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Pediatric Audiology & Social Work: An Underutilized Collaboration

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1.  An Audiologist may refer to social work as a result of: Normal hearing test and age appropriate behaviors Normal hearing test and supportive family dynamics Normal hearing test and family who presents with social concerns Normal hearing test and family history of congenital hearing loss

2.  A social worker is someone who: Is trained to work alongside Audiologists regarding behavioral concerns Has specific training in social work and a social work degree Is anyone who works with children and calls themselves a social worker Someone who works for Child Protective Services

3.  An Audiologist may have concerns for ADHD with which of the following presentation: Stereotypical behaviors before the age of 3 and a normal hearing test Abnormal hearing test and speech delay Reports from the school and teacher of not listening and not following simple directions, and child has a normal hearing test A child who destroys property during an exam

4.  Child Protective Services calls are necessary when: There are concerns for lack of adequate food or shelter A child states that an individual touched their genitals There are bruises on a child in inappropriate areas (such as their upper arms) that parents and child are unable to explain All of the above

5.  Social skills deficits are concerning when: The child is able to make friends, but friends are limited in number The child has no interest in friends and appears unable to connect with others The child functions quite well in settings where they feel comfortable, but not in new or strange environments The teacher and parents report that client is picked on by peer at schools

6.  Distractibility, difficulty following directions, and hyperactivity can all be symptoms of ADHD PTSD Developmental delay All of the above

7.  Child Protective Services calls require which of the following: For a provider to have seen abuse occur a.For there to be medical documentation of bruises or an abnormal physical exam Suspicion of inappropriate treatment or caregiving The child's social security number

8.  Social work services are available in which of the following settings: Most hospitals Community mental health agencies The office of a private practice LCSW All of the above

9.  Which scenario is NOT an optimal approach to introducing the idea of social work to a family during their hearing test? Preschooler is very active and disobedient during appointment. Audiologist comments to family about difficulty engaging child and promotes social work referral. Preschooler is very fearful during appointment. When asked, parents express that she's nervous about "taking a test" and that she gets stressed out easily when she needs to perform a task. Audiologist promotes social work referral. Preschooler is very resistant to provider instructions and has difficulty remaining in her chair. Audiologist inquires whether this is typical (or if any modifications may help child, etc.); parents report that she is "always like this". Audiologist promotes social work referral. Preschooler appears withdrawn during appointment. Parents confide that a family member has recently died and that he has been having difficulty processing his emotions. Audiologist promotes social work referral.

10.  Why might an audiologist be the first one to spot social work needs in a family? Longer appointment times to observe and interact with child, relative to typical primary care visits Audiology case history often asks detailed questions about behavior and social development Audiology may be first in a series of multiple appointments evaluating a specific concern (e.g., developmental delay) All of the above