Fluency Treatment

Type of treatment for preschool stuttering should be

Indirect treatment

Encourage a fluency enducing environment between child and family

Preschool Age typically exhibit what kind of stuttering?

Borderline with loose and relaxed repetitions

Treatment focuses for preschool age / borderline stuttering

reduce parents anxiety

reduce enivornmental stressors (life events)

encourage positive attitude toward stuttering through parent reaction

How can parents faciliate fluency?

Slow smooth rate of speech with pauses

Reduce questions and instead phrase as comments

Listen to child

"Nice smooth talking!"

"That was a little bumpy."

When child is preschool age, educate parents on

capacities and demands; a view of stuttering that suggests that stuttering results when the demands put on a child's speech are greater than the child's capacity for fluency. Demands could look like pressure to talk fast, fast talking parents, or rapidly developing lang.

Preschool age can ________ naturally from stutter

recover

T or F : Slightly more direct therapy is appropriate if indirect is not effective

True

Fluency goal / recover: Spontaneous fluency

A child's natural fluency that occurs without work or thought on their part

PW Borderline S have potential to achieve this

Main focus of preschool feelings and attitudes

The families attitudes and behaviors - they can observe and affirm child if they see negative feelings

Type of therapy for school-age/adolescent/adult

direct treatment

Treatment goals for school-age children / adolescents

learn and use treatment tools to modify speech

create accepting environment

help student feel less shame and handle stutter

ask what they get stuck on and how it makes them feel

school-age / adult fluency treatment and modification tools

pull out, cancellations, pausing and phrasing, easy onset, light contact

Assessment and questionaires used in direct therapy

SSI-4, TOCS, TASCC, OASES