Treatment in PreK

Question 1

Main goal of PreK dx/tx

Answer 1

Determine risk for persistent stuttering

Question 2

Signs that an eval should be completed

Answer 2

1. Positive family history of persistent stuttering
2. Child awareness of stutter
3. Stuttering for more than 3-6 months
4. High parental concern

Question 3

Direct treatment

Answer 3

Most famous is Lidcombe program; treats overt stuttering by changing child behavior

Question 4

Indirect treatment

Answer 4

Comes from diagnosogenic theory and focuses on changing the environment–no longer practiced w/o some direct tx.

Question 5

3 Overarching goals of prek tx

Answer 5

1. Promote fluency-facilitating environment (reduce communicative load etc.)
2. Develop positive attitudes regarding communication
3. Change speech patterns

Question 6

7 Goals for PreK

Answer 6

1. Parent will be a good listener regardless of fluency
2. Parent will ID stressors in the child’s environment
3. Create a fluency facilitating environment.
4. Reduce communcative stress (slow rate, delayed response, etc.)
5. Establish open communication and talk directly about stuttering.
6. Explore speech and stuttering
7. Modify speech behaviors