Sylvia Rotfleisch provides individualized Auditory Verbal Therapy sessions for the caregivers and the child with hearing loss in the areas of listening and auditory skills, spoken language and speech acquisition. Parent or primary caregivers attend and participates actively in all therapy sessions. Sylvia provides direct instruction and modeling and explanations.The adult is learning in their own style with regular guidance and coaching. A variety of input relevant to the child's level and the adults skills allows for the adult to leave with new skills or improved skills after every therapy session. Recommendations and discussions for follow-up activities outside of the therapy sessions to allow for carry-over beyond the therapy setting in the areas of speech, language and auditory skills are an integral part of the therapy. This way the caregivers learn of how to be playing with the child using appropriate strategies and techniques to allow for the normal development of listening and language development. Afterall, play is a child's work! Sessions are provided on a weekly basis at the Hear to Talk office.

Children seen for AVT are regularly assessed at ongoing intervals to determine what the child's skills are at the time, monitor progress over time in the areas of listening, audition, receptive language, expressive language and speech development. The results from the completed assessments are compiled in a comprehensive report to determine progress, appropriateness of continued AVT and to establish appropriate short and long terms goals of intervention in the areas of audition, speech and language.

Parents' regularly schedule conferences with Sylvia to discuss their child's progress, review the results of assessments, consult on the report, evaluate options for school placements and to discuss appropriateness of continued treatment and establish goals.

School staff typically have limited or no experience with hearing loss, hearing technology and how to successfully support a child in the mainstream. Teachers and support staff can be provided with inservice training specifically geared to your child's abilities, hearing loss and their school environment. Providing information to school staff on hearing loss and appropriate strategies can set up the child for success.