Deaf and Hard of Hearing Program Patient Resources

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Students with Cochlear Implants: Guidelines for Educational Program Planning is a tool designed to facilitate the planning of appropriate educational programs, supports and services for students using cochlear implant technology in the classroom.  This comprehensive set of guidelines, reflects the collaborative work between the Laurent Clerc National Deaf Education Center and the Deaf and Hard of Hearing Program of Boston Children's Hospital. 

The Guidelines gives members of a student's educational planning team a place document key information, including:

Language development, current educational accomodations, school-based language competencies in receptive, expressive and pragmatic language for American Sign Language, Spoken English, Spoken English with Sign Support, or other communication methods, social-emotional development, self-advocacy skills, and the student's overall use and access to hearing assistive technology

Note: This product is an update to Children with Cochlear Implants Who Sign: Guidelines for Transitioning to Oral Education or a Mainstream Setting.

Meet the Presenters


Terrell Clark, PhD
Dr. Clark is a Pediatric Psychologist who has for many years worked with children who are deaf or hard of hearing and with their families. She is director of the Deaf and Hard of Hearing Program (DHHP) at Boston Children's Hospital. DHHP is an interdisciplinary clinical and research group within the Department of Otolaryngology composed of specialists in psychology, audiology, medicine, education, language, and communications. Together, the staff of DHHP provide comprehensive evaluations and consultative services, guidance, and information to deaf and hard of hearing children, and their referring physicians, families, agencies, and schools. Dr. Clark is a Senior Associate in the Department of Psychiatry at Boston Children's Hospital and Instructor in Psychology at Harvard Medical School.

Charlotte H. Mullen, MA, CCC-A
Charlotte Mullen is a Pediatric Audiologist in the Department of Otolaryngology and Communication Enhancement at Boston Children's Hospital at Waltham. She has been affiliated with the Deaf and Hard of Hearing Program for many years and focuses on maximizing amplification and auditory access for children who are hard of hearing. She is also the Coordinator for Education and Training and in that capacity focuses on continuing education of staff and mentoring the next generation of audiologists. She is a graduate of the University of Massachusetts at Amherst and Western Michigan University and anticipates receiving her AuD from Salus University in the spring of 2009.

Stacey Culver CCC-SLP
Stacey Culver received her bachelor's degree from Brigham Young University in Audiology/Speech-Language Pathology, and her master's degree from Gallaudet University in Speech-Language Pathology. She has gained experience in a variety of settings, with both children and adults, although her current interests are in the area of pediatric aural rehabilitation. Mrs. Culver worked at Boston Children's Hospital, in the Deaf and Hard of Hearing Program, evaluating the communication skills of children with hearing loss, offering recommendations to the children's families and schools, and providing therapy services. Mrs. Culver currently resides in Wichita Falls, Texas.

Lynne Graham O’Brien, M.A., CCC-A, F-AAA
Lynne C. Graham O'Brien earned her master's degree in Audiology from the University of Connecticut's Childhood Hearing Impairment Program. For the past twelve years she worked at Boston Children's Hospital, both in the Diagnostic and Rehabilitative Audiology Programs, including participation on the Cochlear Implant Team. She is currently working at North Shore Children's Hospital in Salem, MA and is pursuing her doctorate. She lives on the North Shore of Massachusetts where she enjoys spending time by the water with her husband and two year old daughter.

Denise Fournier Eng, MA, CCC-SLP
Denise Fournier Eng, MA, CCC-SLP is a speech-language pathologist at Children’s Hospital Boston at Waltham’s Deaf and Hard of Hearing Program. Mrs. Eng has worked in private school programs for deaf and hard of hearing children, public school settings, and in early intervention. She currently teaches a course on speech and audiology in the deaf education master’s degree program at Boston University and has also taught at Framingham State College and Emerson College. Mrs. Eng has extensive experience in supervision and training of graduate student clinicians from Northeastern University, the Massachusetts General Hospital Institute of Health Professions, Boston University, and McGill University. She has coordinated in-service training programs for public schools and parents and, with her colleagues from Children’s Hospital, presented a half-day workshop entitled “One Child at a Time-Services for Families and Babies with Hearing Loss” at the 29th Annual Massachusetts Early Intervention Consortium Conference in May 2008. Her areas of special interest include play and language development, caregiver responsiveness and language modeling techniques and strategies.

Amy Szarkowski, PhD, MS
Dr. Szarkowski earned bachelor’s degrees in Psychology and Health Promotion/Fitness Management from Southern Oregon College and a master’s degree in Clinical Psychology from Eastern Kentucky University. She obtained a Ph.D. in Clinical Psychology from Gallaudet University in Washington, D.C. where she both learned and taught through American Sign Language. As a doctoral student, Szarkowski was granted a Fulbright scholarship to study the impact of hearing loss on families in Rome, Italy. Following the completion of her Ph.D., she served as a faculty member, teaching Psychology courses in Department of Comparative Cultures at Miyazaki International College in Japan. Dr. Szarkowski joined the Deaf and Hard of Hearing Program at the Children’s Hospital Boston in the September, 2007. She conducts psychological assessments of deaf and hard of hearing children and provides psychosocial support to families. Research interests include the social-emotional development of children and adolescents with hearing loss, the impact of hearing loss on the family, and ethical considerations in working with individuals with a hearing loss.




Thank you for your participation in our webinar series. To obtain Massachusetts Early Interventionist CECs, please download and print the file below. Please send the materials to:

Deaf and Hard of Hearing Program
Attn: Building Blocks of Intervention Coordinator
Boston Children's Hospital
9 Hope Avenue
Waltham, MA 02453

For any questions regarding these forms, please email us at: Use subject line: "Post Test"

Your submission must be postmarked no later than May 15.


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