Communication Considerations A to Z™


[ Download printable pdf of this document ]
[ Back to Table of Contents ]


What do we mean by Urban/Rural Considerations?

Communication considerations in rural and urban settings address the decisions families must face when deciding where to live when raising a child who is deaf or hard of hearing (d/hh).  Because deafness and hearing loss occur fairly infrequently, families living in  rural settings often face problems that are lesser issues in more urban settings because local systems may not have encountered this condition before.

What issues are at the forefront of Rural/Urban living?

Many families report anecdotally that they move to urban centers to get to specialized services for their child who is deaf or hard of hearing. Living in a rural area can definitely be a challenge for peer interaction, language role models, clinical and educational audiological services, and proficient educators who have experience with children who are d/hh.  But many families have found a way to live in rural settings and also raise a child successfully through some of the following strategies:

“Rural educators and families can either focus on the feeling of isolation and lack of understanding they get from the urban-oriented American media, or they can appreciate the benefits of smaller communities and open spaces. But whatever their hangups or blessings, they must become more vocal if they are to have a voice in how national special education policy is shaped.”
   - Marty Strange, director of policy for the Rural School and Community Trust.

3. What should every parent and professional know about making a decision about where to live?

Each family must determine for themselves the priorities about where to live on behalf of their child who is deaf/hard of hearing in the context to their whole family, employment, extended family and other values that guide their decisions. The value for many families for rural living can also be a contributing factor to a successful child, and should not be minimized.

4. Where else can I find information about (this subject)? 



Author:  Cheryl DeConde Johnson was formerly a special education consultant with the Colorado Department of Education where she was responsible for deaf education and audiology services. Prior to her state service, she spent 22 years in the Greeley, Colorado school district as an educational audiologist and program administrator for the deaf and hard of hearing program. Cheryl is currently providing technical assistance, training, and program evaluations via her consulting practice, The ADVantage (Audiology, Deaf education, Vantage), as well as continues her research, writing, and teaching at several graduate programs in deaf education and audiology. She also serves on the Hands and Voices Board of Directors. Cheryl has a grown daughter who describes herself as sometimes deaf, sometimes hard of hearing.

Author: Janet DesGeorges lives in Boulder, CO with her husband and three daughters.  Janet is the Executive Director for Hands & Voices.  She is also an advocate for Deaf Education Reform and effective Universal Newborn Hearing Systems.  She can be reached at



* Communication Considerations A to Z™ is a series from Hands & Voices that's designed to help families and the professionals working with them access information and further resources to assist them in raising and educating children who are deaf or hard of hearing.  We've recruited some of the best in the business to share their insights on the many diverse considerations that play into communication modes & methods, and so many other variables that are part of informed decision making.  We hope you find the time to read them all!

[ Back to Table of Contents ]