The purpose of this study was to understand the school enrolment patterns for deaf and hard of hearing students with multiple disabilities and to examine their educational needs in special schools in Miyazaki. In 2016, the total of deaf and HOH students with multiple disabilities enrolled in special schools was 3.15% and 70% of them were enrolled in special schools exclusively or mainly for students with intellectual disabilities (ID). The deaf and HOH students with multiple disabilities who were enrolled in deaf schools wore hearing aids or cochlear implants because they had severe to profound hearing loss; however, their ID were rated mild or moderate. In contrast, the degree of hearing loss of deaf and HOH students with multiple disabilities enrolled in special schools exclusively and mainly for students with ID was less than severe to profound, but most were identified with severe to profound ID. Remarkably, 60 % students enrolling in the special school exclusively for students with ID had severe or profound hearing loss, that is, they needed visual aids such as sign, picture cards, and written texts all through class activities similar to students enrolling in deaf schools. However, special schools exclusively or mainly for students with ID might not be able to provide environments which promote their communication developments because of a lack of fundamental knowledge, trained teaching skills, modified curriculum, deliberate learning groups, and facilities to meet needs of students with ID whose additional need was deafness.
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