An Ethnographic Survey Focusing on Delivery of Audiologic Services to Students in Public Schools in the State of Missouri


Casey Hinson

Date of Graduation

Spring 1999


Master of Science in Communication Sciences and Disorders


Communication Sciences and Disorders

Committee Chair

Mary Byrne


This study was conducted to gather information describing the models of service delivery used throughout Missouri and determine the extent to which compliance with PL 105-17, the Missouri State Plan, and the Model Compliance Plan is met. Factors that determine the unique design of each model and its effectiveness in delivery of audiological services are described. Qualitative data were collected regarding audiologic service delivery models used in four school programs located in different demographic settings in Missouri. These settings include: (1) a major metropolitan area, (2) a minor metropolitan area, (3) a State Residential School for the Deaf, and (4) a non-metropolitan/rural area. One of three audiologic service delivery models was identified as being operative in each of these programs. These models include: (a) the parent-referral model, (b) the school-based model, or (c) the contractual agreement model. Service delivery procedures implemented in each setting were compared to those recommended in the regulations of federal law, PL 105-17, as well as, guidelines promulgated in the 1996 Missouri State Compliance Plan, and the Model Compliance Plan for Special Education: Section of Special Education School Improvement (August, 1994). Results indicated that the highest ratings for compliance to regulations and guidelines are associated with the employment of an educational audiologist. Results also suggest that compliance in all models may be improved by modifying current procedures.

Subject Categories

Communication Sciences and Disorders


© Casey Hinson