When obtaining a speech sample get at least 200 syllables…also what general observations are you going to make? (6)
- frequency of disfluency
- types
- nature of reps, prolongations and blocks
- starting and sustaining airflow and phonation
- physical concomitants
- word avoidance
What are 3 main areas you should assess?
severity (SSI)
speech rate
feelings and attitudes
When you are doing an assessment you need to draw a hypothesis. You should hypothesize about 3 things?
child’s current developmental/treatment level
important risk factors
treatment approach
In the closing interview with the parent what should you talk about?
describe pos aspects of child and parents’ response to stuttering
describe stuttering in appropriate clear terms
discuss treatment options
respond to questions and implied concerns
Stuttering modification explain a little about it?
- have student catch clinicians pretend stutters
- have student put in pretend (or real) stutters and have Clinician catch student and reward him
- have student control length of clinicians pretend stutter
- roles reverse, and clinician signals student to make stutter longer
- can student hold on to stutter, reduce tension, and release stutter slowly?
Fluency shaping explain a little about it?
teach student to model easy onset, light contact, and flexible rate
- can student follow model
- does he become more fluent?
What are the components of assessment?
- case hx (questionnaires etc..)
- gather more bckgrnd info (parent teacher interview etc..)
- observation or present behaviors and feelings
(parent-child interaction/clinician-child interaction/structured convo/reading sample) - diagnosis (data interpretation/developmental treatment level)
- Meet with client and family to review options for therapy ( parent counseling, explanation of therapy /prognosis)
