Published online October 1, 2007
PEDIATRICS Vol. 120 No. 4 October 2007, pp. 898-921 (doi:10.1542/peds.2007-2333)
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POLICY STATEMENT

Year 2007 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs

Joint Committee on Infant Hearing

Key Words: hearing screening

Abbreviations: JCIH—Joint Committee on Infant Hearing • EHDI—early hearing detection and intervention • ABR—auditory brainstem response • CMV—cytomegalovirus • ECMO—extracorporeal membrane oxygenation • AAP—American Academy of Pediatrics • MCHB—Maternal and Child Health Bureau • HRSA—Health Resources and Services Administration • NIDCD—National Institute on Deafness and Other Communication Disorders • CDC—Centers for Disease Control and Prevention • UNHS—universal newborn hearing screening • OAE—otoacoustic emission • IFSP—individualized family service plan • OME—otitis media with effusion • FM—frequency modulation • DSHPSHWA—Directors of Speech and Hearing Programs in State Health and Welfare Agencies • GPRA—Government Performance and Results Act • OMB—Office of Management and Budgets

The first 300 words of the full text of this article appear below.


   THE POSITION STATEMENT
 
The Joint Committee on Infant Hearing (JCIH) endorses early detection of and intervention for infants with hearing loss. The goal of early hearing detection and intervention (EHDI) is to maximize linguistic competence and literacy development for children who are deaf or hard of hearing. Without appropriate opportunities to learn language, these children will fall behind their hearing peers in communication, cognition, reading, and social-emotional development. Such delays may result in lower educational and employment levels in adulthood.1 To maximize the outcome for infants who are deaf or hard of hearing, the hearing of all infants should be screened at no later than 1 month of age. Those who do not pass screening should have a comprehensive audiological evaluation at no later than 3 months of age. Infants with confirmed hearing loss should receive appropriate intervention at no later than 6 months of age from health care and education professionals with expertise in hearing loss and deafness in infants and young children. Regardless of previous hearing-screening outcomes, all infants with or without risk factors should receive ongoing surveillance of communicative development beginning at 2 months of age during well-child visits in the medical home.2 EHDI systems should guarantee seamless transitions for infants and their families through this process.


   2007 JCIH POSITION STATEMENT UPDATES
 
The following are highlights of updates made since the 2000 JCIH statement3:

  1. Definition of targeted hearing loss
  2. Hearing-screening and -rescreening protocols

The following policy statement has been revised:

Year 2000 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs
, , , , and
Pediatrics 106: 798-817. [Full Text]



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