American Speech-Language-Hearing Association

Is Your Child a Poor Listener? Does Your Child Misunderstand Speech or Have Difficulty Following Directions?

Tip Sheet

"Class, before we begin our next lesson, Please take out your science assignment from yesterday and put it on the left corner of your desk for me to review."

Tom takes out his social studies book and stares into space. Why didn't Tom follow the teacher's direction? Not listening? Not paying attention? Or maybe Tom hears the sound, but has problems processing what he is told; particularly when the language used is complex and spoken rapidly.

Children with central auditory processing problems are unable to understand spoken language in a meaningful way, often in the absence of what is commonly regarded as a hearing loss. Central auditory processing problems can particularly affect learning in areas such as spelling and reading. It is important to identify problems early and help your child obtain strategies to compensate.

An audiologist will evaluate a child's hearing and identify possible processing problems and monitor any changes in hearing status. A speech pathologist will evaluate the child's perception of speech and understanding of expressive language and recommend changes to help a child with CAPD.

Changes encouraged at home and in the classroom often include...

- Select seating away form auditory and visual distraction to help maintain focus and attention.

- Structure the environment using a consistent routine.

- Before speaking gain the child attention and then give directions.

- Avoid asking the child to listen and write at the same time.

- Speak slowly and clearly by using words that make sequence clear such as "first," "next", and "finally."

Parents who suspect a central auditory problem should contact an ASHA-certified speech-language pathologist or audiologist as soon as possible so that the professional can evaluate and suggest treatment methods.

For more information on central auditory processing problems, consumers may call the ASHA HELPLINE at 1-800-638-TALK (8255).

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