202324AnnualRepor t
CSHCSpeechLanguagePat hol ogi st , Al exa,pr ovi di ng ourAPPLEaDay Pr ogr am i nt he Cent r al /Al bemar l e communi t y
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AsIr ef l ec tont hei nc r edi bl ej our neyofnotj us tt hepas ty ear ,butt hepas t56y ear s ,I am ov er whel medwi t hgr at i t udef ort hepeopl ewhohav es hapedours t or y . I nt hewor dsofRol andEl l i ot t ,oneofourf oundi ng member sf r om t heJ uni orLeague( pi c t ur edr i ght ) : “ Wec oul dnothav ek nownatt het i mewhatChar l ot t e Speec handHear i ngCent erwoul dbec ome. ”Fr om a t i nyhous ei nChar l ot t es er v i ngl es st han10c hi l dr en bor nwi t hhear i ngl os sduet ot heRubel l aepi demi ct o mul t i pl eof f i c ess er v i ng4, 000i ndi v i dual si nourpos t pandemi cwor l dwi t hi t spr of oundc ons equenc es ; CSHC’ smi s s i onr emai nsv i t al ands t r ong. T oours t af f ,boar dmember s ,donor s ,andv ol unt eer s —y ourdedi c at i ont oourmi s s i oni sawei ns pi r i ng.T o t hef ami l i es ,par t ner s ,andi ndi v i dual swes er v e— y ouar et hehear tofev er y t hi ngwedo.Thanky ouf or t r us t i ngust owal kal ongs i dey ou. Letushonort hel egac yoft hos ewhoc amebef or eusandembr ac et hepos s i bi l i t i esof t hef ut ur easwemov ei nt oour57t hy ear .T oget her ,wec anc ont i nuebui l di ngamor e i nc l us i v e,c ompas s i onat e,andc onnec t edwor l dt hr oughc ommuni cat i on.Her e’ st o anot hery earofgr owt h,s er v i c e,andgr at i t ude. Let ’ smak ei tex t r aor di nar y ! Bes tr egar dsal way s ,
Sus anDi on, Chai r ,Boar dofDi r ec t or s
ShannonTuc k er , Exec ut i v eDi r ec t or
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Communi cat i oni nourCount r y Communi cat i ondi sor der sandt hei rnegat i vesi deef f ect si mpactover40mi l l i onAmer i cans.I tmayaf f ectyou per sonal l y ,oryoumayknowsomeonewhoi saf f ect ed-anagi ngpar entwhoi sst r uggl i ngt ohear ,anephewwhocan’ t expr esshi sneeds,anei ghborwhost oppedsoci al i zi ng.Thesedi sor der sar esomewhati nvi si bl ebutt ouchusal l . Char l ot t eSpeechandHear i ngCent erexi st st ot r ansf or mt hel i vesoft hesei ndi vi dual s.
Hear i ngLossAcr ossOurNat i on
Ast heagi ngadul tpopul at i onexpandsacr ossournat i on,weknowour ser vi cesar emor ei mpor t antt hanever . I nf act ,t heWor l dHeal t hOr gani zat i onest i mat esby2050near l y 1i n4peopl ewi l lhavesomedegr eeofhear i ngl oss,a50% i ncr ease f r om t oday .Unt r eat edhear i ngl osscanhavesi gni f i cantconsequences i ncl udi ngdement i a,cogni t i vedecl i ne,anddepr essi on.JohnsHopki ns exper t sdi scover edt hatmi l dhear i ngl ossdoubl edt her i skofdement i a, whi l esever el ossi ncr easedt her i skbyaf act oroff i vet i mes. I nr esponse,CSHChasmadecommuni t yout r eachapr i or i t y .Dur i ng ourf i scalyear20232024,wemor et hanquadr upl edt henumberof f r eehear i ngscr eeni ngswepr ovi ded,whi l eal soi ncr easi ngour communi t yawar enessonhear i ngl osspr event i onandt r eat ment .
SpeechLanguageDevel opmenti nAmer i ca’ sChi l dr en
Wehaveal soexper i encedar ecentr i sei nt heneedf orourspeechl anguageser vi cesf r om t heyoungestamongus. CSHC’ sLi zaSt ahnkepennedanar t i cl ef ort heAmer i canSpeech–Language–Hear i ngAssoci at i on’ spubl i cat i onThe ASHALeaderont hi st opi c,ent i t l ed“ El usi veWor ds:Conf r ont i ngt hePost Pandemi cSki l l sGap. ” Li zawr ot e,pr i ort ot heCOVI D19Pandemi c,CSHC wasr epor t i ngspeechl anguagescr eeni ngf ai l ur es amongpr eschool er st obebet ween20%–22%.By 2021,f ai lr at eswer edoubl et hepr epandemi cr at es, 44%.Thi st r endhasbeenexper i encednat i onwi deand speechl anguagescr eeni ngf ai lr at eshaver emai ned ar ound43%. I ti scr uci alt hesel anguagedel aysbei dent i f i edand addr essedear l y ,as75% ofbr ai ndevel opmentoccur s i nt hef i r stf ewyear sofl i f e.NobelPr i zewi nni ng, Uni ver si t yofChi cagoEconomi csPr of essorJames Heckmanwasquot edsayi ng“ Thehi ghestr at eofr et ur n i near l ychi l dhooddevel opmentcomesf r om i nvest i ngasear l yaspossi bl e,f r om bi r t ht hr oughagef i ve. ”TheHeckman Cur ve( above)showst her et ur noni nvest mentf orear l ychi l dhoodpr ogr ams,l i keour s. Thought hi si ncr easei nspeechl anguagedel aysi sconcer ni ng,i thasr ai sedawar enessoft hei mpor t anceofear l y i dent i f i cat i onandonl ymadeusmor ecommi t t edt ot hi scor ecomponentofourmi ssi on.
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I nourCommuni t y Themi ssi onofChar l ot t eSpeechandHear i ngCent eri st opr ovi deaccesst osuper i orspeechl anguageandhear i ng heal t hcar et hatempower sandt r ansf or msl i ves.Pr ovi di ngaccesst ocar ei scr uci alt oensur et hei ndi vi dual swhoneed ourser vi cesmostar er ecei vi ngt hem.Thati swhyourpr ovi der sspend50% oft hei rt i medi r ect l ywor ki ngwi t hi nour communi t y ,wher et heneedi sgr eat est .Dur i ngf i scalyear20232024,ourpr ovi der sser vedover2, 300i ndi vi dual sat communi t ypar t nersi t es,ext endi ngourr eachwi t hat r uehear tofser vi ce. Language Hi gher Cogni t i ve Funct i on
Sensor y Pat hways ( Vi s i on, Hear i ng)
Fi r stYear
Languageandt heFi r stFi veYear s
Achi l dmakesmor ebr ai nconnect i onst hef i r stf i veyear sofl i f et han anyot hert i mei nt hei rl i ves,maki ngi tahi ghl ycr i t i calper i od.Many chi l dr eni nunder r esour cedcommuni t i eshaveahi ghi nci dence ofuni dent i f i edspeechl anguagedel aysandl ackt hest r ong l anguagef oundat i ont hati scr i t i calf orki nder gar t en.Thi si swhy manyofourcommuni t ybasedser vi cesoccurwi t hi nt he“ cr escent ” ar easofChar l ot t e.Byaddr essi ngt hi scr i t i cali ssuei nanar eaof hi ghneed,wecanpr ovi deabr i ght erf ut ur ef ormanychi l dr en whi l eal soal l evi at i ngchal l engesf ort hei rf ami l i es,t hei rt eacher s andourschoolsyst ems,cr eat i ngast r ongercommuni t yf oral l .
Educat i ngEar l yEducat or s
Par ent spl ayacr i t i calr ol ei nt hedevel opmentofachi l d,yetwi t ha l ar genumberofchi l dr eni nchi l dcar e,t hei rt eacher sar eal soavi t al component .Thi si swhyCSHCst r i vest oar m ear l ychi l dcar e educat or swi t ht heknowl edgeandski l l snecessar yt ocr eat e l anguager i chenvi r onment sf orchi l dr eni nt hei rcar e.Language devel opmenti sessent i alt ot hel ongt er m successofachi l dand equal l ydet r i ment ali fnegl ect ed.Weuseourexper t i set ost r engt hen t hechi l dcar esyst em byequi ppi ngeducat or st oi mpr ovekeyski l l s suchasor all anguageandl i st eni ngcompr ehensi on,aswel lashow t or ef erappr opr i at el ywhendel aysar esuspect ed.
Accesst oSuper i orHear i ngHeal t hcar e
Hear i ngheal t hi scr i t i calf orover al lheal t h,physi calsaf et y ,aswel l associ alandemot i onalwel l bei ng. TheCSHCaudi ol ogydepar t mentsuppor t sourcommuni t yby pr ovi di ngf r eehear i ngscr eeni ngsandeducat i ononhear i ngheal t h t hr oughoutt her egi on.Oneofonl yt wopr ovi der st oacceptMedi cai d f orpedi at r i chear i ngser vi cesandt heonl yonet opr ovi del owcost devi cest oadul t si nt heGr eat erChar l ot t er egi on,wear eauni que andessent i alpar toft hecommuni t y . CSHCser vi cesenr i chl i ves,enabl i ngi ndi vi dual st ot hr i veand act i vel yengagewi t ht hei rf ami l i esandcommuni t i es. Pg.5
ForourPat i ent s Forover50year s,Char l ot t eSpeechandHear i ngCent erhasbeenabeaconofhopef orf ami l i esi nourcommuni t y .By pr ovi di ngaccesst ocr i t i calser vi ces,weempoweri ndi vi dual st of i ndt hei rvoi ces,r egai ni ndependence,andt hr i ve. Whi l ecommuni cat i ondi sor der sandaccesst oser vi cest oaddr esst hem i sanat i onwi dei ssue,andourcommuni t ybasedpr ogr amsar eatt hecor eofourmi ssi on,ourhear ti sof t ent ouchedmostbyasi ngl echi l dorapar t i cul arf ami l y .
Fi r st HandTest i moni al s
Kat i e’ sf ami l yi soneofmanywhohaveexper i encedt het r ansf or mat i vei mpactofCSHC.Kat i e’ ssonwasonl y18 mont hsol dwhenhi spar ent snot i cedhecoul dn’ tf or m wor dst oexpr esshi msel f .Theywor r i edabouthi sf ut ur e,and wonder edi fhewoul dbel i mi t edt ousi ngsi gnl anguagel ongt er m. “ Wi l loursoneverspeak?Tel lusst or i esabouthi sday?Make f r i endsont hepl aygr ound?Navi gat eschool ?”Kat i eshar ed. Ar ef er r albr oughtt hem t oCSHC,wher et heymetour compassi onat et eam andaccessedourl i f echangi ngpr ogr ams. “ Thankst oCSHCandt hei ri ncr edi bl est af f —especi al l yTi na—our soni st hr i vi ng.Nowf i veyear sol d,hel ovespl ayi ngPowerRanger s wi t hf r i endsatschool ,shar i ngf unf act saboutt her ai nf or estand hi sf avor i t eani mal s( sl ot hs) ,andt el l i ngusal laboutt heel abor at e pi ct ur eshedr aws.Hear i nghi svoi cest i l lf i l l suswi t hj oy .You’ d neverknowhi sj our neyst ar t edt hewayi tdi d, ”Kat i esai d. AtCSHC,webel i eveever ychi l ddeser vest hechancet obehear d.Toget her ,wecancont i nuemaki ngadi f f er ence.
TI TLE Kat i e’ s
Rest or i ngConnect i onsThr oughHear i ng
AtCSHC,ourmi ssi ongoesbeyondhel pi ngchi l dr en—we’ r eal soa l i f el i nef orol deradul t sf aci ngt hei sol at i ngef f ect sofhear i ngl oss. Fr edr i ck,ast eadf astandki ndhear t edseni or ,knowst hepr of ound di f f er encehear i ngai dscanmake.Foryear s,hi shear i ngl oss qui et l yer odedhi ssoci all i f e,maki ngcher i shedf ami l ymoment sf eel di st antandl eavi nghi m ont hef r i ngesofconver sat i onst hatonce br oughthi mj oy .
“ Oneoft hepr obl emswi t hhear i ngl ossi st hatyoucan' tpar t i ci pat e i nsoci alact i vi t i esasmuchasyou’ dl i ke,soyout endt ohavea r est r i ct i vesoci all i f e, ”Fr edr i ckshar ed,hi svoi cet i ngedwi t h r ef l ect i on.“ Hear i ngai dsmakeabi gdi f f er ence. ”Fr eder i ck’ sj our ney i sat est amentt ot het r ansf or mat i vepowerofourser vi ces.Hi smessaget oot her squest i oni ngi ft her e’ shopef or i mpr ovi ngt hei rl i vest hr oughbet t erhear i ngi ssi mpl eyethear t f el t :“ Oh,absol ut el y! ”
AShar edMi ssi on
Fr eder i ckandKat i e’ sst or i esar epower f ulr emi nder sofwhyCSHC’ swor kmat t er s.Whet heri t ’ sgi vi ngachi l dt hei r voi ceandabr i ght erf ut ur eorhel pi ngaseni orr edi scovert hej oyofconver sat i on,ourgoali st ot r ansf or ml i vest hr ough t hegi f tofcommuni cat i on.Wi t hyoursuppor t ,wecancont i nuet obr i nghope,conf i dence,andconnect i ont ot hosewho needi tmost .Toget her ,we’ r ecr eat i ngawor l dwher eever yvoi cei shear d.
OURTOPDONORS Wi l l i am E.Acker manI I I JaynaAl t man Per r i nandBet t yAnder son Pam andMi chael Aust i n AbhiBaner j ee Bel kFoundat i on TheBi l landShar onAl l enFami l yFoundat i on Mar kBl ack Mi chaelandEl i zabet hBl ai r Ri char dBr i gden PatBr yant Char l ot t eDi l wor t hRot ar y Sar ahCl ar k Jessi caConi gl i o Dougl asCosl er RachelandMi chaelCoyne Lesl i eCr amer Mar yl i nCul p SusanDi on,Esq. NancyDool ey DowdFoundat i on,I nc. DukeEner gyCor por at i onPAC Al i ceandKevi nEckenr ode TheEl eanorandJamesBar nhar dtFoundat i on CatEl hi ch D.JoshuaEl l i ot t Er nst&Young Excl usi veMovi ng&Del i ver y Foar d&Co. ,PA,CPA Foundat i onf ort heCar ol i nas Mel i ssaFozman TheGeor geandRut hR.Baxt erFoundat i on Kei t hGi ddens Chr i st opherandSt ephani eGol l er Wi l l i am T.Gr aves Rut hAnnGr i ssom Kar enGunt her Har r i sTeet er Mi chaelandDr ewHei d HotGl assAl l ey ,LLC Kar enandGr egHut chens Hal eyandMar t i nHut chens Denni sI r wi n Kat i eandThomasI r wi n Dr .JadandDenaJabbour Er i nM.Kel l ey
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Kevi nandJennyKendr i ck Dar r el lKl ot z,M. D. ,andAr i anaShahi nf ar ,Ph. D. AndyLar gen Jef f r eyLedf or d TheLeonLevi neFoundat i on JackMabr y McCl i nt ockHeat i ngandCool i ng Ti m McDani el Li l l i anMcKay Tar ynMeci a TheMer ancasFoundat i on Moor e&VanAl l en Bar bar aMor gan Bl akeNar r Nel sonMul l i nsRi l ey&Scar bor oughLLP JoeandNancyNest or OneSour ceHear i ng Jul i ePal azzol o PNCFoundat i on Ji m Pr i ce ReadChar l ot t e Cr ai gandPaul aReut l i nger KenReynol ds Vi r gi ni aRol f es EmmeSander s Wal l aceSaunder s Jer omeSchwar t zman Gaur avShar ma Sar ahandAl l enShi f f l et Shor eToSummi tWeal t hManagement Si st er sofMer cyofNCFoundat i on Smar tSt ar tofMeckl enbur gCount y Wi l landCami l l aSmoak Sout hmi nst er SWEAT440Noda ShannonandJamesTucker Uni onCount yCommuni t yFoundat i on Uni t edWayofCent r al Al abama Uni t edWayofGr eat erChar l ot t e JanetandH.Landi sWade,Jr . Mar kWagner JohnV.Wahr WendyWal l aceWr i ght SashaWei nt r aub Wel l sFar goCommuni t yAf f ai r s Wesl eyCommuni t yDevel opment
OURPARTNERS Al der sgat e Al exanderYout hNet wor k Al l i anceCent erf orEducat i on Al l i ancef orChi l dr en Ambr i antatAust i nVi l l age Char l ot t eBi l i ngualPr eschool Char l ot t eDi l wor t hRot ar yCl ub Char l ot t eMeckl enbur gLi br ar y Char l ot t eMeckl enbur gSchool s Counci lonAgi ngi nUni onCount y Cr ossr oadsCor por at i on Di xonAcademy Ear l yLi t er acyRoundt abl e Fr eedom Communi t i es Fr eedom SchoolPar t ner s Howar dLevi neChi l dDevel opmentCent er Meckl enbur gLocalI nt er agencyCoor di nat i ngCounci l Meckl enbur gExecut i veCol l abor at i ve Nat i onal Associ at i onofSpeechandHear i ngCent er s NCTel ecoi landVocat i onalRehabi l i t at i onPr ogr ams
NCAssoci at i onofSuper vi sor si nSpeechLanguage Pat hol ogyandAudi ol ogy NovantHeal t h Pr omi si ngPages Renai ssanceWestCommuni t yI ni t i at i ve Renai ssanceWestSt eam Academy Shar eChar l ot t e Smar tSt ar tofMeckl enbur gCount y Sout hmi nst er TheLear ni ngCol l abor at i ve-Gr i erHei ght s Thompson UNCChar l ot t e Uni onCount yChamberofCommer ce Uni onCount yLi br ar i es Uni onCount yLI CC Uni onCount yPubl i cSchool s Uni t edWayofGr eat erChar l ot t e Ur banPr omi seofChar l ot t e WestBoul evar dNei ghbor hoodCoal i t i on YWCA
OURTEAM
Ki r st enGant t JoanGor ml ey Chr i st i neHal st ead Kai l aHar t Hal eyHut chens Laur aHal m Jackson Mer edi t hLaney Jenni eLeonzi o JavanMar shal l
I mpactNumber s f r om 202324: CSHC’ sCommuni t yLanguage/ Li t er acyI mpactPr ogr am has t hr eemai ncomponent s:i dent i f i cat i on,i nt er vent i onand pr event i on.Eachyear ,ourdat ai sanal yzedt omeasur ei mpact . Asshowni nt hesechar t s,chi l dr enr esponddr amat i cal l yt oour evi dencei nf or medandr esear chbasedpr ogr ammi ng( APPLEa DayandAdvanci ngLi t er acyThr oughLanguage)f ocusedon i ncr easi ngl i st eni ngcompr ehensi onandor alexpr essi on.The f i nali mageshowst hatbyequi ppi ngeducat or swi t hkey st r at egi esandknowl edge,wear ecr eat i ngar i ppl eef f ecti nour chi l dcar esyst em andcommuni t y . Pg.9
202324APPLEaDayResul t s
202324Advanci ngLi t er acyThr ough LanguageResul t s
I mpactonourChi l dcar eSyst em andCommuni t y
Year3:9, 000chi l dr en
Year1:3, 000chi l dr en 200 t eacher s
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Char l ot t eOf f i ce 817E.Mor eheadSt . Char l ot t e,NC28202
Monr oeOf f i ce 2605Wes tRoos ev el tBl v d. Monr oe,NC281 10
Char l ot t eSpeec hHear i ng. c om ( 704)5238027