A lot of attention in the AVT world is focused on infants and toddlers — detecting hearing loss at birth, fitting them hearing technology ASAP, and getting their families off to a running start with listening and spoken language early intervention.  When all goes well, many of these children can be fully mainstreamed from preschool and have no need for further therapy.  That’s the ideal.  It happens for many children, but not all.  What about children who are identified as toddlers, or implanted late, or have other complicating factors that lead to slower than expected speech and language progress?  What happens when little kids become big kids who still need intervention?

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