An approach emphasizing spoken language development through listening. Child develops spoken language through one-on-one therapy and use of residual hearing with optimal amplification. Strives to make the most of a child’s ability to learn through listening; therefore, the child does not rely on visual cues.



  • To develop spoken language through listening by following the stages and sequence of typical development.
  • To develop the skills necessary for successful mainstreaming in school and integration into the hearing community.
  • To promote a positive self-image through natural family and social interactions using spoken language.



The child develops understanding of spoken language through early and consistent intervention that emphasizes learning through listening in a developmentally appropriate sequence.

Optimal listening opportunities require the use of appropriate hearing technology.



Spoken and written English.



Early, consistent and appropriate use of hearing technology (hearing aids, cochlear implant(s), FM system) is critical to this approach.

Requires ongoing auditory management.



  • Parents are expected to actively participate as partners in sessions with therapist(s) in order to learn strategies and techniques that promote the auditory learning of goals.
  • Families need to carry over the goals established in therapy into the child’s daily routines and play activities.
  • Parents learn to create an optimal “listening” learning environment.
  • Parents must also provide a language-rich environment, to make learning through listening a meaningful part of all experiences.


More Info and Related Links

A.G. Bell Association for the Deaf & Hard of Hearing

Hearing First

Click here for a complete Communication Options Chart