Prevalence of dichotic deficits in adjudicated adolescents: Implications for language skills and competency within the juvenile justice system
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Abstract
This study reports the prevalence of dichotic listening weaknesses in 10-18-year-old adjudicated adolescents and its potential impact on their language skills. The findings reveal that 35% of adjudicated adolescents exhibited matched dichotic deficit patterns sufficient to diagnose an APD, a prevalence rate that is higher than the 19% rate among age-matched typically developing children but lower than the 45% rate among age-matched children evaluated clinically for an auditory processing disorder (APD). These rates for all groups are significantly higher than the 2-7% prevalence rate commonly reported for APD in the pediatric population. The study also identified a link between low scores on dichotic listening tests and language deficits, suggesting potentially negative consequences for successful navigation through the juvenile justice system for these adolescents.
These results challenge the sustained underestimation of auditory processing risks in children and advocate for early identification and treatment of common processing deficits, emphasizing the need for consensus among researchers and clinicians in identifying and treating them. The implications of untreated auditory processing deficit on educational achievement, language skills, and behavior in adjudicated adolescents are discussed, emphasizing how they contribute to the schools-to-prison pipeline in the United States (U.S.). The study concludes by suggesting that early intervention through an evidence-based short-term auditory training protocol can improve dichotic listening and may alleviate some long-term educational underachievement and dysregulated behaviors associated with juvenile incarceration. The findings underscore the need for increased awareness, screening, and intervention for dichotic listening deficits in general and particularly in the at-risk, underserved pediatric populations world-wide.
Keywords:
juvenile justice system, Implications for language skills and competency within the juvenile justice system, Prevalence of dichotic deficits in adjudicated adolescents
Article Details
How to Cite
MONCRIEFF, Deborah; MENDEZ, Katherine Rehling Graham.
Prevalence of dichotic deficits in adjudicated adolescents: Implications for language skills and competency within the juvenile justice system.
Medical Research Archives, [S.l.], v. 12, n. 3, mar. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5099>. Date accessed: 22 dec. 2024.
doi: https://doi.org/10.18103/mra.v12i3.5099.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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12. Cacace AT, McFarland DJ. The importance of modality specificity in diagnosing central auditory processing disorder. Am J Audiol. 2005;14(2):112–123. doi:10.1044/1059-0889(2005/012).
13. Cavendish W. Academic attainment during commitment and post-release education-related outcomes of juvenile justice-involved youth with and without disabilities. J Educ Behav Disord. 2014;22:41–52.
14. Cuellar AE, Markowitz S. School suspension and the schools-to-prison pipeline. Int Rev Law Econ. 2015;43:98–106.
15. Connors CK, Kramer K, Guerra F. Auditory synthesis and dichotic listening in children with learning disabilities. J Spec Educ. 1969;3(2):163–170.
16. Crawford D. ACLD-R & D project summary: A study investigating the link between learning disabilities and juvenile delinquency. In: Cruickshank WM, Kliebhan JM, eds. Early Adolescence to Early Adulthood. Syracuse, NY: Syracuse University Press; 1984. p. 13–71.
17. Davis AD, Sanger DD, Morris-Friehe M. Language skills of delinquent and non-delinquent adolescent males. J Commun Disord. 1991;24:251–266.
18. DeBonis DA, Moncrieff D. Auditory processing disorders: An update for speech-language pathologists. Am J Speech-Lang Pathol. 2008;17(1):4-18. doi:10.1044/1058-0360(2008/002).
19. Dusky v. United States, 362 U.S. 402, 402 (1960).
20. Emanuel DC, Ficca KN, Korczak P. Survey of the diagnosis and management of auditory processing disorder. Am J Audiol. 2011;20:48–60.
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23. Hancock A, Northcott S, Hobson H, Clarke M. Speech, language and communication needs and mental health: The experiences of speech and language therapists and mental health professionals. Int J Lang Commun Disord. 2023;58(1):52–66. doi:10.1111/1460-6984.12767.
24. Hawkins JD, Lishner DM, Johnson EH. Handbook on crime and delinquency prevention. Westport, CT: Greenwood Press; 1987.
25. Hemez P, Brent JJ, Mowen TJ. Exploring the school-to-prison pipeline: How school suspensions influence incarceration during young adulthood. Youth Violence Juv Justice. 2020;18(3):235-255. doi:10.1177/1541204019880945.
26. Hinshaw SP. Academic underachievement, attention deficits, and aggression: Comorbidity and implications for intervention. J Consult Clin Psychol. 1992;60: 893–903.
27. Hirschi T, Hindelang MJ. Intelligence and delinquency: A revisionist review. Am Sociol Rev. 1977;42:571–587.
28. Kincaid AP, Sullivan AL. Parity or disparity? Outcomes of court-involved youth with and without disabilities. Remedial Spec Educ. 2020;41(6):368-377. doi:10.1177/0741 932519887502.
29. Kingsbury S, Khvalabov N, Stirn J, et al. Barriers to Equity in Pediatric Hearing Health Care: A Review of the Evidence. Perspect ASHA SIGs. 2022;7(4):1060-1071. doi:10.104 4/2021_persp-21-00188.
30. Kral A, Kronenberger WG, Pisoni DB, O'Donoghue GM. Neurocognitive factors in sensory restoration of early deafness: A connectome model. Lancet Neurol. 2016;15(6):610-621. doi:10.1016/S1474-4422 (16)00034-X.
31. Krezmien MP, Mulcahy CA, Leone PE. Detained and committed youth: Examining differences in achievement, mental health needs, and special education status. Educ Treat Child. 2008;31(4):445-464.
32. LaVigne M, Van Rybroek G. Breakdown in the language zone: The prevalence of language impairments among juvenile and adult offenders and why it matters. 15 U.C. Davis J. Juv. L. & Policy 37. 2011.
33. Lee SY, Villagrana M. Differences in risk and protective factors between crossover and non-crossover youth in juvenile justice. Child Youth Serv Rev. 2015;58:18–27. doi:10.1016/j .childyouth.2015.09.001.
34. Lieu JEC, Kenna M, Anne S, Davidson L. Hearing Loss in Children: A Review. JAMA. 2020;324(21):2195-2205. doi:10.1001/jama.2020.17647.
35. Litovsky R. Development of the auditory system. Handbook Clin Neurol. 2015;129:55-72. doi:10.1016/B978-0-444-62630-1.00003-2. PMID: 25726262; PMCID: PMC4612629.
36. Mattsson T, Follestad T, Andersson S, Lind O, Oygarden J, Nordgard S. Normative data for diagnosing auditory processing disorder in Norwegian children aged 7–12 years. Int J Audiol. 2017;57:1-11. doi:10.1080 /14992027.2017.1366670.
37. McFarland DJ, Cacace AT. Current controversies in CAPD: From Procrustes’ bed to Pandora’s box. In: Parthasarathy TK, ed. An Introduction to Auditory Processing Disorders in Children. Erlbaum; 2006:247–263.
38. Moeller MP, Tomblin JB, Yoshinaga-Itano C, Connor CM, Jerger S. Current state of knowledge: Language and literacy of children with hearing impairment. Ear Hear. 2007;28(6) :740-753. doi:10.1097/AUD.0b013e318157f07f.
39. Mohr P, Feldman J, Dunbar J, McConkey-Robbins A, Niparko J, Rittenhouse R, Skinner M. The societal costs of severe to profound hearing loss in the United States. Int J Technol Assess Health Care. 2000;16(04):1120-1135. doi:10.1017/S0266462300103162.
40. Moncrieff D. Age- and gender-specific normative information from children assessed with a dichotic words test. J Am Acad Audiol. 2015;26(7):632-644. doi:10.3766/jaaa.14096.
41. Moncrieff D. Amblyaudia and Speech-in-Noise Difficulties: Mother and Son or Kissing Cousins? Presentation at the American Academy of Audiology annual convention, Nashville, TN; April 2018.
42. Moncrieff D, Keith W, Abramson M, Swann A. Diagnosis of amblyaudia in children referred for auditory processing assessment. Int J Audiol. 2016;55(6):333-345. doi:10.3109 /14992027.2015.1128003.
43. Moncrieff D, Keith W, Abramson M, Swann A. Evidence of binaural integration benefits following ARIA training for children and adolescents diagnosed with amblyaudia. Int J Audiol. 2017;56(8):580-588. doi:10.1080 /14992027.2017.1303199.
44. Moncrieff D, Miller E, Hill E. Screening Tests Reveal High Risk Among Adjudicated Adolescents of Auditory Processing and Language Disorders. J Speech Lang Hear Res. 2018;61(4):924-935. doi:10.1044/2017_JSLHR-H-17-0098.
45. Moncrieff DW, Wertz D. Auditory rehabilitation for interaural asymmetry: Preliminary evidence of improved dichotic listening performance following intensive training. Int J Audiol. 2008;47(2):84-97. doi:10 .1080/14992020701770835.
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