Howard W. Francis|Monika Koch|J. Robert Wyatt|John K. Niparko
Trends in Educational Placement and Cost-Benefit Considerations in Children With Cochlear Implants
Johns Hopkins Medicine|Johns Hopkins University
study effect cochlear implantation use educational resources profoundly hearingimpaired children determine trends educational cost vs benefitretrospective study costbenefit analysisoutpatient pediatric cochlear implant program academic institution listening center johns hopkins university school medicine baltimore md collaboration public schools maryland surrounding statesschoolaged children profound prelingual hearing impairment without clearly defined disabilities thirtyfive children multiplechannel cochlear prostheses comparison group 10 children without implants total communication programs maryland public school systemmultiplechannel cochlear implantation least 1 year systematic auditory skill development program listening center compared standard educational management children conventional amplificationclassroom placement number hours special educational support useda correlation observed length cochlear implant experience rate fulltime placement mainstream classrooms r 010 p 04 also negative correlation length implant experience number hours special educational support used fully mainstreamed children pearson product moment correlation 010 p 03 children greater 2 years implant experience mainstreamed twice rate agematched children profound hearing loss implants also placed less frequently selfcontained classrooms used fewer hours special education support costbenefit analysis based conservative estimates educational expenses kindergarten 12th grade shows cost savings cochlear implantation appropriate auditory rehabilitation ranges 30000 200000cochlear implantation accompanied aural rehabilitation increases access acoustic information spoken language leading higher rates mainstream placement schools lower dependence special education support services cost savings results decrease use support services indicates educational cost benefit cochlear implant rehabilitation many children