Challenges Faced in the Management of Cochlear Implanted Children with Severe Learning Difficulties

Abstract

This study discussed the challenges faced by the multi- disciplinary team in the management of a small group of 4 children with severe learning difficulties. Objective rating scales were used to measure speech perception and intelligibility. In addition a parental questionnaire was used to address various issues relating to the cochlear implant and its impact on family life.The results of speech intelligibility and speech perception measures were compared to all children implanted in the centre between 2005–2007. Results from the questionnaire were compared to a cohort of 3 children who were matched to the study group in relation to duration of implantation.Although the study group made progress with speech intelligibility and speech perception over the 3 years post implant the progress was slow and they were still reliant on sign language to help their understanding and express their needs. In contrast the control group made much quicker progress in this time frame with connected intelligible speech and the ability to follow basic commands audition only. The findings of the parental questionnaire for the children with severe learning disabilities compares favourably with other studies (Berrettini et al., 2008). In general parents were positive about implantation.In conclusion, we have gained valuable knowledge and skills in working with children with severe learning difficulties. The objective benefits for these children are limited to date. These outcomes will influence the counselling of parents/carers in the future.