So, the highlights: Time Compressed Speech Q's ability to understand speech without temporal cues was also assessed. This alters the temporal domain, thus reducing the predictablity of the signal. The auditory system should use its natural abilities to fill in the missing auditory information to understand the speeech signal which is called auditory closure Q scored 84% for the right ear and 6% for the left ear. Q's score for the left ear is significantly below the cut off score of 72% suggesting auditory closure difficulties for decoding skills and difficulties understanding speech information when his environment is compromised (someone's talking with their back to him or in a classroom environment). Pitch Pattern Test This test requires auditory discrimination, temporal ordering and pattern recognition. THree tones that differ in frequency or pitch are presented in both ears to the listener. The listener must repeat the pattern of the tones by verbalizing for example..."high, low, high.....high low low" (Q was first checked to make sure he understood the concept and heard high versus low). Q scored 50% for verbal and humming responses for both ears. Q notes difficulties with temporal and pattern recognition which are right hemisphere characteristics. Dichotic Listening test In this test, two numbers are presented to the rt. ear at the same time as two numbers are presented to the left ear. the listener must repeat all four numbers. This assesses the ability of the auditory system to integrate information from the right and left cerebral hemispheres. Q scored 96% for the right ear and 60% for the left ear which reveals a left ear deficit compared to the cut off score of 90% for both ears. This suggests and integration issue. Difficulties with the two sides of the brain working together to process auditory information. RECOMMENDATIONS: Q revealed an Integration sub-type auditory processing disorder. This is based on the below avg. results for the left ear for (the tests listed). 1. Q would benefit from HSAS home program (we have looked at this before because it is so intensive not sure he would cooperate) 2. Q can listen to books on CD in just his left ear (one headphone) to assist with the left ear listening by itself. Then he can add in different background noise in the right ear as he listens to the story in the left ear. He should then be able to summarize the information to confirm he was able to process the information. This can be done 20 minutes 4-5 times per week. 3. Q can work on bilateral integration activities thru his occupational therapy sessions (this is exactly what Occupational Therapist (OT) and PT found...that lt/rt integration was a big difficulty. 4. Ms. Q should investigate (the Neurological reorganization therapy that CD board member Snoopy had mentioned, which was so weird....I had just read her post then turned out one of the few providers was there the day we were there...the neurotech director saw us and introduced us because she too was thinking of Q when they were scheduling clients and having workshops, LOL...small world...totally different part of the country). She included a bunch of integration, brain gym kinds of activities and of course specific recommendations like using the auditory trainer, preferential seating, sitting to his right if teaching him something new (so doesn't have to use the rt brain to interpret, decode, etc. as much)..... Just sharing so if people are looking at an evaluation, they can see the types of things they do...there were many others but he did ok with things if it did not require as much interpretation requiring the rt. brain.