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When the Going Gets Tough: Shifting Perspectives on Performance Outcomes (HOPE)

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1.  The following challenge to success with the cochlear implant may not be identified at the time of candidacy: long duration of deafness presence of a cognitive delay limited availability of appropriate support services for the family use of a spoken language other than English in the home

2.  Criterion referenced measures may give valuable information in evaluating children for whom cochlear implant progress has been challenged True False

3.  The first step to determining an appropriate course of action for a child that is making limited progress with a cochlear implant is a full review of the child's learning environment and identified challenges. True False

4.  'Waiting' is not considered to be an appropriate action to be taken with a child who has made little progress with a cochlear implant in the first year of implant use True False

5.  Making changes to a newly implanted child's habilitation plan may include all of the following except increasing the amount of structured auditory therapy relaxing curricular expectations adding visual cues to structured teaching time transitioning to a total communication classroom