1. Surveys Parent Survey Response rate: 43% (221 of 517 parents) Sent to MDH list of parents with children age birth to five who are deaf or hard of hearing. Mail survey Conducted in November of 2012 Teacher Survey Response rate: 65% (164 of 254 teachers) Sent to MDE list of D/HH teachers. Online survey Conducted in January 2013

2. Parent Survey Results The majority were from the Metro Area (Figure 1). The largest proportion had children age 2 to 3 (Figure 2). The majority said their children were diagnosed before they were 6 months old (Figure 3). 2/3 use a hearing aid (figure 5). The majority of children communicate through spoken language, sigh language or both (Figure 6).

3. Parent Survey Results Communication Mode and Development Figure 7

4. Parent Survey Results Communication Mode and Development Figure 8

5. Parent Survey Results Communication Mode and Development Figure 9

6. Parent Survey Results Communication Mode and Development Figure 10

7. Parent Survey Results Communication Mode and Development Figure 11

8. Parent Survey Results General Development Figure 13

9. Parent Survey Results General Development Figure 14

10. Parent Survey Results General Development Figure 15

11. Parent Survey Results What are your greatest challenges in supporting your child’s overall development? Gaging appropriate development of the child Communication with the child Lack of time/logistics challenges Finances Hearing aids p.11

12. Parent Survey Results Medical and Educational Services Figure 17

13. What has been the most helpful resource or service to you in supporting your child’s development? D/HH teacher Audiologist Early Childhood Special Education School district Speech language therapist Doctors Help Me Grow p. 14 Parent Survey Results

14. IFSP/IEP Figure 19

15. Parent Survey Results IFSP/IEP Figure 21

16. Parent Survey Results IFSP/IEP Figure 22

17. D/HH Teacher Survey Results Nearly half have taught D/HH for more than 15 years (Figure 25). Most (84%) have a master’s degree (Figure 26). Just over half were from the Metro Area (Figure 27). For the majority (68%), the primary model of service delivery was itinerant (Figure 28). Respondents reported a total of 2,486 children/students on their caseloads collectively. – The average and median caseload was 15 children with a range of one to 52. – The average urban caseload was slightly smaller than rural and suburban caseloads. – Suburban caseloads were more likely to have younger children (birth-5 years).

18. D/HH Teacher Survey Results Children Birth to Age Five Figure 33

19. D/HH Teacher Survey Results Children Birth to Age Five Figure 34

20. D/HH Teacher Survey Results Resources and Training Figure 36

21. D/HH Teacher Survey Results Resources and Training Figure 38

22. D/HH Teacher Survey Results Use of Various Entities Figure 39

23. D/HH Teacher Survey Results Use of Various Entities Figure 40

24. D/HH Teacher Survey Results K-8th grade Reading and Math Performance Figure 42

25. D/HH Teacher Survey Results Access to Medical and Audiological Care Figure 43

26. D/HH Teacher Survey Results Access to Medical and Audiological Care Figure 44

27. D/HH Teacher Survey Results Access to Technology Figure 45

28. D/HH Teacher Survey Results Access to Instruction and Support Figure 48 Instruction or SupportPercent of children/students Certified cued language interpreter91% Direct instruction from professional staff who are fluent in the student's chosen mode of communication 89% Paraprofessional fluent in the student's chosen mode of communication 75% Certified cued language transliterator73% Trained intervener68% Deaf mentor26%

29. D/HH Teacher Survey Results Access to Instruction and Support Figure 49-51

30. D/HH Teacher Survey Results Access to Instruction and Support Figure 52-54

31. D/HH Teacher Survey Results Access to Instruction and Support Figure 55

32. D/HH Teacher Survey Results Time Spent on Activities Figure 56

33. D/HH Teacher Survey Results The Top Ranked Factors that Determine Individual Student Service Minutes (p. 40): Student’s academic needs Goals and needs on IEP Student’s current rate of academic progress Teacher’s availability

34. D/HH Teacher Survey Results IDEA Requirements Figure 57

35. D/HH Teacher Survey Results Written Communication Plans Figure 58

36. D/HH Teacher Survey Results Access to Counseling/Mental Health Services Figure 59

37. D/HH Teacher Survey Results Access to Counseling/Mental Health Services Figure 60