Bilateral cochlear implantation allowed for better speech recognition in noise relative to unilateral performance for a group of 12 children who underwent sequential bilateral cochlear implantation at various ages. There was not a statistically significant relationship between speech recognition in noise benefit, which was defined as the difference in performance between the first implanted ear and the bilateral condition and the age at which the second implant was received. Children receiving bilateral cochlear implants younger than 4 years of age achieved better speech recognition in quiet performance for the later implanted ear as compared with children receiving their second cochlear implant after 4 year of age.
This article supplements the ideas on counseling and the social revolution which appeared in the May 1971 P&G-especially regarding the common behavior models of the counselor and the change agent. Because adherence to a model often places a counselor in jeopardy, the authors call on the profession to offer support and leadership on a national level to those counselors who wish to act as change agents.
Marginalized people in our communities experience social and educational services in silos, which can often lead to crisis and increasing risk of harm. Complex situations with multiple risk factors cannot be addressed by any single agency on its own. Collaboration between agencies is often challenging. Risk-driven Situation Tables provide clear structures and supports for communities to respond quickly to situations of acutely elevated risk with rapid responses to connect marginalized people to services. School Board participation in Situation Tables is essential because: a) educators may not even be aware of other risk factors in a complex situation; b) truancy is not just a school problem and is an indicator of other risk factors; and, c) the complexity of student risk factors beyond the mandate of School Board requires collaboration with multiple sectors. In this article, the author provides evidence in support of these arguments through several real-life examples of these types of situations, and offers his educator’s perspective on this social innovation, gained from his direct experience as a Table Chair in his final year of a 31-year career in education.
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