Deafness
Introduction
Deafness is a partial or complete loss of hearing. It can affect one ear or both ears. It ranges from mild hearing loss (difficulty hearing quiet sounds) to profound deafness (hearing very little or no sound). It can be temporary or permanent.
You can also visit our page on Multisensory Impairment / Deafblind.
Please note, some services / settings may refer to deafness as hearing impairment.
There are two videos on YouTube that provide a good introduction to deafness:
Types of Deafness
The types of deafness are:
Sensorineural deafness - this is a permanent hearing loss. It is caused by damage to, or differences in the functioning of:
- the inner ear (cochlea), and / or
- the auditory nerve pathways that carry sound signals to the brain.
The hearing loss may range from mild to profound. It can affect one or both ears. It may impact a child or young person's access to speech, language, learning, communication, and participation.
Conductive deafness - this is a hearing loss caused by a problem in the outer or middle ear. It prevents sound from being transmitted effectively to the inner ear. It may be temporary or permanent and can affect one or both ears. Common causes include:
- glue ear,
- ear infections,
- abnormalities of the ear canal or eardrum, and
- conditions affecting the middle ear bones.
It may impact a child or young person's access to speech, language, learning, communication, and participation.
Mixed: A combination of both sensorineural and conductive hearing loss.
Advice and Support
Most babies are screened for deafness. This is soon after their birth as part of the NHS Neonatal Screening Programme. There are occasionally later diagnoses of permanent hearing loss.
Sensory Needs Service (SNS)
After initial assessments, SNS can support children and young people (0 to 25) in a variety of ways. This includes:
- Support for children 0 to 5 years old and their families within the home, nursery and childminders settings and pre-school.
- Expert advice and training for all adults working with a CYP who has a deaf and/or VI need.
- Direct teaching for deaf, VI and Multi-Sensory Impairment (MSI) CYP in an educational setting.
- Support families to make informed decisions regarding communication methods.
- Mobility training for CYP with a VI or MSI, parents/carers, school staff and other professionals.
- Share resources, advice and strategies that promote inclusive practice and access to the curriculum.
- Assess and provide assistive technology based on eligibility for curriculum access.
- Work in a multi-agency approach to develop the Team Around the Child.
- Support transitions at key points in their educational journey.
- Signpost effectively to a range of different organisations.
You can find out more about SNS on our 1Space directory. This includes their contact details:
You can also read our glue ear, auditory processing disorder and equipment policies:
- View our Glue Ear (Otitis media with effusion) and Unilateral Deafness Policy
- View our Auditory Processing Disorder Policy
- View our Sensory Needs Service Equipment Policy
Role Model Days and Parent Workshops
We run Deaf Role Model Days where children (between school Year 1 to Year 6) get an opportunity to meet an adult who is deaf. We also offer workshops for parents of deaf children. They are designed to provide information, support, and guidance. Find upcoming dates on our activities and events page:
NHS East Sussex Healthcare
Paediatric (children’s) audiology provides a comprehensive, family friendly, integrated screening, diagnostic and rehabilitation service. This is for babies and children with hearing difficulties. You can find out more on the NHS East Sussex website:
NHS
The main NHS website provides information and advice about hearing loss:
There is also a web page on NHS East Sussex Children that provides more information:
Amaze SENDIASS
Amaze SENDIASS (Special Educational Needs and Disabilities Information Advice and Support Service) are a local charity. They offer free, independent, and impartial advice for all matters relating to SEND. Contact Amaze SENDIASS by:
- Phone - 01273 772 289
- Email - sendiass@amazesussex.org.uk
Visit the Amaze SENDIASS web page.
Sign Language
Sign languages are visual languages that use different:
- hand shapes,
- facial expressions,
- gestures, and
- body language.
Sign languages have their own vocabulary, construction and grammar. This is the same as a spoken languages.
There are approximately 300 sign languages in the world. The most common sign languages used in the UK are British Sign Language (BSL) and Irish Sign Language (ISL). BSL is a distinct language with its own grammar and syntax.
Many deaf children use sign and speech. When BSL is used in English word order this is called sign supported English.
Sign systems such as Signalong and Makaton are different to sign languages.
You can find out more about sign language on the National Deaf Children's Society website:
Tips for Parents
Some tips for parents are:
- Face your child when you speak. Make sure your child can see your face clearly. Facial expressions, lip patterns and body language all support understanding. Hearing aids are most effective between 1 to 2 meters so be close to your child when communicating.
- Reduce background noise. Where possible, turn off TVs, radios, or other distractions during conversations. This is especially important at mealtimes or homework time.
- Speak naturally and clearly. There is no need to shout. Speak at a normal pace. Avoid exaggerating words as this can make speech harder to understand.
- Check understanding without pressure. Gently check your child has understood by asking them to explain things back in their own words, rather than asking “Did you hear?”
- Encourage your child to ask for help. Support your child to feel confident saying when they haven’t heard or understood something. This is an important life skill.
- Support hearing equipment use. Make sure hearing aids or other equipment are worn as recommended and are working properly. Build equipment checks into daily routines.
- Acknowledge listening effort. Listening with hearing loss is tiring. Be aware of fatigue, especially after school, and allow time to relax and recharge.
- Keep positive communication about deafness. Talk openly and positively about hearing loss. Help your child see deafness as just one part of who they are.
- Work closely with school and professionals. Keep in touch with teachers, the Teacher of the Deaf, and other professionals. Sharing information helps everyone support your child effectively.
- Trust your instincts and ask questions. You know your child best. If something doesn’t feel right, ask questions, seek advice, and advocate for your child’s needs.
Resources, Toys and Books
There are several resources, toys and books available both online and locally. These items are either educational, representative of those with deafness, or both.
Some resources SNS have picked out include:
Dolls with hearing aids:
- Barbie doll with hearing aids
- Ken doll with hearing aids
- Solid body doll with hearing aids
- Glasses and hearing aids for dolls
Books about deafness:
- British Sign Language (BSL) beginner's handbook
- Freddie and the Fairy
- What the Jackdaw Saw
- Can Bears Ski?
- The Quest for the Cockle Implant
- Dachy's Deaf (Dinosaur Friends)
- Jack Signs!
- Super Hearing
- C.I. Quest
- Mighty Mila
- Ling Ling Bird Hears with his Magic Ears
- Elephant and the Lost Blanket
Some useful places to look for these items include:
- www.earlyyearsresources.co.uk | Deafness dolls
- NDCS-bookshop.myshopify.com | Deafness books
- Letssign.co.uk | Play mats with BSL and downloable resources
- Amazon.co.uk | Deafness dolls and books
Find Deafness Services
SNS have collated some useful vision impairment websites:
- National Deaf Children's Society | For every deaf child
- Supporting Deaf Children & Their Families | AVUK
- Grants for the Deaf
- Our services | The Elizabeth Foundation for Preschool Deaf Children
- British Sign Language (BSL) | DeafBooks
- Free BSL Lessons for UK Primary Schools | The School of Signs
- East Sussex Deaf Children’s Society
- CICS | Cochlear Implanted Children's Support Group
You can visit our SEND-specific online directory, hosted on East Sussex 1Space. The directory lists many different services both throughout the county and online. You can use filters within each category to find services specifically for those with deafness. This includes deafness services for categories such as:
- Activities and Events
- Advice, Guidance and Support Groups
- Physical Health and Practical Support
- Mental Health and Emotional Wellbeing
Visit the East Sussex Local Offer directory, on 1Space.
Glossary of East Sussex SEND Terms
We explain some of the terms used on this website on our page, Glossary of East Sussex SEND Terms.