This approach has spoken language as a desired outcome. Active listening, enhanced by the use of HAs or CIs, is accompanied by speech reading to receive instructional and conversational information. The use of natural gestures is acceptable; sign language is not used. Children with hearing loss may be grouped together in auditory-oral (also called listening and spoken language [LSL]) classrooms for specialized oral instruction, at least in preschool and kindergarten, with mainstreaming being a goal. Family members will need to learn how to manage auditory technology and how to provide an enriched spoken language environment for their child.