Cochlear Implants, Hearing Aids & Auditory-Verbal Therapy

Hearing Loss Speech Therapy

Helping children with hearing loss develop clear speech and confident language skills through specialized auditory-verbal therapy, cochlear implant rehabilitation, and hearing aid support in Greeley and Northern Colorado.

Child with hearing aid receiving speech therapy for hearing loss at Front Range Speech in Northern Colorado

Speech Therapy for Children with Hearing Loss

A diagnosis of hearing loss changes the trajectory of a child's communication development—but with the right intervention, children who are deaf or hard of hearing can achieve spoken language outcomes on par with their hearing peers. At Front Range Speech in Greeley, Colorado, we provide specialized speech-language therapy for children with all types and degrees of hearing loss, from mild unilateral loss to profound bilateral deafness.

Whether your child uses cochlear implants, hearing aids, bone-anchored hearing aids (BAHAs), or a combination of devices, our therapy is built around the listening and spoken language (LSL) framework—an evidence-based model that prioritizes auditory brain development and spoken communication. Families throughout Northern Colorado, including Windsor, Evans, Loveland, Fort Collins, and Longmont, trust our clinic for expert-level hearing loss intervention.

Our Approach: Auditory-Verbal Therapy and Beyond

Auditory-verbal therapy (AVT) is the cornerstone of our practice for children with hearing loss. AVT is a diagnostic, parent-centered approach that teaches children to use their residual hearing and amplification technology to develop spoken language. Rather than relying on visual cues such as lip reading, AVT builds the auditory neural pathways that allow a child to learn language through listening.

Each session follows a structured yet flexible format. We assess your child's current auditory skill level across the auditory hierarchy—detection, discrimination, identification, and comprehension—and design activities that push development to the next stage. Simultaneously, we coach parents and caregivers in real time, demonstrating techniques they can embed into everyday routines at home.

For families who prefer an auditory-oral approach that incorporates some visual information alongside auditory input, we adapt our methods accordingly. The goal is always the same: functional, intelligible spoken communication that allows your child to participate fully in academic and social settings.

Specialized Therapy by Device Type

1

Cochlear Implant Rehabilitation

Cochlear implants provide access to sound, but the brain must learn how to interpret that electrical signal as meaningful speech. We provide intensive post-activation therapy, beginning as soon as the device is turned on.

We work closely with your child's audiologist and CI team, providing detailed feedback on auditory responses to ensure therapy targets align with their mapping settings.

Therapy targets for children with cochlear implants typically include Ling sound detection and identification, suprasegmental pattern perception (rhythm, stress, intonation), vowel and consonant discrimination, word-level recognition in quiet and noise, and connected speech comprehension. As auditory skills develop, we layer in expressive language goals such as vocabulary, morphology, syntax, and narrative skills so listening gains translate into meaningful communication.

2

Hearing Aid & BAHA Therapy

Even with optimal amplification, children with hearing aids often miss subtle acoustic cues—like plural 's' markers or unvoiced consonants—that impact language development and literacy.

Our therapy focuses on closing the gap between a child's chronological age and their listening age, ensuring they develop the vocabulary, syntax, and speech clarity needed for academic success.

What We Target in Hearing Loss Therapy

Auditory skill development — progressing through detection, discrimination, identification, and comprehension of speech and environmental sounds
Speech sound production — building accurate articulation using auditory feedback rather than visual or tactile cues alone
Receptive and expressive language — vocabulary, grammar, sentence structure, and narrative skills matched to developmental expectations
Suprasegmental features — natural speech rhythm, intonation, stress patterns, and vocal quality
Phonemic awareness and literacy readiness — critical pre-reading skills that depend on solid auditory processing
Self-advocacy and device management — age-appropriate skills for managing hearing technology and communicating needs in school and social settings

Collaboration with Audiologists and Schools

Effective hearing loss intervention does not happen in isolation. We maintain active communication with your child's audiologist, ENT, early intervention team, and school-based professionals. In Greeley and the surrounding Weld County communities, we regularly coordinate with local school districts to support IEP and 504 plan development, recommend classroom accommodations such as FM systems and preferential seating, and ensure that therapy goals carry over into the academic environment.

For families receiving early intervention services through Colorado's Part C program, we can serve as the speech-language provider on your child's IFSP team, delivering services in the home or clinic setting depending on your family's needs.

Why Choose Front Range Speech for Hearing Loss Therapy

Pediatric hearing loss requires a speech-language pathologist with specialized knowledge that goes well beyond a generalist caseload. Our clinician brings advanced training in auditory-verbal therapy, cochlear implant rehabilitation, and the acoustic phonetics of aided hearing. We understand the nuances of different hearing technology, the implications of audiogram configurations on speech perception, and the developmental benchmarks that children with hearing loss should be meeting at each stage.

If your child has recently been identified with hearing loss, has received a cochlear implant or hearing aid, or is not making expected progress with their current therapy, we invite you to schedule a consultation. Families in Greeley, Fort Collins, Loveland, Windsor, and throughout Northern Colorado can reach us to discuss how we can support your child's listening and spoken language journey.

Frequently Asked Questions

Speech therapy should begin as soon as possible after cochlear implant activation—ideally within the first one to two weeks. Early, intensive auditory-verbal therapy helps your child's brain learn to interpret the new auditory signal during the critical period for language development. At Front Range Speech in Greeley, we coordinate closely with your child's audiologist to align therapy with each mapping session and ensure consistent progress.

Auditory-verbal therapy (AVT) teaches children with hearing loss to listen and develop spoken language through their hearing technology. Unlike total communication approaches that incorporate sign language, AVT emphasizes auditory skill development and coaches parents to create a language-rich listening environment at home. It is one component of the broader listening and spoken language (LSL) framework.

Yes, in most cases. Hearing aids amplify sound, but they do not teach a child how to process and use that auditory information for speech and language. Children and teens with aided hearing loss often need targeted therapy to develop phonemic awareness, vocabulary, grammar, and conversational skills at age-appropriate levels. Front Range Speech serves patients from birth through age 21, and a speech-language pathologist experienced in pediatric hearing loss can identify specific gaps and build a plan to close them at any stage of development.

A bone-anchored hearing aid (BAHA) is a surgically implanted device that transmits sound through bone conduction, bypassing the outer and middle ear. BAHAs are often recommended for children with conductive hearing loss, mixed hearing loss, or single-sided deafness. At Front Range Speech, we provide speech and language therapy for children who use BAHAs, focusing on auditory skill building, speech clarity, and language development tailored to each child's hearing profile.

Parent involvement is central to our approach. In auditory-verbal therapy, the parent is the child's primary language model. We coach caregivers on strategies such as acoustic highlighting, auditory sandwich techniques, and narrating daily routines to maximize listening practice outside of sessions. Families in Greeley, Windsor, Evans, and across Northern Colorado receive take-home activities and guidance so that every interaction becomes a language-learning opportunity.

Absolutely. Many children with hearing loss also present with speech sound errors because they have had limited or distorted access to the acoustic features of speech. We address both areas simultaneously—strengthening auditory discrimination so your child can hear the difference between sounds, while also using motor-based speech techniques to improve production accuracy. This integrated approach leads to faster, more lasting progress.

Ready to Help Your Child Communicate with Confidence?

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