“…Given the intrinsic focus within pediatric cochlear implantation on achieving functional hearing (Thoutenhoofd et al, 2005, p. 19), there is self-evident alignment of its objectives with those of national education policy-most notably the current ''presumption of mainstreaming '' pupils (Scottish Executive, 2002)because this currently implies a normative education that is monolingual and spoken in delivery. A number of studies have focused on mainstream placement as an outcome indicator (Archbold, Nikolopoulos, Lutman, & O'Donoghue, 2002;Archbold, Nikolopoulos, O'Donoghue, & Lutman, 1998;Bennett & Lynas, 2001;Daya, Ashley, Gysin, & Papsin, 2000;Fortnum, Marshall, Bamford, & Summerfield, 2002;Nevins & Chute, 1995), and some studies also take into account the cost of educational support offered in compensation for disadvantage present within the system (Francis, Koch, Wyatt, & Niparko, 1999;3 O'Neill et al, 20003 O'Neill et al, , 2001Wyatt & Niparko, 1996). In those studies mainstream placement is associated with relative independence from support, leading to claims of cost-savings over time in favor of cochlear implantation.…”