Force Base Hospital – does not currently deliver babies 1 Air Force Base Hospital – does not currently deliver babies

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7 Wyoming Births 6117 in Wyoming residential births outside Wyoming 459 Wyoming residential births outside Wyoming 5693 hospital births 5693 hospital births 65 at home 65 at home 100 non-resident births 100 non-resident births

8 Historical Overview April, 1992 Department of Education Outreach From Wyoming Department of Education Outreach From Wyoming Department of Education Wyoming School for the Deaf 10/75 – Has since closed Wyoming School for the Deaf 10/75 – Has since closed One on one student to teacher ratio at Wyoming School for the Deaf One on one student to teacher ratio at Wyoming School for the Deaf

9 Historical Overview Preschools – inconsistent application of early intervention at best Preschools – inconsistent application of early intervention at best Poor Progress in school age children Poor Progress in school age children

10 Historical Overview, Cont Colorados Work Universal Screening Universal Screening - Vickie Thompson Christi Yoshinaga-Itano Early Identification Early Identification Greater Success if identified by six months of age Greater Success if identified by six months of age Type of Communication Methods – not as critical as early identification Type of Communication Methods – not as critical as early identification

11 Elementary Educational Intervention One to One with teacher for the deaf/hard of hearing One to One with teacher for the deaf/hard of hearing Pre-teaching – pull out of classroom Pre-teaching – pull out of classroom Team Teaching in classroom Team Teaching in classroom Post Teaching Post Teaching Delays Continue Delays Continue

12 Wyoming State Task Force

13 Wyoming Hearing Screening Committee Pediatrician (Public Health) Pediatrician (Public Health) Director of MCH Director of MCH Director of Childrens Special Healthcare Services (CSHS) Director of Childrens Special Healthcare Services (CSHS) Part C Coordinator Part C Coordinator Nurse from one Infant Program Nurse from one Infant Program Department of Education Department of Education - Preschool Liaison

14 Wyoming Infant Hearing Screening Committee, cont Audiologists Audiologists - Public Schools - Hospitals Vision Education Specialist Vision Education Specialist Geneticist Geneticist Professor of Audiology Professor of Audiology - University Of Wyoming

15 Wyoming Infant Hearing Screening Committee, cont Wyoming School District Principal Wyoming School District Principal Wyoming Department of Education Deaf/Hard of hearing Outreach Coordinator Wyoming Department of Education Deaf/Hard of hearing Outreach Coordinator Parent Parent Consumer Consumer Wyoming Institute for Disabilities (WIND) representative Wyoming Institute for Disabilities (WIND) representative

16 Wyoming Newborn Hearing Systems Advisory Board

17 Goal Reduce the age of identification of children with hearing loss to three months of age and have them entered into Early Intervention by six months of age.

18 Screening

19 In 2002, 98% of Wyoming newborns were screened before being discharged from the hospital at the time of their birth. In 2002, 98% of Wyoming newborns were screened before being discharged from the hospital at the time of their birth.

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21 Governors Participation Press Conference TV/Radio Coverage Newspaper Coverage Very nice address RE topic Part C Coordinator Audiology Consultant

22 Early Intervention Council Advisory Group Need Their Support Part C Coordinator worked with EIC to gain support

23 Early Identification, Diagnostic, Early Intervention The on-site training at the hospitals also included audiologic diagnostic personnel and early intervention program personnel. The on-site training at the hospitals also included audiologic diagnostic personnel and early intervention program personnel.

24 With this group of service providers together children and their families can be guided through screening, diagnostic, and intervention processes in a smooth, more comprehensive manner. With this group of service providers together children and their families can be guided through screening, diagnostic, and intervention processes in a smooth, more comprehensive manner.

25 Diagnosis

26 Early Intervention

27 IDEA Part C and Wyoming Early Intervention System

28 Intervention Wyoming is currently addressing the need for a system of personnel development in working with families and children who are deaf or have hearing loss.

29 Intervention Wyoming Divided into 14 regions Wyoming Divided into 14 regions 34 Centers within these regions 34 Centers within these regions Private, Non-profit Private, Non-profit Professional Staff Professional Staff State Contracts State Contracts Under Department of Health, Division of Developmental Disabilities and Department of Education Under Department of Health, Division of Developmental Disabilities and Department of Education

30 Intervention Planning Cost Cost Availability Availability All communication methodologies All communication methodologies Proven effectiveness Proven effectiveness Preservice providers Preservice providers Providers currently working in the state Providers currently working in the state How to deliver training How to deliver training

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32 Intervention Training To initially address the intervention needs of families and their infants, SKI*HI curriculum training was provided to Early Education personnel three times over a period of five years. To initially address the intervention needs of families and their infants, SKI*HI curriculum training was provided to Early Education personnel three times over a period of five years.

33 Intervention Planning SKI*HI 1. P rovided with stipends 2. F ree registration 3. W yoming Department of Education recertification credit 4. M aterials a. m anuals b. g raphics c. v ideos d. r eference books – lending library

34 Intervention Planning SKI*HI Requested individuals attend who would work with children with hearing loss if/when they were identified 20 individuals trained First Aid Class Scattered throughout the state Mostly Speech Language Pathologists and Special Education Teachers

35 Intervention Planning SKI*HI 2 nd Basic SKI*HI training 2 nd Basic SKI*HI training 40 First Aid providers 40 First Aid providers Outreach consultant support Outreach consultant support

36 Wyoming Services for the Deaf Lending Library Wyoming School for the Deaf – Casper Ruth Adelman

37 Intervention Training MDT Format MDT Format MDT Sites MDT Sites MDT Participants MDT Participants

38 Who is the on a MDT team Parent Parent Audiologist Audiologist Speech and Language Pathologist Speech and Language Pathologist Teacher of the deaf/hard of hearing Teacher of the deaf/hard of hearing Early Intervention Early Intervention Physician Physician

39 MDT Content

40 Model Demonstration Team (MDT) The MDT trainings attended by a fairly large number pf participants indicate the success and practical application of these trainings

41 ECDI 5070 Trends in Working with Young Children with Hearing Loss Fall Class3 credits Fall Class3 credits Spring Class3 credits Spring Class3 credits Summer Class2 credits Summer Class2 credits Graduate Level Classes Sequential

42 University of Wyoming Classes ECDI 5070: Trends in Working with Young Children with Hearing Loss Part I in the series of classes focuses on how to obtain and understand auditory status for children who have been referred from the hospital screening. Part I in the series of classes focuses on how to obtain and understand auditory status for children who have been referred from the hospital screening.

43 University of Wyoming Classes ECDI 5070: Trends in Working with Young Children with Hearing Loss Part II focuses on Methods of Enhancing Communication Development for children who have hearing loss. Part II focuses on Methods of Enhancing Communication Development for children who have hearing loss.

44 University of Wyoming Classes ECDI 5070: Trends in Working with Young Children with Hearing Loss Part III is a Capstone Project in which students develop in-service training materials on a component of early intervention of infants/toddlers/preschoolers with hearing loss. Part III is a Capstone Project in which students develop in-service training materials on a component of early intervention of infants/toddlers/preschoolers with hearing loss.

45 MCHB Funds Grant Began Fall 2001 Grant Began Fall 2001 $7000 per year towards tuition for students taking the University of Wyoming Classes $7000 per year towards tuition for students taking the University of Wyoming Classes 6.5 More people 6.5 More people 30.5 people trained

46 State Improvement Grant Funds $21,000 each for 5 years or $7000/ semester $105,000 At University of Wyoming, $538 for 3 graduate credits $4304 per person, for all three classes or 24 people

47 ECDI 5070 Trends in Working with Young Children with Hearing Loss 12 people completed the three classes the 1st year 24 people completed the three classes the 2nd year

48 Annual Spring Intervention Training 4 th Year Carol Flexor 5 th Year Arelene Stredler-Brown Diagnostic Planning 2 nd Year OAE Brandt Culpepper 3 rd Year ABR Steve Ackley

49 Sign Language 400 Signs for Baby 400 Signs for Baby - Videos - Vocabulary Check list - Printed Visual Image Wyoming Equality Network5 Sign Language Class Wyoming Equality Network5 Sign Language Class Participants

50 More Early Intervention Information Rural nature has made the program very workable Rural nature has made the program very workable We really stayed away from communication methodology questions. We therefore have the support of the deaf community. We really stayed away from communication methodology questions. We therefore have the support of the deaf community. We would suggest beginning with whatever methodology parents were wanting, with an agreement to use an objective measure to check progress. If there was not progress seen, we would have an agreement to change methodology. We would suggest beginning with whatever methodology parents were wanting, with an agreement to use an objective measure to check progress. If there was not progress seen, we would have an agreement to change methodology.

51 University of Colorado FAMILY Assessment Plan

52 Generated IFSP Items to be discussed

53 Data Collection/ Follow-up

54 Future Direction

55 Publications Public Relation Articles Medical Newsletters Parent Information Center (PIC) Newsletter Early Childhood Newsletters Hospital Newsletters Wyoming Newspaper Updates

56 For Addition Information Nancy Hartman Pajak 715 Shield St Laramie, WY (307) Janet Rojahn Director of Deaf and Hard of Hearing Outreach Services Hathaway Building, 2 nd Floor 2300 Capitol Ave. Cheyenne, WY Shelldon Skelcher Program Manager 186E Qwest Building 6101 Yellowstone Rd Cheyenne, WY Jason Jones Part C Coordinator 186E Qwest Building 6101 Yellowstone Rd Cheyenne, WY 82002

57 How do you get to heaven? Lead a clean life. Be nice to everyone Be nice to everyone Do good deed after good deed Or, just head northeast just head northeast out of Pinedale on County Road 352.


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