SLP and comprehensive auditory rehabilitation (Ray et al., 2021)

Background: Standards for auditory rehabilitation are currently lacking for adults who receive cochlear implants. Speech recognition outcomes are highly variable, and many adults with cochlear implants present with suboptimal performance. Functional real-life communication abilities are not routinely measured clinically and are not strongly linked to performance on traditional measures of speech recognition. In fact, even individuals with relatively good speech recognition outcomes often present with persistent communication difficulties. In contrast to pediatric cochlear implant users, speech-language pathologists are not routinely involved in the rehabilitation of adults who receive cochlear implants.

Purpose: The purpose of this article is to describe the value of including a speech-language pathologist in a comprehensive approach to auditory rehabilitation for adults with cochlear implants.

Method: The theoretical and clinical foundations of incorporating a speech-language pathologist into an adult auditory rehabilitation program are discussed. A description of the skills and potential roles of the speech-language pathologist for providing adult cochlear implant rehabilitation services is presented, along with potential barriers to implementation.

Conclusion: Person-centered management of postlingually deafened adults with cochlear implants can be augmented by a more complete approach utilizing the skill set of a speech-language pathologist.

Supplemental Material S1. Example of comprehensive assessment measures used to develop individualized plans of care in the comprehensive auditory rehabilitation (CAR) approach.

Ray, C., Taylor, E., Vasil, K. J., Zombek, L., Baxter, J. H., & Moberly, A. C. (2021). The value of speech-language pathologists in auditory rehabilitation for adults with cochlear implants. American Journal of Speech-Language Pathology. Advance online publication. https://doi.org/10.1044/2021_AJSLP-20-00189