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Literacy for Children with Combined Vision and Hearing Loss

Strategy 1: Develop A Trusting Relationship with the Child

What to do

Things to Consider

  • Are you close enough so the child knows you are there?

  • Is the child positioned in a manner that is both functional and comfortable?
  • Are the cues you are using specific to and appropriate for the child?
  • For a child who is non-verbal, have you explored using voice output devices?
  • Does your pacing match that of the child?
  • Are you engaging in an action the child likes rather than something you want the child to do?


Always Ask Yourself

Tips for Turn-Taking

  • Place yourself in close proximity to the child and in a position so the child knows you are there
  • Greet the student and introduce yourself
  • Watch and wait for a response. Be patient and give child time to notice and process your presence.
  • Enter the child’s space and adopt the child’s pace, follow the child’s lead
  • Imitate the child’s actions (vocal, visual, movement)
  • Add words or music to the child’s actions
  • Look for a response from the child – may be subtle (change in breathing rate, skin color, change in pace of their action)
  • Begin a turn-taking exchange (action – cue to respond – wait – repeat)
  • Find ways to turn-take within familiar interactions, routines and activities (e.g. bath time)
  • Use familiar and favorite objects