Question
What are the key signs that a client needs to be referred to audiology?
Answer
A speech-language pathologist (SLP) should consider an audiology referral based on several key signs, or "red flags," observed in a client. The primary goal is to rule out hearing loss before diagnosing a speech or language disorder. This applies to both children and adults.
Key indicators that an SLP should refer a client include:
Frequent requests for repetition
Inconsistent responses to sounds or speech
Difficulty with phonological awareness that may be influenced by hearing status
Delayed speech and language milestones in children
History of frequent ear infections, which may affect hearing
Difficulty hearing in noisy environments
The key point is to rule out hearing loss before diagnosing any speech or language disorder. This applies to both children and adults. Knowing a client’s hearing levels ensures that hearing loss is not an unrecognized factor influencing communication before you proceed with a diagnosis.
This Ask the Expert is an edited excerpt from the course Audiology Essentials for Non-Audiologists, presented in partnership with RIT/National Technical Institute for the Deaf, presented by Carly Alicea, AuD, PhD, CCC-A.
