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Early Hearing Loss Detection, Diagnosis and Intervention  Program (EHDDI) Information

Left undetected, hearing loss in infants can negatively impact speech and language acquisition, academic achievement, and social and emotional development.  If detected early, however, morbidity can be diminished and even eliminated through early intervention services.  Because of this, the National Institutes of Health's (NIH) Consensus Development Conference on Early Identification of Hearing Loss (1993) concluded that all infants should be screened for hearing loss prior to hospital discharge.

One of the primary goals of the EHDDI program is to ensure that all infants born in the state of Washington:

  • Are screened for hearing loss before hospital discharge or by one month of age
  • Receive diagnostic audiological evaluation by three months of age
  • Are enrolled in early intervention services by six months of age if needed

This is also known as the 1-3-6 goal.

 

Current Projects and Events

In March, 2007, the EHDDI Program presented to the Washington State Board of Health in response to a request to receive an update on Universal Newborn Hearing Screening (UNHS) in the State of Washington.  The State Board of Health Report contains detailed information on current hearing screening rates in Washington State, collaborative efforts to support voluntary UNHS, status of DOH's system for monitoring, assisting, and evaluating UNHS programs, and ongoing issues related to UNHS in Washington.

 

A training program targeting early intervention providers in Washington was held at the University of Washington's Pack Forest near Eatonville, Washington in August of 2004.  The purpose of the retreat was to increase the knowledge and skills of early intervention providers who work with families of children with hearing loss.  The Pack Forest Retreat Report outlines the objectives, tasks, project concepts, and outcomes.

 

Resources

Parent Notebook:  A resource guide for parents of children who are deaf or hard of hearing. The guide is available in English (PDF, 568 KB), Spanish (PDF, 470 KB), and Russian (PDF, 483 KB).

Risk Factors for Late Onset Hearing Loss:  Fact Sheets for Health Professionals

Neonatal Intensive Care Unit (NICU) - Abbreviated Version  (PDF, 86 KB)
NICU - Detailed Version  (PDF, 93KB)

Syndromes - Abbreviated Version  (PDF, 89 KB)
Syndromes - Detailed Version  (PDF, 94 KB)

Family History - Abbreviated Version  (PDF, 84 KB)
Family History - Detailed Version  (PDF, 89 KB)

Craniofacial Anomalies - Abbreviated Version  (PDF, 84 KB)
Craniofacial Anomalies - Detailed Version  (PDF, 81 KB)

Maternal Illness - Abbreviated Version  (PDF, 92 KB)
Maternal Illness - Detailed Version  (PDF, 92 KB)

Risk Factor References  (PDF, 104 KB)

NOTE:  For a free download of Adobe Acrobat Viewer:
http://www.doh.wa.gov/Viewer.htm

 

DOH has created three best practice protocols to ensure children and families receive appropriate and timely care in the area of newborn hearing screening detection, diagnosis, and intervention.

  1. Protocol for Newborn Hearing Screening:  It is recommended that all infants be screened for hearing loss prior to one month of age.  This protocol was developed by a workgroup comprised of audiologists and hospital based nursing staff across Washington State.  This protocol also includes guidance set forth by the joint Committee on Infant Hearing (JCIH), a national organization.

  2. Protocol for Diagnostic Audiological Assessment:  Follow-up for Newborn Hearing Screening:  It is recommended that infants who are referred from newborn hearing screening for audiological assessment be evaluated using standard policies and procedures before 3 months of age.  This protocol was developed by a group consisting of 11 audiologists practicing in Washington with extensive knowledge and expertise in the screening and diagnosis of hearing loss in newborns and infants.  The protocol includes guidance set forth by JCIH, a national organization.

  3. Best Practice Guidelines in Early Intervention for Children with Hearing Loss:  It is recommended that all infants with a hearing loss be enrolled in early intervention by six months of age.  Studies have shown that children identified with hearing loss who receive intervention prior to six months of age often meet or exceed the receptive and expressive language scores of their hearing peers.  This protocol was developed by a workgroup comprised of parents, early intervention specialists, audiologists, members of the deaf community, and DOH staff, with extensive knowledge and expertise in early intervention services for children who are deaf or hard of hearing.

Other resources include:

Family Resources for Children Deaf/Hard of Hearing and Their Families.  Provides parents and healthcare providers with resources in their community, including names and contact information for Lead Family Resources Coordinators, Children with Special Healthcare Needs Coordinators, Pediatric Audiologists, Regional Genetics Clinics, Early Head Start Programs, Medical Home Leadership Networks, Specialized Services for children deaf or hard of hearing, Service Centers for Deaf and Hard of Hearing, and School Districts serving children aged 0-3.

Outpatient Rescreen Facility List:  Contact information for all hospitals in Washington able to provide outpatient hearing screens.

Pediatric Audiology Services Guide.  The clinics on this list have indicated they meet the requirements of DOH's Protocol for Diagnostic Audiological Assessment of Infants Referred from Universal Newborn Hearing Screening Programs.

More EHDDI Links

 

Partnerships

Children's Hospital and Regional Medical Center: A website devoted to universal newborn hearing screening in Washington State.  Resources for parents, healthcare professionals, and hospitals are available for download.

Northwest Lions Foundation for Sight and Hearing:  The Northwest Lions Foundation for Sight and Hearing helps blind and deaf children and adults in the Northwest regain their self-reliance, and it champions lifelong sight and hearing health.

Washington Sensory Disability Services:  An Office of the Superintendent of Public Instruction funded state needs project which provides information, training, technical assistance, and resources to families and educators statewide regarding children and youth with sensory disabilities - students who are deaf or hard of hearing, blind or visually impaired, or deaf-blind.

Washington State Chapter of the American Academy of Pediatrics:  Promotes the health and well-being of children in Washington State.

Office of Newborn Screening  tests the infants born in Washington State for certain treatable disorders that may not otherwise be detected before developmental disability or death occurs.

 

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Documents posted in PDF version on the Department of Health Web site will be made available on request to users who are unable to download or view them. For persons with disabilities, PDF documents will be made available on request in other formats. To submit a request, contact the Genetic Services Section subsite developer.  Download the free PDF viewer here.

Contact Information:

Genetic Services Section (253) 395-6741/E-Mail

 

Mailing Address:

Genetics Services Section

Department of Health

20435 72nd Avenue South, Suite 200  MS: K17-8

Kent, WA 98032


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Last Update : 07/02/2007 02:09 PM