Stuttering Therapy for Preschool and School-Age Kids

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Questions and Answers

What is the primary focus of the DEMANDS & CAPACITIES model in stuttering intervention?

  • Training parents to monitor every speech
  • Increasing demands on the child
  • Reducing demands and increasing capacity (correct)
  • Eliminating stuttering entirely

Parents should be educated to change their behaviors regarding their child's speech without being overbearing.

True (A)

What is the median treatment time for therapy sessions as mentioned in the content?

11 weeks

Therapy for stuttering should be ____, accountable, effective, eclectic, and efficient.

<p>integrated</p> Signup and view all the answers

Match the following therapy techniques with their descriptions:

<p>LIdcombe = Tape, video, and stopwatch method Palin Child Intervention = Working with attitudes and emotions Smooth Talking = Fluency enhancement strategies SHINE = Systematic fluency training for young children</p> Signup and view all the answers

Which of the following is NOT mentioned as a fluency enhancer?

<p>Frequent interruptions (B)</p> Signup and view all the answers

What should teachers aim to eliminate in order to help children who stutter?

<p>Fluency disruptors</p> Signup and view all the answers

Parents cause stuttering in their children.

<p>False (B)</p> Signup and view all the answers

Which technique helps in managing stuttering by preparing ahead?

<p>Preparatory Sets (A)</p> Signup and view all the answers

Teachers should always finish a child's sentence to help them when they stutter.

<p>False (B)</p> Signup and view all the answers

What is the main goal of therapy for individuals who stutter?

<p>Feeling fluency control</p> Signup and view all the answers

The 'C' in Healey’s CALMS model stands for __________.

<p>Cognitive</p> Signup and view all the answers

Match the stuttering management techniques with their descriptions:

<p>Cancellation = Stutter-Pause-Control technique Pullouts = Stutter-Catch-Use technique Preparatory Sets = Prepare ahead-use techniques Stabilization = Practice under stressful conditions</p> Signup and view all the answers

What should teachers do when handling teasing & bullying?

<p>Acknowledge it before addressing it (B)</p> Signup and view all the answers

Maintaining eye contact is one of the recommended strategies for teachers when interacting with children who stutter.

<p>True (A)</p> Signup and view all the answers

Name one characteristic of a multidisciplinary team working with individuals who stutter.

<p>Fun and motivating</p> Signup and view all the answers

What is the primary focus of Rustin's Family Interaction Therapy?

<p>Parent's interaction skills (A)</p> Signup and view all the answers

The Lidcombe Approach is primarily child-centered and does not involve parents in the treatment.

<p>False (B)</p> Signup and view all the answers

What type of speech patterns does the Lidcombe Programme advise assessing in children?

<p>Demands and capacities</p> Signup and view all the answers

One technique involves giving ___ for open, easy, and forward-moving speech.

<p>rewards</p> Signup and view all the answers

Match each intervention technique with its description:

<p>Following child's lead = Allows the child to guide the conversation Gaining child's attention = Ensures the child is engaged before speaking Turn-taking = Promotes sharing conversation space effectively Improved positioning = Facilitates better communication through body language</p> Signup and view all the answers

Which of the following is a stage of parent involvement according to Ramig, 1999?

<p>Facilitating communicative interaction (C)</p> Signup and view all the answers

Video analysis is used to help parents identify aspects they can modify in their interaction with their children.

<p>True (A)</p> Signup and view all the answers

Name one area that parents are trained to modify during Rustin’s therapy.

<p>Interruptions</p> Signup and view all the answers

What is the main goal of stuttering treatment for preschool children?

<p>Help parents and teachers provide a fluency-facilitating environment (D)</p> Signup and view all the answers

The Lidcombe Program is an example of an intervention used specifically for adults with stuttering.

<p>False (B)</p> Signup and view all the answers

Name one method used in stuttering treatment for school-age children.

<p>Fluency Shaping or Stuttering Modification</p> Signup and view all the answers

In the stuttering modification approach, the first phase is called ______.

<p>Identification</p> Signup and view all the answers

Match the aims of stuttering intervention with their descriptions:

<p>Improve fluency = Changing the child’s speech patterns Help develop healthy attitudes = Fostering positive feelings towards speaking Create a supportive environment = Involving parents and teachers Control over stuttered moments = Achieving confidence in communication</p> Signup and view all the answers

Which of the following characteristics are associated with a male child showing a stable pattern of Stutter-Like Disfluencies (SLDs)?

<p>Family history of chronic stuttering (D)</p> Signup and view all the answers

Cognitive reframing is a technique included in the stuttering modification approach.

<p>True (A)</p> Signup and view all the answers

What should be emphasized when measuring progress in stuttering treatment?

<p>Control over stuttered moments</p> Signup and view all the answers

Which of the following approaches focus on self-monitoring and self-correction for transfer and maintenance?

<p>Home programs (B)</p> Signup and view all the answers

Parents should expect perfect communication outcomes from their child.

<p>False (B)</p> Signup and view all the answers

What is one cognitive activity that helps children manage their feelings about stuttering?

<p>Self rating scales</p> Signup and view all the answers

The comprehensive treatment approach for children includes goals tailored to their individual _____

<p>needs</p> Signup and view all the answers

Match the emotion or attitude with its corresponding action:

<p>Validate the feeling = Listen actively Discover the emotion = Reflect back Manage stuttering = Encourage and praise Maintain realistic expectations = Do not expect perfect</p> Signup and view all the answers

What is a notable tool mentioned for helping with the emotional aspect of communication?

<p>Worry Ladder (D)</p> Signup and view all the answers

All members of the family should be involved in the treatment of stuttering.

<p>True (A)</p> Signup and view all the answers

What is one key goal of a comprehensive treatment approach for school-age children with disfluency?

<p>Increasing fluency</p> Signup and view all the answers

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Study Notes

Preschool Stuttering

  • Rustin’s Family Interaction Therapy focuses on modifying parent interaction skills to improve communication with the child.
  • Parents are trained to identify and modify problematic behaviors like rapid speech, interruptions, and over-direction in play.
  • Therapy involves designated "special times" for parents to practice these changes at home.
  • Lidcombe Approach is a parent-centered treatment for children under 6 years old.
  • It uses an operant conditioning model with positive reinforcement to encourage fluent speech.
  • Parents are trained to identify and address stuttering moments with praise and correction.
  • The Lidcombe program relies on severity ratings to guide treatment decisions.

School-Age Children Who Stutter

  • Fluency Shaping focuses on controlled fluency techniques like rate control, breathing exercises, and easy onset.
  • Stuttering Modification focuses on modifying stuttering behaviors through four phases: identification, desensitization, modification, and stabilization.
  • Modification techniques include cancellation, pullouts, and preparatory sets, aimed at reducing fear and creating easier ways to stutter.
  • Integrated approach combines Fluency Shaping with Stuttering Modification, focusing on feelings, emotions, and addressing teasing/bullying.
  • In the classroom teachers should maintain eye contact, pause before responding, rephrase child's remarks, and reduce the complexity of their speech when a child stutters.
  • Teasing and bullying should be acknowledged, addressed with a matter-of-fact approach, and discussed discreetly with the child and parents.

Comprehensive Treatment Approach

  • Personalized Fluency Program - Cooper emphasizes structuring, targeting, adjusting, and regulating therapy based on individual needs.
  • Healey's CALMS Model incorporates cognitive, affective, linguistic, motor, and social aspects of stuttering.
  • Therapy for school-aged children includes multiple goals focused on increasing fluency, addressing emotional responses, and building positive attitudes towards speaking.
  • Transfer and maintenance involve role-playing, discourse practice, telephone conversations, competition/disruption situations, and home programs.
  • Emotional and attitude changes focus on parents learning to listen actively, reflect back, discover emotions, and validate feelings.
  • Cognitive activities use self-rating scales, reframing beliefs, problem-solving techniques, and visual aids to promote positive self-perception and coping mechanisms.

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Stuttering Intervention 1&2 PDF

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