Abstract
ABSTRACT Aim: to characterize the health or education centers that work with deaf children from an early age. Methods: a survey of those in charge of centers for people with hearing loss (N=5), special schools for the deaf (N=3) and hospitals in which therapeutic intervention for people with hearing impairments (N=6) was carried out in Santiago, Chile in 2014. It consulted the characteristics of the people attended, the intervention method used at each center and information about the professionals making up each team of workers. In addition, information was compiled about whether the institution had inclusion programmes for normal or special education. Results: the majority of the institutions indicated that they had an oral focus or a variation on this. Only one used the bilingual intercultural model and another indicated that did not use oral models. The results varied concerning access to education and even to professionals, at centers of the same kind. Conclusion: the majority of the institutions indicated that they worked using the oral intervention methodology, providing fewer options for the early inclusion of bilingual intercultural education or other intervention methodologies.
Highlights
In Chile, public policies exist for the treatment of people with pathologies included in the current reform to the health system (AUGE/GES Plan), called ‘Explicit Healthcare Guarantees”[1]
The questions aimed to: (I) identify the intervention methods used at each center (II) determine the number of minors attended during the year; (III) determine the number of children with and without hearing aids; (IV) determine the diversity of the professionals; (V) establish implementation characteristics and the calibration of these at each center; (VI) determine the number of children abandoning the programme and (VII) establish how children and adolescents with hearing loss are inserted into different educational systems
The professionals included in the sample came from three special education schools for deaf children, five centers for people with hearing loss and six hospitals
Summary
In Chile, public policies exist for the treatment of people with pathologies included in the current reform to the health system (AUGE/GES Plan), called ‘Explicit Healthcare Guarantees”[1] In these documents, the actions of the interdisciplinary teams involved are specified. If the device has no benefits, a communication method based on bilingualism is recommended Such method defends the use of sign language as a first language, as well as insertion into the deaf community and involves developing written or oral language, in a secondary way[8]. It can be concluded from these suggestions that the main aim and first option is to acquire oral language[4]. This assumes that if the oral channel is not used, communication, cognition and the emotional and social ties of children with hearing loss will be affected
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