Welcome to The Sound Steps Podcast: Conversations in Auditory-Verbal Therapy, exploring fluent spoken language, conversational competence, clear speech, and age-appropriate development, in children who are deaf or hard of hearing, through the transformative power of listening and parent-centred Auditory-Verbal Therapy, one sound step at a time. In Episode 5, Shefali Shah and Warren Estabrooks share a spontaneous, in-depth conversation about how children who are deaf or hard of hearing learn to develop conversation. With expertise and the knowledge that optimal access to all the sounds of speech is essential for the development of conversation, they explore the science and art of Auditory-Verbal Therapy (AVT) through evidence-based AV practice. This is The Sound Steps Podcast. 🎧Top Tips from Episode 5 Conversation is both the means and the end goal. Use Conversation to develop Conversational Competence. Children learn to listen in Conversation. Auditory-Verbal Therapy pre-supposes optimal auditory access. In order for deaf or hard of hearing children to listen and talk, they must hear clearly across the speech spectrum. Auditory-Verbal Therapy is both a Science and an Art. AVT must be based on the science of audiology, speech acoustics and child development. The style of the individual therapist in delivering AVT, represents the art of it. Demonstrate success. Seeing results is hugely motivating. Draw on typical development. Use the developmental milestones in children with typical hearing, especially for children with additional challenges. Suprises are key. Preserve the element of surprise for both parent and child in your practice. 3 Dimensional Conversation: (Morrison, H.,) Quality input Provide an enriched input. Guide Conversation in everyday situations. Purposeful responses from both parent and child and other participating adults Use the OWL strategy (Hanen Centre) Train the non-verbal power of Observation in parents Wait: This is a powerful AV Technique Act out a scenario: Create stories to hold attention Time Stamps: 00:00:00 Introduction 00:01:10 Introducing our guest: Warren Estabrooks 00:01:54 90% of deaf children are born to hearing parents 00:02:03 Choosing Auditory-Verbal Therapy for your deaf or hard of hearing child 00:02:37 AVT facilitates age-appropriate development 00:03:00 Abundant choices open up through AVT 00:03:32 Early identification and the fitting of early and optimal amplification 00:03:43 A life free of limitations 00:03:48 Show notes, Top tips and Time Stamps 00:03:58 Links and contact details 00:04:06 AV Techniques 00:04:22 AV Technique: Modelling 00:05:00 Resources on this topic 00:05:25 Using Conversation to develop Conversational Competence 00:09:00 Optimal auditory access is critical for AVT 00:09:32 Pioneers of AVT 00:10:46 Doubt 00:11:06 Demonstrate success 00:11:20 The role of development in children with typical hearing 00:11:49 Engaging with young children: Parentese 00:13.41 Modelling 00:14:12 The Learning to Listen Sounds 00:14:42 Actualising therapy targets through Conversation 00:15: 53 Preserve the element of surprise 00:16:43 Children learn to listen in the context of Conversation 00:16:54 Three Dimensional Conversation: Quality input/Guide Conversation/Respond with purpose (Morrison, H.,) 00:17:28 Centre on the Developing Child: Harvard University 00:18:38 Resist testing children 00:19:10 The Hanen Centre: OWL Strategy 00:20:48 Expansion and Recasting to refine grammar and expand vocabulary 00:21:12 Automaticity 00:21:40 Staying natural 00:23:17 Pace of learning 00:24:25 Diagnostics 00:25:41 The AV Technique: Wait Cue 00:28:11 Giving parents an “in” into the Conversation 00:28:55 Handing over to parent 00:29:32 Create stories 00:29:40 The Wait Cue 00:31:25 The gaze and Trust 00:32:18 Inviting participation 00:33:10 The freedom of choice 00:34:03 Reflection 00:34:30 Upcoming episode: Sparking Conversation 🔗 Links: 💬 Submit your question to the show: https://www.soundsteps.uk/podcast-ask-question/ 👩‍⚕️ Face-to-face AVT with Shefali Shah (London): https://soundsteps.uk 🌐 Online AVT sessions available via AVT Direct: https://avtdirect.com 🎓 Train online as an LSL professional in AVT: https://learnavt.com 📧 Contact Shefali directly: [email protected] 📘 Resources: Estabrooks, W., Morrison, H.M., MacIver-Lux, K., (2020) Auditory‑Verbal Therapy: Science, Research and Practice, Plural Publishing Inc, San Diego, CA Estabrooks, W., MacIver-Lux, K., & Rhoades, E. A. (Eds.). (2016) Auditory‑Verbal Therapy for Young Children with Hearing Loss and Their Families, and the Practitioners Who Guide Them, Plural Publishing Inc, San Diego, CA Webesites: Center on the Developing Child (Harvard University). “Serve and Return.” https://developingchild.harvard.edu https://www.hanen.org

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