DHLS 2023
DHLS 2023
DHLS 2023
D.H.L.S.
May, 2023
(w.e.f. 2023-24)
S No Content Page No
1 Preamble 2
2 Nomenclature and Objectives of Programme 2
3 Duration of the course: 2
4 Eligibility 2
5 Medium of instruction: 2
6 Criteria for passing: 2
7 Theory and practical hours: 3
8 Attendance: 3
9 Examination Pattern: Scheme of Examination 3
10 Question paper pattern 4
11 Declaration of results and award of Diploma 4
12 Guidelines for special assistance to examinees with disabilities. 4
13 Certification as Registered Personnel 5
14 Requirements of Physical Infrastructure and Materials 5–7
15 Course Content:
DHLS 1: Introduction to Audiology 8-9
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 1
1. Preamble
Aim of the program is to train a class of persons and equip them with basic skills for providing
speech-language therapy, for conducting programs for early identification of persons with
communication disorders, educating members of the community on prevention of communication
disorders, conducting basic audiological testing, and for advising the hearing impaired under the
guidance of audiologist and speech language pathologist. They will only work under the guidance
of a graduate or a postgraduate Audiologist and Speech Language Pathologist.
2. Nomenclature of Programme: Diploma in Hearing, Language and Speech i.e. D.H.L.S.
Objectives:
The objectives of the course are to train a class of speech and hearing therapists who would
a. provide basic clinical services - assessment and management - to persons with
communication disorders,
b. carry out basic speech, language and hearing evaluation relevant to management.
c. educate members of the public on prevention and early identification of persons with
communication disabilities
d. conduct basic hearing testing
e. advice the hearing impaired on hearing aids and other management options,
f. provide listening training to persons with hearing impairment, and
g. who would educate the members of the public on speech & hearing services and refer them
to appropriate experts.
3. Duration of the course:
Duration of the programme will be of 1 year with 1200 hours leading to 40 credits (30 hours = 1 credit).
The weightage to the programme will be 60% practical and 40% theory. The course work will comprise of
720 hours of practical and 480 hours of theory. The theory hours will also include 60 hours of Employability
skills (Soft Skills). The resources for the same are freely downloadable at www.employabilityskills.net This
will enable and empower the trainees with readiness for applying, working as professionals in supporting
diverse students across different setups. This 2 credit (60 hours) module is appended in annexure. The
module will also have a weightage of 60:40 of practical and theory with formative assessment at internal
and the final exam.
4. Eligibility:
Candidates with the following are eligible for admission:
A pass with minimum 50% marks in 12th class having opted subjects Physics, Chemistry,
Biology/Mathematics/Computer science.
5. Medium of instruction:
English / Hindi or any other regional language
6. Criteria for passing:
As per NBER Scheme of Examination
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 2
7. Theory and practical hours:
Theory Papers and practical hours
8. Attendance:
Minimum 80% attendance in theory and 90% in practical classes is required.
9. Examination Pattern: Scheme of Examination
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 3
DHLS 6 Clinicals: Audiological assessment 50 50 100
Internal assessment can be done by two internal examination & two assignments of each paper.
Diploma / certificate will be awarded to the successful candidates by the examining body
nominated for this purpose by the Rehabilitation Council of India.
12. Guidelines for special assistance to examinees with disabilities.
Based on the medical certificate issued by the competent authority, and as provided for
CBSE /State Governments / UGC and NIOS for students with disabilities, special
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 4
provisions are to be given in terms of providing scribes, computers, extra time, separateroom
and readers to student-trainees.
13. Certification as Registered Personnel
It is mandatory for every rehabilitation professional / personnel to obtain a “Registered
Personnel/ Professional Certificate” from the Rehabilitation Council of India to work in the field
of disability rehabilitation and special education in India. A Student who has attended the training
and completed the requirements for all modules successfully will be qualified as a Speech and
Hearing Technician - Personnel and be eligible to work in the field of Rehabilitation in India
as a Speech and Hearing Technician. As continuous professional growth is necessary for the
renewal of the certificate, the rehabilitation professional / personnel should undergo in-service
programme periodically to update their professional knowledge. Each registered
professional/personnel will be required to get himself /herself renew his registration periodically.
The periodicity will be decided by the council from time to time. The activities for enrichment
training programmes in the form of Continuous Rehabilitation Education (CRE) is decided by
the RCI.
14. Requirements of Physical Infrastructure and Materials
The following are the specific requirements for starting a Diploma in Hearing, Language and
Speech with an intake of 20 students in addition to the general documented by RCI.
The following infrastructure is a must for a batch of 20 students.
1.0 Staff
1.1 Core faculty
a) Assistant Professor in Audiology. 1
[M. Sc (Audiology)/M.Sc (Sp. & Hg.)/M.ASLP]
or
Tutor (Audiology)
[B.ASLP/B.Sc in Speech & Hearing or an equivalent qualification with 5 Years
clinical experience ]
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 5
1.2 Supporting Professional Staff
a) Clinical Supervisor Garde II (Audiology) 1
Essential:
B.ASLP/B.Sc in Speech & Hearing or an equivalent qualification
Desirable:
M. Sc (Audiology)/M.Sc (Sp. & Hg.)/M.ASLP
or an equivalent qualification
2.0 Equipment
a) Clinical audiometer
b) Hearing aids (all models)
c) Ear mould and hearing aid repair Lab
d) Speech trainer
e) Hearing aid repair kit
f) Group hearing aids
g) Sound recorder
h) Therapy material
i) Material for auditory training
j) Models of the ear, larynx, brain etc.
3.0 Space
a) Class room 1 20’ x 15’
b) Audiometric room (2-room set up) 1 10’ x 10’
c) Staff room/office 1 10’ x 15’
d) Individual therapy rooms 4 10’ x 8’
e) Group therapy rooms 1 20’ x 15’
f) Ear mold & hearing aid repair lab 1 20’ x 15’
g) Patient waiting hall 1 20’ x 15’
h) Library 1 20’ x 15’
i) Play area (Indoor/outdoor)
j) Hostel (as required)
k) Disabled friendly toilets (as required)
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 6
4.0 Library
The following books are minimum:
Dhingra, P.L. (1992). Diseases of Ear, Nose & Throat. Churchill Livingstone, New
Delhi.
Martin, F.N. (1994). Introduction to Audiology. V ed. NJ: Prentice Hall.
Newby, H.A. & Popelka, G.R. (1992). Audiology. VI ed. NY: Appleton Century
Crofts
Rajeshwari, G., Animesh, B, & Yeshoda, K. (2014). Self-Learning Material for
Diploma in Hearing, Language and Speech. Course III. Basic Medical Sciences,
Mysore; AIISH.
Rout, N & Kamraj, P (2014). Developing Communication - An Activity Book, A
publication by NIEPMED, Chennai. Freely downloadable from
http://niepmd.tn.nic.in/publication.php. ISBN 978-81-928032-41.
Rout, N & Rajendran, S. (2015). Hearing aid Counselling and Auditory training Manual,
A publication of NIPMED, Chennai. Freely downloadable from
http://niepmd.tn.nic.in/publication.php. ISBN 978-81-928032-5-8.
Savithri, S.R. & Shyamala, K.C. (2014). Self-Learning Material for Diploma in
Hearing, Language and Speech.
Shipley, K. G. & McAfee, J. G. (2008). Assessment in Speech-Language Pathology:
A Resource Manual . Cengage Learning; 4th edition
Van Riper, C. (1978). Speech Correction: Principles and Methods. Prentice Hall; 6th
edition
Yathiraj, A. & Vanaja, C.S. (2014). Self-Learning Material for Diploma in Hearing,
Language and Speech. Course I. Introduction to Audiology, Mysore; All India
Institute of Speech and Hearing.
Zemlin, W.R. (1981). Speech and Hearing Science: Anatomy and Physiology, (2nd
Ed.). Englewood Cliffs, New Jersey: Prentice Hall.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 7
DHLS 1
INTRODUCTION TO AUDIOLOGY
- 90 Hours (3 Credit)
Unit 1: Sound and Hearing 18 Hours
4.1 Pure tone audiometer: Types, Parts of audiometer; Methods of testing hearing: tuning
fork, pure tone audiometry, Audiogram, symbols used in audiogram, procedure for
obtaining an audiogram, different types of audiograms.
4.2 Factors affecting hearing evaluation.
4.3 Informal testing, methods of screening and different conditions for hearing testing,
use of different stimuli in rural set/ups.
4.4 Concept of masking in hearing threshold estimation. Criteria of AC & BC masking.
4.5 Importance of calibration of audiological equipment.
Unit 5: Early identification and intervention 18 Hours
5.1 Early Identification and prevention of hearing loss
5.2 Importance and strategies
5.3 Hearing screening in school set up
5.4 Hearing screening in hospital & camp
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 8
5.5 Audiological equipment and their maintenance
References
Dhingra, P.L. (1992). Diseases of Ear, Nose & Throat. Churchill Livingstone, New
Delhi.
Yathiraj, A. & C.S. Vanaja (2014). Self-Learning Material for Diploma in Hearing,
Language and Speech. Course I. Introduction to Audiology, Mysore; All India
Institute of Speech and Hearing.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 9
DHLS 2
INTRODUCTION TO SPEECH & LANGUAGE PATHOLOGY
90 Hours (3 Credit)
Unit 1: Introduction to communication 18 Hours
1.1 Introduction, definitions and interrelation between communication, language, speech &
hearing.
1.2 Prerequisites and functions of communication: speaker, listener, speech chain.
1.3 Types of Communication: Non-verbal: symbols, gestures & Indian sign language, Verbal:
speech & factors affecting communication.
1.4 Parameters of language & Speech.
1.5 Normal acquisition & development of language-speech & factors affecting acquisition
of Language-speech.
2.1 Nervous system: Definition of neuron and synapse, action potential, division and
functions of the nervous system, CNS and PNS, Speech and language related area of
brain.
2.2 Respiratory system: General outline, larynx and nasopharynx, mechanism of
respiration; Physiology of respiration and role of respiration in speech.
2.3 Phonatory system: Anatomy & Physiology of larynx, physiology of phonation.
2.4 Resonatory and Articulatory system: Anatomy & Physiology of pharynx & oro- facial
structures.
2.5 Speech is an overlaid function.
References:
Dhingra, P.L. (1992). Diseases of Ear, Nose & Throat. Churchill Livingstone, New
Delhi
Rajeshwari, G., Animesh, B. & Yeshoda, K. (2014). Self-Learning Material for
Diploma in Hearing, Language and Speech. Course III. Basic Medical Sciences,
Mysore; All India Institute of Speech and Hearing
Savithri, S.R. &Shyamala, K.C. (2014). Self-Learning Material for Diploma in
Hearing, Language and Speech.
Shipley, K. G. & McAfee, J. G. (2008). Assessment in Speech-Language Pathology: A
Resource Manual. Cengage Learning; 4th edition
Van Riper, C. (1978). Speech Correction: Principles and Methods. Prentice Hall; 6th
edition
Zemlin, W.R. (1981). Speech and Hearing Science: Anatomy and Physiology, (2nd Ed.).
Englewood Cliffs, New Jersey: Prentice Hall.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 11
DHLS 3
MANAGEMENT OF COMMUNICATION DISORDERS I
90 Hours (3 Credit)
Unit 1: Hearing aids and earmolds 18 Hours
1.1 Definition, importance, parts and types of hearing aids.
1.2 Selection of conventional hearing aids. Assistive listening device to improve signal to
noise ratio.
1.3 Candidacy of Implantable devices such as Cochlear Implant, BAHA, ABI.
1.4 Importance, types, fitting and maintenance of ear mold.
1.5 Use, care, maintenance, trouble shooting and minor repairs of hearing aids.
Unit 2: Auditory learning 18 Hours
2.1 Counselling and acceptance of hearing loss and hearing aid, use and care.
2.2 Auditory training- need and its importance. General principles and stages of auditory
training.
2.3 Materials needed and assessment of auditory performance, Factors affecting auditory
training.
2.4 Methods of recording auditory response and progress.
2.5 Games and activities for individual and group auditory training.
Unit 3: Speech reading 18 Hours
3.1 General principles of speech reading.
3.2 Methods of speech reading and factors affecting speech reading.
3.3 Cued speech.
3.4 Activities for speech reading in day-to-day communication.
3.5 Specific planning for speech reading lessons.
Unit 4: Education of children with hearing impairment 18 Hours
4.1 Education of children with disabilities in mainstream inclusive and special schools.
4.2 Educational problems faced by children with hearing impairment.
4.3 Developing foundational literacy in preparatory preschools.
4.4 Providing barrier free environment in inclusive schools.
4.5 Using local material for developing teaching aids and language work book.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 12
5.5 Government schemes for the welfare of the disabled
References
Newby, H.A. & Popelka, G.R. (1992). Audiology. VI ed. NY: Appleton Century
crofts
Yathiraj, A. & C.S. Vanaja (2014). Self-Learning Material for Diploma in Hearing,
Language and Speech. Course I. Introduction to Audiology, Mysore; All India
Institute of Speech and Hearing.
Rout, N and Rajendran, S. (2015). Hearing aid Counselling and Auditory training
Manual, A publication of NIPMED, Chennai. Freely downloadable from
http://niepmd.tn.nic.in/publication.php. ISBN 978-81-928032-5-8.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 13
DHLS 4
MANAGEMENT OF COMMUNICATION DISORDERS II
90 Hours (3 Credit)
Unit 1: Management of language disorders 18 Hours
1.1 General language therapy approaches – rationale, setting goals/planning (short term,
long term) steps.
1.2 Speech-language stimulation techniques.
1.3 Language therapy for children with hearing impairment.
1.4 Language therapy for children with Mental retardation.
1.5 Language therapy for children with Cerebral palsy.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 14
5.5 Involvement of the society as a partner.
References
Van Riper, C. (1978). Speech Correction: Principles and Methods. Prentice Hall;
6th edition.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 15
DHLS 5
MODULE ON EMPLOYABILITY SKILLS
Teaching Hours: 60 Credits: 02
English
https://bharatskills.gov.in/pdf/E_Books/CTS/ES/English/ES_60Hour_module_English.pdf
Hindi
https://bharatskills.gov.in/pdf/E_Books/CTS/ES/Hindi/ES_60_Hour%20module_Hindi.pdf
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 16
DHLS 6
CLINICALS 1
AUDIOLOGICAL ASSESSMENT
181hours (6 Credit)
1. Demonstrating parts and functions of pure tone audiometer and its controls.
Familiarizing in handling different audiometers, hand held auditory screeners and
screening procedures. Need for calibration of audiological equipment and
procedures. Biological calibration of audiometer.
2. Training in doing pure tone, speech and other audiometric procedures Examination of
ear for wax, foreign body and other material - 5 subjects. Audiological testing (Pure
Tone Audiometry, Tunning Fork test) of individuals not having any complaint of
hearing issues under supervision - 10 subjects
3. Audiograms of 15 adult cases of different types of hearing loss and submit it at the
end of the term. Reviewing and interpreting 30 audiograms (already taken)
5. To maintain record from case history to audiogram for 10 children and submit it by
the end of the term. Each student should have independent case reports.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 17
DHLS 7
CLINICALS 2
AUDIOLOGICAL MANAGEMENT
180hours (6 Credit)
1. Identification of different types & parts of hearing aids (both individual & group).
Assembling and managing them. Identification of faults and undertaking minor repair.
2. Impression taking (children and adults) and making of ear molds. Students to
present at least six pairs of ear molds - three pairs for adults and three pairs far
children) for clinical examination at the end of term.
3. Fitment of hearing aid in children and adults, and their maintenance. Do’s and don’ts
of hearing aid use. Maintain records of six clients, three children and three adults,
and submit the same for clinical exam.
4. Students should also maintain six records of testing high risk infants / children and
submit them during clinical exam.
6. Preparing lesson plans with short- and long-term goals for two clients.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 18
DHLS 8
CLINICALS 3
SPEECH - LANGUAGE ASSESSMENT
180 (6 Credit)
1. Observation of, and completing, of case history, interviewing and speech language
evaluation - minimum of 6 normal and 6 pathological children / adult clients.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 19
DHLS 9
Clinicals 4
SPEECH - LANGUAGE MANAGEMENT
180 Hrs (6 Credit)
1. Scheduling of therapy sessions, goal setting and termination of therapy. Familiarity with
tools used for speech and language therapy. Speech-language therapy, counselling and
home training programs for children and adults with hearing impairment, mental
retardation and cerebral palsy.
4. Visits to different speech & hearing centers /special schools. Submit therapy reports of
two cases assigned along with material developed.
5. Report writing: Home training, therapy and therapy results, community services.
6. Home training for parents a and report writing. Pretherapy report, lesson plan, progress
report. Maintenance of diary, pre-therapy report and lesson plans.
D.H.L.S.-2023 / 30-05-2023
Rehabilitation Council of India 20