Communication needs of a deaf child with cerebral palsy and how to support these: A case study

The purpose of this case study was to explore the communication needs of a child with deafness and cerebral palsy (DCP) and how these needs can be supported by interventions targeting the use of communication approaches and strategies. One semi-structured interview with the child's parents and five observations of the child in different contexts before and after the interventions took place. A rating scale "Checklist of Identified Needs", deriving from the observation data, the "Early Years Foundation Stage (EYES) Development Matters" assessment and a British Sign Language (BSL) receptive and expressive skills assessment were used to explore the child's communication strategies before and after the intervention. The child completed two parallel school-based interventions lasting seven weeks, (i) one delivered daily which focused on BSL usage and Augmentative Alternative Communication (AAC) and (ii) one targeting communication strategies such as initiating and maintaining eye contact using a weekly "social story" and play-based sessions. Our results indicated that the combined use of sign and AAC technology to target key areas of communication use and a targeted approach using social stones to support communication strategies can be effective in enhancing communication skills of children with DCP. Implications for practice are discussed.