Presentation on theme: "Sensitivity Training: working with people with hearing loss By Tamar Clarke June 16, 2005 Updated June 14, 2006."— Presentation transcript:
Sensitivity Training: working with people with hearing loss By Tamar Clarke June 16, 2005 Updated June 14, 2006
OVERVIEW Purpose of the Training and Overview Defining Hearing Loss Statistics Regarding Hearing Loss Recognizing Signs of Hearing Loss (and Scoring ) Understanding the Audiogram and the nature of hearing loss Communication Tips and Under Various Environments Mental Health Issues Legal Issues
Purpose of Training and Overview Talk about effective communication with people with a hearing loss We hear but dont always understand Talk about inclusion Attitude
Statistics One in ten Americans has a hearing loss One in three Americans has a hearing loss at the age of sixty-five One in two Americans has a hearing loss at the age of eighty-five
Use of Hearing Aids and Assistive Listening Devices About 28 million Americans have a hearing loss About two to three Americans are considered deaf The remaining numbers are considered hard of hearing Only six million Americans are wearing hearing aids Note: More Americans may be experiencing hearing loss than listed on this slide.
Testing for Hearing Loss, part 1 Do you frequently have to ask others to repeat? Do you have to turn up the volume up on television? Do you have difficulty understanding when in groups or in noisy situations? Do you have to sit up front in meetings or in church in order to understand the speaker(s)? Do you have difficulty understanding women or young children? Source: Promotional materials from the SHHH National Day of Hearing Screening for May 2000 and May 2001.
Testing for Hearing Loss, part 2 Do you have trouble knowing where sounds are coming from? Are you able to understand when someone talks to you from another room? If not, this is another check. Have others told you that you dont seem to hear them? Do you avoid family meetings or social situations because you cant understand? Do you having ringing or other noises (tinnitus) in your ears?
Score Results ANSWERED YES TO LESS THAN 3 QUESTIONS no significant hearing loss present ANSWERED YES TO BETWEEN 3 AND 5 QUESTIONS you may have a slight hearing problem ANSWERED YES TO BETWEEN 5 AND 7 QUESTIONS you probably have a moderate hearing problem ANSWERED YES TO MORE THAN 7 QUESTIONS you probably have a significant hearing problem
A special type of audiogram On the next slide is a graph of a special type of audiogram, that enables you to visualize how a hearing loss in a particular frequency and volume affects the persons ability to hear that sound. Source: This is a based on a chart in Hearing in Children, 5 th edition, 2002 (Jerry L. Northern and Marion P. Downs), page 18. Note: Was unable to obtain copyright permission to display audiogram. It is an excellent chart showing the relationship of a persons ability to hear or not hear and understand specific sounds in the English language.
Mild Hearing Loss in High Frequency Sound Range affects Hearing A 20 decibel hearing loss, a mild hearing loss, in the 4000 frequency range can affect a persons ability to hear three sounds, the f, s, and th. Note: This is a based on a chart in Hearing in Children, 5 th edition, 2002 (Jerry L. Northern and Marion P. Downs), page 18.
Communication tips, part 1 1. Make sure that the environment is a quiet one 2. Always have the person facing you 3. Get their attention first, very important 4. Do not raise voice or distort sound 5. If necessary, write using a notepad and pencil 6. Can use pocket talkers to amplify speech
Communication tips, part 2 7. TV captioning 8. Internet and Regular Relay calls 9. Educate your communicators as to what works best for you in terms of a hearing and listening environment. People with hearing needs often need to hear it twice, to allow for more processing time. 10. Most important, allow time for additional processing of information when speaking to a person with a hearing loss. This is probably the key factor to remember when communicating with a person with a hearing loss.
Source of picture: Disability Etiquette: Tips on interacting with people with disabilities by Judy Cohen (Access Resources) and illustrations by Yvette Silver. A publication of the Eastern Paralyzed Veterans Association, now called United Spinal Association. Page 21. Received copyright permission to display the graphics
Communication under different environments Individual Group (informal) Meetings, Formal Classroom Environments Performing Arts Parties/Restaurants
Meetings, Formal Take turns speaking (no two or more people speaking at the same time) Prepare an agenda prior meeting Follow the agenda Have materials in writing Have a meeting note taker Send out a written summary of meeting Repeat questions asked by audience Re-emphasize, repeat main points
Tips for Hearing People Set your stage Project your communication Establish empathy with audience RULE: When audio is poor, emphasize the visual.
Set Your Stage Face audience directly. Spotlight your face (no backlighting). Avoid noisy backgrounds. Get attention first. Ask how you can facilitate communication.
Project Your Communication Don't shout. Speak clearly, at moderate pace. Don't hide your mouth, chew food, gum, or smoke while talking. Re-phrase if you are not understood. Use facial expressions, gestures. Give clues when changing subject.
Establish Empathy with Audience Be patient if response seems slow. Stay positive and relaxed. Talk to a hard of hearing person, not about him/her. Offer respect to help build confidence.
Mental Health issues Howard Hughes biography Dr. Sam Trychins List Anxiety Depression Denial/Avoidance
Legal Issues Rehabilitation Act of 1973, especially section 501 Americans with Disabilities Act, 1990 Others legal sources
Conclusion Training is to help you have a more rewarding experience communicating with people who have a hearing loss Promoting Respect Promoting Inclusion
Addendum Issues Acoustics CART (Computer Assisted Relay Transcription) Hearing Aid Use Assistive Listening Devices, e.g. pocket talkers, etc.
Resources: an abbreviated list National Self-Help for Hard of Hearing People Northern Virginia Resource Center for Deaf and Hard of Hearing Persons Target Center at USDA ILR Program on Employment and Disability, Cornell University, Ithaca, NY
Addendum Resources Ability. Published bimonthly by C.R. Cooper Publishing Langley Avenue, Irvine, California (ISSN ). Disability Etiquette: Tips on interacting with people with disabilities by Judy Cohen (Access Resources) and illustrations by Yvette Silver. A publication of the Eastern Paralyzed Veterans Association, now called United Spinal Association. Page 21. Judy Cohen 351 West 24th Street, Suite 9F New York, NY (212) (Voice/TTY) Note: Focuses more on the deaf, rather than the hard of hearing. It is a really nice resource with interesting cartoons to illustrate basic ideas. (Note: Eastern Paralyzed Veterans Association has changed their name to United Spinal Association. It is a non-profit organization that provides information and services to individuals with spinal injuries. Their website is:
Addendum Resources, page 2 Hearing Health: The 15th Annual Resource Guide: Your 2000 Reference for Communication Assistance. Includes a biographical article about Howard Hughes, a gifted and brilliant man. He had a hearing loss that became progressively worse, and a disability that he never came to terms with. The Kennedy Center. Assistive Listening Devices for People with Hearing Loss: A Guide for Performing Arts Settings. Washington, DC : Kennedy Center for the Performing Arts, 26 pages. National Self-Help for the Hard of Hearing People Self Help for Hard of Hearing People is changing to Name to Hearing Loss Association as of November Woodmont Ave, Suite 1200 Bethesda, Maryland Voice TTY Fax
Addendum Resources, page 3 NIDCD: National Institute of Deafness and Communication Disorders at National Institutes of Health or Northern Virginia Resource Center for Deaf and Hard of Hearing Persons Democracy Lane Fairfax, Virginia (703) Voice (703) TTY (703) FAX
Addendum Resources, page 4 Samuel Trychin and Debra Busacco. Manual for Mental Health Professionals, Part 1: Basic Information for Providing Services to Hard of Hearing People and Their Families. Washington, DC : Gallaudet University, c1991, 81 pages Samuel Trychin. Manual for Mental Health Professionals, Part II: Psycho- Social Challenges Faced by Hard of Hearing People. Washington, DC : Gallaudet University, c1991, 146 pages. Samuel Trychin and Marjorie Boone. Communication Rules for Hard of Hearing People: A workbook on Wrong Ways/Right Ways for Effective Communicaqtion. Washington, DC : Gallaudet University, c pages. Note: Samuel Trychins materials offer suggestions for role playing for people encountering communication issues in conjunction with their hearing loss.
Addendum Resources, page 5 TARGET CENTER AT USDA Located at USDA Headquarters South Building Washington, DC Hours: 8:00 am to 3:00 pm (EST) U.S. Dept. of Justice. Civil Rights Division. Disability Rights Section. A guide to Disability Rights Laws. Washington, DC. : August Working Effectively with Persons who are deaf or hard of hearing from Program on Employment and Disability, New York State School of Industrial and Labor Relations, Cornell University. April 1994 For more information, contact Cornell University, ILR Program on Employment and Disability, 102 ILR Extension, Ithaca, New York or at (Voice), or at (TTY) or Note: They have a list of articles on working with people with various disabilities.
This powerpoint is presented and compiled as a public service and to improve the communication between those with hearing loss and those who hear well. This can be within the family, in the work environment, and in the community. If this is helpful and you would like to make a financial contribution, please make it to the Hearing Loss Association in Bethesda, Maryland and/or the DC Chapter. We used materials from this organization in this powerpoint presentation. If you have questions or suggestions, you can contact Tamar Clarke via on