CAEP Testing

Pediatric Audiology

World-class hearing health care for children of all

ages who are deaf or hard of hearing.

Services for Children with Hearing Loss,

Deafness or Listening Challenges

Were you told your newborn did not pass their hearing screening? What do you do now?

While there is a percentage of newborns that may not pass their first hearing screening, and this may be related to their small ear size or fluid in their ears both common in newborns, it is important that your infant be seen for a second hearing screening. If this second screening is not passed, the next steps are to see your pediatrician or a pediatric otologist to determine if fluid is present or not and to schedule an evaluation for a more in depth hearing assessment.

The best way to determine whether or not your newborn has a hearing loss is an auditory brainstem response (ABR) test, conducted at CHC's Shelley and Steven Einhorn Audiology Center while the baby sleeps. This is a non-invasive physiological test that will determine whether or not your child has a hearing loss. If a hearing loss is detected, testing can help determine the type of hearing loss and the degree of hearing loss (how much of a loss is there). Click here to learn more about children's hearing testing.

After this evaluation, our audiologist will be able to provide test results and recommendations for the next steps. Next steps often begin with a consultation with a pediatric otolaryngologist or an Early Intervention referral. CHC is an approved provider of services through the Early Intervention Program (EIP) and can guide you through the different treatment options.

If test results suggest that hearing aids and a program of speech and language therapy are needed, all necessary services are available at CHC, including:

Fitting of hearing aids and the verification of hearing aid benefit using CAEP (see below)
Ongoing hearing tests by our specialized team of pediatric audiologists
Ongoing measurement of hearing aid benefit throughout your child’s life
Center-based speech, language, and listening therapies for babies and children of all ages (both on an individual and group basis)
Tele-health speech, language, and listening therapies for babies and children

Learn more about hearing testing.

No child is too young to begin using hearing aids or to begin speech, language, and listening therapies.

Video Overview of Our Pediatric Care

Testing

CAEP Testing

The Center for Hearing and Communication in New York is pleased to offer cortical auditory evoked potential (CAEP) testing as part of our suite of renowned pediatric services.

CHC provides cortical assessment
CHC is now using specialized technology to determine the
benefit infants receive from their hearing aids. Cortical
assessment tells us about how amplified sound travels
through the auditory cortex. The presence of responses
suggests that hearing aids are programmed optimally in
order to provide benefit.
Assists audiologists in optimizing hearing aid programming
so that infants may benefit maximally from their hearing aids.
Serves as a counseling tool for the audiologist when discussing hearing aid use time with parents and other caregivers.
Monitors cortical responses of individuals with auditory processing disorders (APD).
Provides hearing aid verification for older children and adults who are neurologically impaired or multi-handicapped.

Hearing Aids for Children

Technology is ever-changing and, with the addition of Bluetooth

connectivity and the use of smartphone apps, hearing aids have

become a way to connect to every aspect of our lives. When it

comes to fitting hearing aids on children, what may work for an

adult may not be appropriate for children and what may be preferred

by a child may also not be appropriate. At CHC's Berelson Hearing

Technology Center, your pediatric audiologist will work with you to

select the hearing aid that will provide the best hearing benefit for

your child.

For children these factors frequently arise as considerations:

Retention and fit
Hearing aid models used frequently in children need to be made more durable
FM connectivity
Ability to have flexibility in hearing aid programming over time
Battery compartments need to be tamper-resistant as batteries can be harmful if swallowed.
Use of hearing aids with other technologies, Bluetooth connectivity, use of smartphone apps
Ability to use remote microphones
Ability to pair with a cochlear implant if worn in one ear

At CHC we always measure the benefit of a hearing aid on an individual, whether an infant, child, or adult. For older children and adults we tend to rely on behavioral measures, that is, measuring the softest levels at which speech sounds can be heard and measuring the ability to understand speech at a variety of levels, both in quiet and in noise. For infants, however, we rely heavily on probe-microphone testing. This type of testing allows the audiologist to know just how much speech will be heard through the hearing aid. A very small tube is placed within the child’s ear with and without the hearing aid in place and the audiologist can compare different hearing aids settings and styles. Sometimes, this is not possible to do and then, computer simulations of this measure can be done with very accurate results.

We have access to a variety of pediatric hearing aids. To learn more visit our page on hearing aids.

NYC's Early Intervention

CHC is an approved provider of services through the Early Intervention Program (EIP) and Deaf Infant Program (DIP).

Facts about the Early Intervention program and related services

it's for children less than three years of age who have or are suspected of having a developmental delay and/or disability
Services are provided at no out-of-pocket cost to parents
Health insurance may be accessed for reimbursement for early intervention
services provided to eligible children and their families
Eligibility for the early intervention program can be determined only by State-approved evaluators under contract with the municipality
If a child is found eligible for the early intervention program,
all needed early intervention services are identified in
collaboration with the parent and must be authorized by the
municipality
The municipality will arrange for service providers, considering
the individual needs of the child and family, to deliver services
authorized by the municipality.

Contact the early intervention agency in your area:

New York City: call 311 and ask for early intervention
Westchester: 914-813-5094 (v)
New York State Growing Up Healthy Hotline: 800-522-5006 (v)

For questions about Early Intervention please reach out to Dana Selznick at dselznick@chchearing.org or 917-305-7855.

Diagnosis and Treatment of Other
Listening Challenges

CHC's audiological care for children of all ages includes the evaluation and management of Central Auditory Processing Disorder (CAPD), Tinnitus, Hyperacusis and Misophonia. View the description of services on our CAPD and Tinnitus and Hyperacusis Center pages to learn more.