Canadian Guidelines on Auditory Processing …

1 Canadian Guidelines ON Auditory Processing DISORDER IN CHILDREN AND ADULTS: assessment AND INTERVENTIOND ecember 2012 Canadian Association of Speech-Language Pathologists and Guidelines on Auditory Processing Disorder in Children and Adults: assessment and Intervention 2 Table of Contents Table of Contents .. 2 Disclaimer .. 4 Interorganizational Steering Group for Speech Language Pathology and Audiology .. 4 Update and review .. 4 Changes to web links .. 4 Author sub- committee .. 4 Acknowledgements.

2 4 Executive Summary .. 5 CHAPTER 1 .. 6 INTRODUCTION AND FRAMEWORK .. 6 Introduction .. 6 Moving to a 21st century perspective .. 6 Working within a theoretical framework for the Canadian context .. 7 Guideline consumers .. 8 CHAPTER 2 .. 10 GUIDING PRINCIPLES, DEFINITIONS AND COMPETENCIES .. 10 The International Classification of Functioning, Disability and Health .. 10 Body functions and structures .. 10 Activity and participation.

3 11 Contextual factors .. 11 Environmental factors .. 11 Personal factors .. 11 Professionals involved in assessment and management of Auditory Processing disorder .. 13 Definition of Auditory Processing disorder .. 13 Prevalence of Auditory Processing disorder .. 14 Clinical competencies .. 15 Clinical knowledge base .. 15 Knowledge of community resources .. 16 CHAPTER 3 .. 17 assessment AND MANAGEMENT OF CHILDREN WITH Auditory Processing DISORDER.

4 17 Indications for referral .. 17 Personal factors .. 18 Age .. 18 Cognitive, developmental, personality and learning disorders .. 18 Peripheral hearing loss .. 19 Screening .. 20 assessment of Auditory capacities .. 20 Pre- assessment information gathering and case history .. 21 Tools for assessment of Auditory capacity .. 21 Interpretation of Auditory capacity test assessment .. 23 Delay vs. disorder .. 25 Re- evaluation.

5 25 Intervention to improve participation .. 25 Environmental factors to improve participation .. 27 Physical environmental factors .. 27 Canadian Guidelines on Auditory Processing Disorder in Children and Adults: assessment and Intervention 3 Partnership with the classroom teacher and school staff .. 27 Acoustics of the environment .. 28 Assistive listening devices .. 28 Social environmental factors .. 30 Support, relationships and attitudes.

6 30 Services, systems and policies .. 30 Personal factors to improve participation .. 31 Improving Auditory capacities by direct intervention .. 31 Improving the child s ability to be active in communication and learning .. 32 CHAPTER 4 .. 34 assessment AND MANAGEMENT OF Auditory Processing DISORDER .. 34 IN ADULTS .. 34 Introduction .. 34 Indications for referral .. 35 Personal factors .. 35 Age .. 35 Cognition .. 36 Tumours.

7 37 Cerebrovascular disorders or stroke .. 38 Traumatic brain injury .. 38 Epilepsy .. 39 Solvent exposure .. 40 Demyelinating disorders and neurodegenerative diseases .. 40 Genetics .. 41 Peripheral hearing loss .. 41 assessment of Auditory capacities and performance .. 42 Pre- assessment information gathering and case history .. 42 Tools for assessment of Auditory capacity .. 43 Interpretation of Auditory capacity test assessment .

8 45 Re- evaluation .. 45 Intervention to improve participation .. 45 Environmental factors .. 48 Physical environmental factors .. 48 Partnerships in the workplace, home and community .. 48 Acoustics of the environment .. 49 Assistive listening devices .. 49 Social environmental factors .. 51 Support, relationships and attitudes .. 51 Services, systems and policies .. 51 Personal activities to improve Auditory performance.

9 52 Improving Auditory capacities through direct training .. 53 Improving the individual s ability to be active in the communication process .. 54 CHAPTER 5 .. 56 CONCLUDING REMARKS AND FUTURE DIRECTIONS .. 56 Conceptualizing and researching the construct of Auditory Processing disorder .. 56 Training clinicians and facilitating continued learning .. 58 Providing, enhancing and coordinating effective services for clients .. 59 REFERENCES .. 61 Canadian Guidelines on Auditory Processing Disorder in Children and Adults.

10 assessment and Intervention 4 Disclaimer While every effort has been made to ensure the accuracy of the content of these Guidelines , neither the authors nor the Interorganizational Steering Group for Speech- Language Pathology and Audiology accept any liability with respect to loss, damage, injury or expense arising from any errors or omissions in the contents of this work. Interorganizational Steering Group for Speech Language Pathology and Audiology The Canadian Interorganizational Steering Group for Speech- Language Pathology and Audiology is composed of.