For adults who have heard speech before, the MAP is put onto the speech processor and is adjusted as necessary to custom fit the individual. For children who have never had hearing, the initial reaction to sound varies. Some children do not respond to sound at first. Other children may show surprise, fear, inquisitiveness, or happiness. Dramatic changes in auditory and speech skills are typically not observed initially.
Performance usually continues to improve over time with auditory and speech training.
Early implantation gives the greatest opportunity for normal development of speech and language skills. The treatment focuses on auditory training, speech reading, music, telephone use, and communication strategies. A family member or friend is encouraged to attend the weekly sessions to learn how to communicate most effectively with the implant recipient. After the initial 3-month period, children are seen every 3 months for the first year and every 6 months for the second and third years. Thereafter, the child is seen annually.