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This chapter discusses the method of remediation developed from people work in establishing language programs for deaf individuals in Nicaragua. It focuses on those people who are severely language deprived, especially those who come to us with limited words/signs or who have never encountered sign language before. As language and communication assessors in public schools, we sometimes have the opportunity to recommend implementation of these methods through deaf educators and communication therapists. For the deaf person in the home, that small number of home-sign gestures was sufficient to signal their basic needs and desires to their families. The attitude that the deaf person's language skills are "good enough" effectively destroys language learning. Embracing an approach that emphasizes communication accountability expands the clinical specialty of Deaf mental health. The language acquisition process is unique in that unlike many other developmental skills, language acquisition has a limited window of time in which it must happen.
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