Quiz 4 Flashcards
What criteria must be met for a child to be considered typically disfluent?
Fewer than 10 disfluencies per 100 words, disfluencies consists of multi-syllable words, phrase repetitions, revisions, interjections, two or fewer repeated units for repetitions, ratio of stuttering-like disfluencies to total disfluencies are less than 50%, hardly aware/not aware of their disfluencies
What criteria must be met for a child to have borderline stuttering?
More than 10 disfluencies per 100 words, may be part-word repetitions, single syllable repetitions, prolongations, more than two repeated units for repetitions, stuttering-like disfluencies are above 50%
What criteria must be met for a child to have beginning stuttering?
Rapid, abrupt repetitions, pitch rises during disfluencies, prolongations, difficulty starting airflow, signs of facial tension, may use a variety of escape or avoidance behaviors, is aware of their stuttering
What is Tier 1 support?
Changing the educational environment for the student
What is Tier 2 support?
Providing some therapy/intervention outside of the classroom (e.g. SLP therapy) and keeping track of the progress
What is Tier 3 support?
Stuttering is adversely affecting a student’s education, assessment and therapy is included within the IEP; direct services
Based on the known risk factors for stuttering persistence, what is most important to assess?
Speech sound skills, expressive and receptive language skills
What is the most important task to do when you first meet the parents for an evaluation?
Listen and try to understand the parents’ point of view
Intermediate and advanced treatment approaches are well suited for what type of clients?
Core behaviors are blocks, who have escape and avoidance behaviors as secondary symptoms, and whose attitudes about speech are relatively negative.
What is the difference between intermediate and advanced treatment?
More independence and responsibility is needed by the client during advanced treatment.
What are the key elements to a preschool assessment for stuttering?
- Observation of parent-child interaction
- Parent interview
- Clinician-child interaction
- Analysis of child’s speech
- Screening of language, articulation, voice, and hearing
- Determining risk factors
- Deciding on the child’s need for treatment
- Making follow-up recommendations to family
What is the difference between preschoolers being treated in a school vs being treated in a clinic?
School goes by IDEA mandates, more contact with family in a clinical setting (but will need to reach out to the school)
What are the key elements for a school-age assessment for stuttering?
- Initial contact and formal interview with the child’s parents
- Interview with the child’s teachers
- Interview with the child
- Analysis of speech
- Trial therapy
- Assessment of other factors, including academic adjustment
- Determination of appropriate treatment
What are the key elements for an adolescent/adult assessment for stuttering?
- Obtaining preliminary case history, attitude questionnaires, and recordings made outside of the clinic
- Interviewing the client
- Analyzing the client’s speech
- Conducting trial therapy
- Interviewing parents if client is an adolescent
- Determining appropriate treatment
- Summarizing findings and making recommendations in closing interview with client
A reliable and appropriate tool to measure the attitudes of children and adults who stutter.
Communication Attitude Test (CAT)
