Camperdown

Question 1

Principles

Answer 1

Teach prolonged speech without using specific speech targets
Clients use whatever PS components they feel helps them most
Rate starts slow then set to individual
shift of control to client

Question 2

Aims

Answer 2

Primary:
control and reduce stuttering daily situations
Secondary:
develop self-managed procedures
new speech pattern

Question 3

Stage 1

Answer 3

Teaching treatment components
overview, introduce severity rating scale, learn to control fluency with the training model (technique of 7-8 in spontaneous speech)
3-5x 45-60 minute individual sessions

Question 4

Stage 1 progression criteria

Answer 4

self assign scores using SR scale that are similar to clinicians
consistently use fluency technique similar to training model with SR 0 and technique rating 7-8
feel in control
recognise fluency technique scores

Question 5

Subjective units of distress scale SUDS

Answer 5

useful to monitor anxiety

record anxiety level along with SR and fluency technique scores

Question 6

Stage 2

Answer 6

Establish stutter-free speech

• consolidate imitation of training model fluency technique
• work with clinical to develop an individualised, natural-sounding technique that is acceptable for stuttering control
• Practice self-evaluations
• develop problem-solving
• encouraged to use technique in everyday speaking

Question 7

Stage 2 progression criteria

Answer 7

• individualised technique to control stuttering has been developed
• stage 3 commences when client can speak with the clinician for the entire session at SR 0-1 with fluency technique score acceptable to the client

Question 8

Stage 3

Answer 8

Generalisation
devise hierarchy of speech situations to assist transfer
plan treatment changes for following week based on speech measures
modify measurement procedures if required
establish a routine, motivate and aid generalisation

Question 9

Stage 3 progression criteria

Answer 9

• stuttering and technique goals are met for 3 consecutive weekly consultations
• goals for SR at 0-1 in most everyday speaking situations
• no situation avoidance and acceptable fluency technique score according to client

Question 10

Stage 4

Answer 10

Maintenance of treatment gains
- maintain stutter-free speech through consultation
acceptable SR scores and technique scores in everyday speaking situations
- confirmed scores with audio recordings
- demonstrate how variations In SR have been dealt with appropriately
- Booster programs
- self help groups

Question 11

Stage 4 progression criteria

Answer 11

Discharge will be negotiated once demonstrating:

• skills for monitoring speech and controlling stuttering
• ability to address fluctuations in stuttering severity
• achievement of personalised goals for stuttering treatment

Question 12

Weaknesses

Answer 12

no programmed instruction which may be required for more severe cases
high motivation required
doesn’t deal with self esteem issues
requires training for clinician

Question 13

Adolescents

Answer 13

use differnt mateirals 
rewards system 
apps on iPhone, iPad
normalise the process
use adolescence exemplars