JCIHwebFinal PDF
JCIHwebFinal PDF
JCIHwebFinal PDF
REPRODUCED WITH PERMISSION FROM PEDIATRICS, VOL. 120, PAGES 898-921, COPYRIGHT ©2007 BY THE AAP.
COPIES MADE AVAILABLE THROUGH FINANCIAL SUPPORT FROM OTODYNAMICS, PHONAK, SIEMENS, AND OTICON.
Power to change life.
More hearing. Slim design. WaterResistant.
Naida UltraPower Junior -Only the best for little ears. Innovative technology is
the key to unlock full potential. Its unexpected small and WaterResistant casing
and the dedicated Junior configuration make Naída the ultimate UltraPower
solution for kids. Full access to speech and language from day one means the
power to change life. www.naida.phonak.com.
Naída UltraPower Junior-
Only the best for little ears
SoundRecover
off A breakthrough for speech
and language development
Naída UltraPower uses SoundRecover, a Phonak proprietary
on algorithm, designed to compress and shift high frequencies
into an adjacent area of audible hearing.
Testing of the SoundRecover algorithm in the prototype phase, led by Prof. Susan Scollie, at
the University of Western Ontario has shown significant benefit with SoundRecover compared
to conventional amplification. Based on the results with children, Prof. Scollie and her associates
concluded that "the objective and subjective results suggest strong pediatric candidacy
for such technology".*
Prof. Richard Seewald, from the University of Western Ontario, has expressed his enthusiasm
for these findings by stating "Non-linear frequency compression algorithm is the most
important development in pediatric amplification in more than a decade!"
Naída Junior is the first tailor-made hearing solution dedicated to the unique needs of chil-
dren. The Junior models are packed with innovative technology and provide exceptional audi-
bility and clarity.
* D. Glista, MSc; Susan Scollie, PhD; Marlene Bagatto, AuD; Richard Seewald, PhD; Andrew Johnson, PhD, Evaluation on Nonlinear
Frequency Compression II; Clinical Outcomes, submitted for publication.
EXECUTIVE SUMMARY OF JOINT COMMITTEE ON
INFANT HEARING YEAR 2007 POSITION STATEMENT
The Joint Committee on Infant Hearing (JCIH) 5. The child and family should have immediate access to
endorses early detection of and intervention for infants high-quality technology, including hearing aids, cochlear
with hearing loss through integrated, interdisciplinary implants, and other assistive devices when appropriate.
community, state, and federal systems of universal new-
born hearing screening, evaluation, and family-centered 6. All infants and children should be monitored for hear-
intervention. The goal of early hearing detection and inter- ing loss in the medical home. Continued assessment of
vention (EHDI) is to maximize linguistic and communica- communication development should be provided by
tive competence and literacy development for children appropriate providers to all children with or without risk
who are deaf or hard of hearing. Without appropriate indicators for hearing loss.
opportunities to learn language, these children will fall 7. Appropriate interdisciplinary intervention programs for
behind their hearing peers in language, cognition, and deaf and hard-of-hearing infants and their families should
social-emotional development. Such delays may result in be provided by professionals knowledgeable about child-
lower educational and employment levels in adulthood. hood hearing loss. Intervention programs should recognize
and build on strengths, informed choices, traditions, and
PRINCIPLES cultural beliefs of the families.
All children with hearing loss should have access to
resources necessary to reach their maximum potential. The 8. Information systems should be designed to interface
following principles provide the foundation for effective with electronic health records and should be used to
EHDI systems and have been updated and expanded since measure outcomes and report the effectiveness of EHDI
the JCIH 2000 Position Statement.1 services at the community, state, and federal levels.
1. All infants should have access to hearing screening using JCIH 2007 POSITION STATEMENT
a physiologic measure before 1 month of age. SIGNIFICANT CHANGES
2. All infants who do not pass the initial hearing screen and The following are highlights of updates made since the
the subsequent rescreening should have appropriate JCIH 2000 statement1:
audiologic and medical evaluations to confirm the pres-
ence of hearing loss before 3 months of age. 1. Definition of Targeted Hearing Loss
• The definition has been expanded from congenital
3. All infants with confirmed permanent hearing loss should permanent bilateral, unilateral sensory, or permanent
receive intervention services before 6 months of age. A conductive hearing loss to include neural hearing loss
simplified, single point of entry into an intervention sys- (eg, “auditory neuropathy/dyssynchrony”) in infants
tem appropriate to children with hearing loss is optimal. admitted to the neonatal intensive care unit (NICU).
4. The EHDI system should be family centered with infant 2. Hearing Screening and Rescreening Protocols
and family rights and privacy guaranteed through • Separate protocols are recommended for NICU and
informed choice, shared decision making, and parental well-baby nurseries. NICU babies admitted for
consent. Families should have access to information greater than 5 days are to have auditory brainstem
about all intervention and treatment options and coun- response (ABR) included as part of their screening so
seling regarding hearing loss. that neural hearing loss will not be missed.
8. Information Infrastructure
• States should implement data-management
and tracking systems as part of an inte-
grated child health information system to
monitor the quality of EHDI services and
provide recommendations for improving
systems of care.
• An effective link between health and
education professionals is needed to
ensure successful transition and to
determine outcomes of children with
hearing loss for planning and establish-
ing public health policy.
CURRENT CHALLENGES,
OPPORTUNITIES, AND
FUTURE DIRECTIONS
EHDI programs throughout the nation
have demonstrated not only the feasibility of universal CONCLUSION
newborn hearing screening (UNHS) but also the benefits Since the JCIH 2000 statement, tremendous and rapid
of early identification and intervention. There is a growing progress has been made in the development of EHDI sys-
body of literature indicating that when identification and tems as a major public health initiative. The proportion of
intervention occur no later than 6 months of age for new- infants screened annually in the United States has
born infants who are deaf or hard of hearing, the infants increased from 38% to 92%. Collaboration at all levels of
perform as much as 20 to 40 percentile points higher on professional organizations, federal and state governments,
school-related measures (vocabulary, articulation, intelligi- hospitals, the medical home, and families has contributed
bility, social adjustment, and behavior). Still, many to this remarkable success. New research initiatives are
important challenges remain. Despite the fact that approx- continuing to develop more sophisticated screening and
imately 95% of newborn infants have their hearing diagnostic technology, digital hearing aids and FM sys-
screened in the United States, almost half of newborn tems, speech processing strategies in cochlear implants,
infants who do not pass the initial screening fail to have and optimal intervention methods. It is apparent, however,
appropriate follow-up to either confirm the presence of a that there are still serious challenges to be achieved and sys-
hearing loss and/or initiate appropriate early intervention tem barriers to be conquered to achieve optimal EHDI
services systems in all states in the next 5 years. We must never lose
Despite the tremendous progress made since 2000, sight of our ultimate goal to optimize the communicative,
there are many challenges important to the further devel- social, academic, and vocational outcomes of every single
opment of successful EHDI systems. Many of these child with a permanent hearing loss.
challenges, opportunities for system development, and
areas for research are outlined in the complete document. REFERENCE
The critical need for training professionals with pediatric- 1. Joint Committee on Infant Hearing. Year 2000 position statement:
specific and discipline-appropriate knowledge and skills to principles and guidelines for early hearing detection and intervention
programs. Pediatrics. 2000;106:798-817
work with infants, children, and families in EHDI pro-
grams is also addressed.
EX OFFICIOS ACKNOWLEDGMENTS
Jill Ackermann, MS We acknowledge the contribution of John Eichwald, MA,
Amy Gibson, MS, RN and Irene Forsman, MS, RN.
Thomas Tonniges, MD Joint committee member organizations that have adopted
American Academy of Pediatrics this statement include (in alphabetical order): the Alexander
Pamela Mason, MEd Graham Bell Association for theDeaf and Hard of Hearing, the
American Speech-Language-Hearing Association American Academy of Audiology, the American Academy of
Otolaryngology-Head and Neck Surgery, the AAP, the
American Speech-Language-Hearing Association, the Council
on Education of the Deaf (see individual organizations listed
above), and the Directors of Speech and Hearing Programs in
State Health and Welfare Agencies.