A forced-choice questionnaire was sent by the British Association of T
eachers of the Deaf to its members, asking about experience of, and at
titudes to, cochlear implantation. Two hundred and seventy-three repli
es were received, estimated to represent the teachers managing 83% of
children implanted in the UK at that time. Most respondents considered
that working with children with cochlear implants was a positive prof
essional experience and were in favour of cochlear implantation for ap
propriate children. About half the respondents felt that children with
cochlear implants needed more support than children with hearing aids
, bur about half also considered that the need decreased over time. Th
e optimal placement was considered to be mainstream, but a large numbe
r of teachers maintained that the optimal educational setting varied w
ith the child, as did flexibility in communication mode. Liaison with
implant centres was considered to be effective by most respondents. As
ked about influences on progress, teachers prioritised parental manage
ment, appropriateness of device programming, efficiency of device func
tioning and educational management. Problems experienced by teachers i
n working with children with cochlear implants included pressure on ti
me and diversify of advice; teachers also commented on families' pract
ical problems in attending the cochlear implant clinic. As the numbers
of children with cochlear implants increase, it is essential that Tea
chers of the Deaf take on the role of their long-term management on a
daily basis. In addition, it is necessary to continue to develop a coo
rdinated approach between implant centres and Teachers of the Deaf on
a UK-wide basis.