The emergence of technology such as speech-to-text software, as well as the growing use of cochlear implants, are changing education for students who cannot hear, according to a report by Project Forum at the National Association of State Directors of Special Education. The use of cochlear implants, in particular, has led to increased acceptance of students with hearing impairments and a decrease in specialized instruction and schools for those students. Many challenges remain, however, including providing adequate services to students who cannot hear who live in rural areas, the report states.

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