treatment of fluency Flashcards
what is the goal of Lidcombe porgram
eliminate suttering
describe the 2 main parts of lidcombe program
clinical eval: within clinic speech sample; at home sample
case history: onset, type, changes since onset, family hx, previous therapy
case selection criteria for using lidcombe program
tx begins if stutteringhas persisted for more than 6 months after onset
what are child parent and clinician tx goals for lidcombe program
child: eliminate stuttering in all situations and maintain that for 12 months
parent: learn how to conduct tx and measurement activities sufficiently to help child achieve goal
clinician: assist parent in achieving their goal
describe tx procedures of lidcombe program
child and parent/caregiver (whoever spends subtantia amount of time with child) must attent every clinic session togehter
contingent based program
form a working relationship with parent/caregiver
maintenance
lidcombe program therapy continues until the client meets what criteria
over 3 conseecutive weeks:
-%SS less than 1.0 w/in clinic
-SR less than 2.0 outsife the clinic
-SMST less than 1.5 outside clinic
once criteria is met child enters maintenance phase
describe maintenance phase of lidcombe program
parent continuees with program and child returns to clinic in intervals of :
-2 weeks (x2)
-4 weeks x2
-8 weeks x2
-16 weeks x2
what is the goal of Family focused treatment program
desinged to help young children who stutter (age 2-6) achieve and maintain normal fluency while developing healthy, appropriate communication attitudes and effective communication skills
what are the tx components of FFT
Parent-focused: help parents modify their communication behaviors and reduce their concerns about stuttering
child-focused: help children modify their communication behaviors and develop healthy, appropriate communication attitudes
a parent-child training program that is ddivided into 3 comnponents
family focused treatment program
what are the 3 components of fft
- parent communication counseling
- parent and child acceptance of stutteering
- child communication modifications
describe the parent communication counseling component of FFT
parents learn about communication and stuttering, reduce their concerns about their childs speech, discuss the importance of responding to suttering in a supportive manner, and consider other aspects of the childs development to ensure that they do not interfere with treatment
describe the parent and child acceptance of suttering component of FFT
goal is to get the parents and child to understand stuttering and teaching acceptance
tasks include: identification of communication stressors, desensitization, understanding communication, acceptance
describe the child communication modification component of FFT
can include both fluency shaping and stuttering modification strategies as needed
tasks include: fluency shaping, stuttering modification, overall communication skills, concomitant disorders
what happens at the end of FFT program
review and re-assess where parents evaluate their use of the tx strategies and consider the impact of those strategies on the childs fluency
what is the goal of RESTART or Demands and Capacities Model on Treatment
to decrease demand or increase capacities
list the treatment specifics of RESTART
begin session with 10 minute play period
slp provides parent with at home tx instructions during session
slp and parent evaluate child’s speech during play to allow them to select target procedure
slp models target procedure, has parent practice it, then slp provides feedback
15 min of undivided attetnion for home practice
Describe the daily special interaction time for RESTART approach
parent sits down for 15 minutes to five child their undivided attention
goal is to bnoot the childs self-confidence during activties that involve talking or reading
describe changing parental speech rate in the RESTART approach
parent talks with longer pauses,, slower speech movements, and also maintaining a natural intonation
describe substituting modeling and self-talk for demand speech in the RESTART approach
parent is instructed not to ask the child for speech performance. instead parent talks and provides a model
what is the goal of palin parent-child interaction therapy
parents are trained to model helpful strategies and guide their children towards more fluency w/support of their therapist
when is PCIT therapy recommended
child is considered to be at risk of presistent stuttering
parents are concerned and seeking support
child is reacting negatively to the stuttering
describe session structure of PCIT
session1: special time is negotiated where each parent has a 5 minute playtime period approximately 3 and 5 times per week to practice their chosen interaction target in a relaxed, one-on-one setting; parents are asked to make a written record of their special time to allow SLP to provide feedback
Session 2-6: start with feedback from special time; playtime is recorded and then evaluated by parents to discuss possible changes
what is considered to tbe the foundation of PCIT
special time
