Aural Services for children typically involve:
Training in auditory perception.
This includes activities to increase awareness of sound, identify sounds, tell the difference between sounds (sound discrimination), and attach meaning to sounds. Ultimately, this training increases the child's ability to distinguish one word from another using any remaining hearing. Auditory perception also includes developing skills in hearing with hearing aids and assistive listening devices and how to handle easy and difficult listening situations.
Using visual cues.
This goes beyond distinguishing sounds and words on the lips. It involves using all kinds of visual cues that give meaning to a message such as the speaker's facial expression, body language, and the context and environment in which the communication is taking place.
This involves skill development in production of speech sounds (by themselves, in words, and in conversation), voice quality, speaking rate, breath control, loudness, and speech rhythms.
This involves developing language understanding (reception) and language usage (expression) according to developmental expectations. It is a complex process involving concepts, vocabulary, word knowledge, use in different social situations, narrative skills, expression through writing, understanding rules of grammar, and so on.
This involves the child's understanding of their hearing loss, developing assertiveness skills to use in different listening situations, handling communication breakdowns, and modifying situations to make communication easier.
Managing hearing aids and assistive listening devices.
Because children are fitted with hearing aids at young ages, early care and adjustment is done by family members and/or caregivers. It is important for children to participate in hearing aid care and management as much as possible. As they grow and develop, the goal is for their own adjustment, cleaning, and troubleshooting of the hearing aid and, ultimately, taking over responsibility for making appointments with service providers.