Week Four

Question 1

True/False, in school age children, you would still have a “wait and see” approach?

Answer 1

False, there is little justification at this age.

Question 2

True/false, you don’t see an increase in secondary behaviours in school age children?

Answer 2

False, you do see an increase in secondary behaviours.

You also see an increase in self-awareness and coping/concealment strategies.

Question 3

What are some areas of interest when it comes to a case history for school aged children and adults?

Answer 3

Stuttering history

Treatment history

Current speech description

Environmental influences on speech

Impact on QOL

Other relevant case history (e.g., other languages spoken)

Client’s perspective (realistic expectations)

Question 4

True/false, school aged CWS and adults who stutter are unlikely to recover completely?

Answer 4

True, it is very likely they will experience at least some stuttering in their life.

Goals are more around controlled fluency, less effortful stuttering or managed stuttering

Question 5

What are the areas of assessment for school aged CWS and AWS?

Answer 5

• Case history
• Speech examination
• Situation rating scales
• Emotions and attitudes rating scales
• Tests for overall stuttering severity

Question 6

What would occur during the speech examination part of an assessment?

Answer 6

• Seeing the client’s speech in 2-3 different contexts (conversation, monologue, reading, relevant contexts)
• You want to see the full extent of stuttering
• Calculations (stuttering frequency, % syllables stuttered)
• See the physical effort required to talk (tension, physical movements, atypical breathing…)
• See the mental effort required to talk (Awareness, avoidance, word substitution, stalling)

Question 7

What would occur during the situation rating scales part of an assessment?

Answer 7

• Want to see the variability of stuttering across situations and contexts
• Speech situations checklist
• Necessary to have rapport first or else they may just tell you what they think you want to hear

Question 8

What would occur during the emotions and attitudes rating scales part of an assessment?

Answer 8

Want to find out the attitudes about speaking, self and other people

Instruments for adults
- Overall assessment of the speaker’s experience of stuttering (OASES)
- Unhelpful thoughts and beliefs about stuttering (UTBAS)

Instruments for children 6+
- Bahaviour assessment battery for school-age children who stutter (BAB)
- Communication attitude test (CAT)

We have different checklists for different ages because the may questions are worded will change

Question 9

What are some overall stuttering severity instruments?

Answer 9

• stuttering severity instrument (SSI-4)
• Test of childhood stuttering (TOCS)