“…Children who are DHH constitute a unique subgroup of individuals whose language and communication needs often differ from those of hearing children, as well as hearing children with disabilities (American Speech-Language-Hearing Association [ASHA], 2008). Given the high percentage of children who are DHH and also are diagnosed with an additional disability or developmental delay such as vision loss, cerebral palsy, or an intellectual disability (Bhasin, Brocksen, Avchen, & Van Naarden Braun, 2006), TODs need to be well-prepared to address needs beyond those only associated with deafness. In addition to having knowledge of children's hearing loss, use of amplification and/or augmentation, and preferred mode of communication, TODs need to appreciate how hearing loss influences other developmental skills.…”