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It is important to safeguard all children and young people from harm. However, those with hearing loss are particularly vulnerable. For the purposes of this guide, the term deaf is used to apply to all those with hearing loss, which might affect communication, interaction and development. Deafness is of varying degrees:
Deafness can significantly impede a child’s ability to develop language and to communicate effectively. This can present a barrier to their social, emotional and intellectual development and impact their ability to express their emotions, needs and concerns. This can make them particularly vulnerable to:
When communicating with deaf children, this is best done in a quiet area and reduce any background noise; check understanding and be aware that they will be looking at your facial expressions for visual cues to support their understanding; it is best when one person is speaking at a time; and to aid lip reading, avoid face obstructions, i.e., masks or hands over the mouth, face the child, speak clearly and avoid bright lights or windows behind the speaker - which cast a shadow over them and the child cannot see their faces clearly.
There is a range of help available to deaf children and young people in Leeds:
Every deaf child will have an allocated Qualified Teacher of the Deaf (QToD). The QToD can advise on appropriate approaches to communicating with the child and whether communication support is required. The QToD will have all background information, such as how the hearing loss is affecting the child and which other practitioners are working with the child. Other key practitioners to contact may include the health visitor, audiologist, speech and language therapist and those in the early years setting.
Deaf children are usually provided with hearing aids, and some are fitted with cochlear implants. It is important that parents, carers, and practitioners understand the implications, encourage their use, and take appropriate care of the devices. Deaf children can benefit from other equipment to enable them to participate in everyday life. All deaf children and young people can access a technology assessment from Leeds Hearing and Sight Loss Service. This is run by the charity BID Services.
Access to British Sign Language will be important to many deaf children, including those who also have access to spoken language. This includes those who have cochlear implants and who are learning spoken language. Families will often require support and encouragement to develop and use signing skills, as it requires significant ongoing commitment.
When working with a deaf child or young person, it is important to:
Families of deaf children need to be proactive in helping their child develop language and thrive however most families of deaf children have no prior experience of deafness. Parents may experience grief and anger and may question their parenting skills. It is vital that deaf children can express their social and emotional well-being. Practitioners should support and challenge parents and carers to:
Key practitioners should be involved in developing an early help plan, which will coordinate activities and improve outcomes for the child. If an early help plan does not achieve the desired outcomes for the child due to the high levels of support needed, or if there is a concern that the child is at risk of significant harm, then contact should be made with the duty and advice team.
When making the contact, it is important to emphasise that the child has a hearing loss and to give details of practitioners who can give specialist advice.
Contact the Sensory Service, Deaf and Hearing Impairment Team (DAHIT) tel: 0113 378 2888.
Leeds Hearing and Sight Loss Service tel: 0113 288 5750, email: leedsinfo@bid.org.uk.
You can contact the National Deaf Children’s Society (NDCS) tel: 080 8800 880 and advisory service tel: 0121 234 825 and access their practitioners’ guide.
You can also watch the following videos about Hearing Awareness, Hearing and Balance Centre, and Hearing Aid Self Help from the NHS in Leeds.
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