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Universal Newborn Hearing Screening Follow-up: A University Clinic Perspective

Purdue University, West Lafayette

Address for editorial correspondence: Department of Speech, Language and Hearing Sciences, Purdue University, 500 Oval Drive, West Lafayette, IN 47907, Phone: (765) 494-6842, Fax: (765) 494-0771, krishnal{at}purdue.edu.

Purpose: The purpose of this study was to evaluate the referral and follow-up procedures at a University Clinic to determine whether the early intervention program is achieving the goals of diagnosis by 3 months, amplification within 1 month of diagnosis and intervention services by 6 months, outlined in the JCIH (2007) Position Statement.

Method: 142 files of infants were examined and the data collected from each file included date of birth, birth hospital, home town, parents' ages, ethnicity, nursery status (well baby/NICU), medical history, age at initial evaluation and at diagnosis, results of evaluation(s) and age at hearing aid fitting and start of early intervention services.

Results: Results revealed that 17% of infants were older than 3 months at the initial evaluation, and 18% of infants who needed further evaluation were lost to follow-up. None of the infants identified with hearing loss received amplification within one month of diagnosis or early intervention services by the age of 6 months.

Conclusions: The findings provide further evidence of the challenges of early intervention programs as stated by the JCIH (2007) and emphasize the importance of communication between practitioners and implementation of monitoring systems and checks and balances to improve the efficacy of early intervention programs.

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