CHOP’s Assessment and Treatment Implementation Program for Infants and Toddlers with Hearing Loss–Enhancing Rehabilitation (CATIPIHLER) provides ongoing, comprehensive, coordinated assessment and intervention services to young children with hearing loss and their families. CATIPIHLER is part of the Center for Childhood Communication. The team includes audiologists, speech-language pathologists, and child and family therapists.

CATIPIHLER was designed to support children from the time a hearing loss is identified through entry to school, evaluate the progress of communication skills and assist with the transition into the school system.

The program also helps families identify and access services both inside and outside the Hospital, including services for optimal communication development.

Our services

  • Hearing and hearing loss
  • Types of therapy services
  • Information about educational law
  • Communication options and educational settings
  • The importance of encouraging learning in the home

Speech and language assessment and intervention sessions

Our speech-language pathologists help children with hearing loss develop speech, language and auditory skills.

These services are not meant to replace your child’s Early Intervention services but rather to work in collaboration with your service provider. Early Intervention service providers are welcome to attend these sessions.

Sessions are designed to work closely with parents to:

  • Provide information regarding normal auditory/speech/language development
  • Model techniques for facilitating spoken language
  • Discuss activities designed to help your child reach auditory/speech/language milestones
  • Monitor your child’s progress

Family Wellness Services

Adjustment to hearing loss consultation

The consultation includes a visit with your family to:

  • Discuss your understanding of your child’s hearing loss
  • Discuss how you can help your child make a healthy adjustment to his hearing loss
  • Identify barriers or problems to follow-ups and offer suggestions to overcome these barriers
  • Provide you with information about:
    • Normal social, emotional and behavior development between birth and 9 years
    • What families and schools can do to promote this development
    • The importance of consistent, effective communication between you and your child
  • Provide intervention and/or referrals to help during the more challenging times

If you are interested in an initial consultation, please schedule an individual family appointment by contacting our coordinator, Eileen Rall. Additional consultations are available upon request.


The CATIPIHLER team includes audiologists, speech-language pathologists and a child and family therapist. CATIPIHLER works collaboratively with Early Intervention providers to support children from the time of diagnosis until entry into kindergarten.

For more information

For more information and to schedule an appointment, please contact our coordinator, Eileen Rall.

Next Steps