Early Childhood Hearing Outreach ECHO Project

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Early Childhood Hearing Outreach
(((ECHO)))Project

• Virginia 2007
• Claire Jacobson, AuD, CCC-A
• Professor, Pediatric Audiologist
• James Madison University

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Goal of NCHAM-National Center for Hearing
Assessment Management

• Ensure all infants toddlers with hearing
  loss are identified a early as possible
• and provided with timely and appropriate
  audiological, educational medical intervention

ECHO Team Training Manual 11/1/2004
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Goal of NCHAM-National Center for Hearing
Assessment Management

• As many as 1 in 300 children have hearing
  loss..hearing loss is an invisible handicap
• When present at birth it can go undetected
  speech, language and learning is compromised
• Prior to implementation of newborn hearing
  screening programs the AVERAGE AGE of
  IDENTIFICATION was 2 1/2 years old!
• ECHO Team
• Training Manual 11/1/2004

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Newborn Hearing Screening History.

• Virginia was the 8th state to pass legislation
• HB 585 July 1, 2000 all infants born in VA
  hospitals require hearing screening prior to
  discharge
• Infants who do not pass must be referred to an
  audiologist for diagnostic testing 1 month post
  discharge
• Intervention no later than 6 months old

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Newborn StatisticsVirginia

• January 1, 2005 and December31, 2005.
• Live Births 102,247
• Screened Before 1 Month of Age 98.4
• Infants who did not pass the screening
  3.1
• Infants who received follow-up 83
• Head Start can help find the missing 17
• infants passed screening, but at-risk for
  progressive or delayed-onset 1.9
• Head start can help follow those children
• Born in 2005, who have been identified with
  hearing loss 107
• Average age at diagnosis 5.2 months
• Median age at diagnosis 3.8 months
• Minimum age at diagnosis 0.7 months
• Maximum age at diagnosis15.5 months
  (includes later onset)

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ECHO Program Background

• NCHAM National Center for Hearing Management
• Funded by Administration for Children and
  Families, Head Start Bureau
• Pilot project conducted in Oregon, Utah, and
  Washington 2001-2004
• Update hearing screening of Migrant, American
  Indian and Early Head Start grantees
• Perform otoacoustic emissions (OAE) hearing
  screening age 0-3
• children not passing the screening
• ensure appropriate follow-up diagnostic and
  intervention (medical audiological
• Pilot project culminated in collaborations with
  state Early Childhood Hearing Outreach (ECHO)
  Teams
• serve as sustainable systems of training
  technical assistance
• extend benefits of updated screening practices
  to more Head Start programs

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What is an OAE and how does it work?
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Performing OAEs
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Benefits of OAEs

• Provides objective reliable information regarding
  status of middle and inner ear
• Can detect child with chronic middle ear disease
  or permanent hearing loss to enable appropriate
  referrals
• Not dependent on childs ability to respond
• When presented to child in a friendly manner,
  usually well accepted
• Non-invasive EASY to perform on a relatively
  cooperative child
• Allows Head Start programs to make appropriate
  referrals for follow-up to pediatric audiologist
  and medical personnel
• May identify children who have either been lost
  to follow-up or have later onset or progressive
  hearing loss

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Early Childhood Hearing Outreach ECHO

• Principle objectives
• Develop implement strategies for establishing
  state-based teams with the resources and skills
  to extend the benefits of OAE hearing screening
  to 0-3 year-old children served by Migrant,
  American Indian and Early Head Start grantees
  nationwide
• Build capacity of existing resources to provide
  training and support to Head Start grantees

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Early Childhood Hearing Outreach ECHO

• The following objectives will be accomplished To
  achieve
• the principle objective-
• Establish sustainable EARLY CHILDHOOD HEARING
  OUTREACH (ECHO) teams with representation from
  the state EHDI system, pediatric audiology Head
  Start
• Provide materials, hands-on training
  experience, additional support the state ECHO
  team as they assist Head Start grantees in
  updating their hearing screening practices
• Provide outreach to EHDI systems, Head Start
  grantees, Head Start Advisory Committees and Head
  Start State Collaboration Offices, along with
  other key stakeholders in all 50 states and
  territories, to lay the groundwork for updating
  hearing screening practices nationwide

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Progress on ECHO Training

• First Virginia ECHO Training in Early Head
• Start
• August 2, 200 Child Development
• Resources Center Williamsburg, VA
• Second training in Northern Virginia- September
  2007 TBA

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ECHO Project Virginia

• Collaboration between National Center for Hearing
  Assessment and Management, Virginia Head Start
  Association James Madison University- Audiology
• NCHAM, VA Head Start JMU to establish plans for
  sustaining expanding the training and technical
  assistance to Head Start others serving the
  early childhood population in Virginia

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Meet your Virginia ECHO TEAM

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Meet your Virginia ECHO TEAM

• Maxine McKinney, Executive Director Virginia Head
  Start Association
• Claire Jacobson, Professor, Audiology, James
  Madison University
• Bethany Geldmaker, Program Director Early
  Childhood Health
• Marna Zok, Health Services Specialist
• Fredia Helbert, Audiologist Wise County Schools
• Mani Aguilar, Audiologist UVA SLPH Center
• Deborah Minnis Audiologist, Sentara Health Care
• Kathryn Rios, Audiologist Private Practice