Class 3: Assessment and Screening Flashcards
How is fluency measured?
percentage of syllables stuttered (%SS)
What are some rules to follow when counting stutters?
- each syllable can only be stuttered once
- if they use an avoidance behaviour w/o a stutter, it is still counted as a stutter
What does it mean when a child has more than 50% stutter like disfluencies?
they are more likely to be stuttering than normally disfluent
What are some stuttering like disfluency behaviours that should be counted as stutters?
- part word repetitions
- monosyllabic whole word repetitions
- prolongations
- blocks
- unequivocal sound or avoidances
Whats the common way to assess duration of a stutter?
average duration of the 3 longest stutters
Whats the difference between escape and avoidance behaviours?
Escape: you’re in the stutter and try to get out
Avoidance: you’re trying to prevent the stutter from happening
What is the most commonly used instrument to assess stuttering?
SSI- 4 (stuttering severity instrument- 4)
What does the SSI-4 measure?
- %SS
- duration: 3 longest stutters
- secondary behaviours
- sums them together= total
When obtaining a speech sample, what are some things you can do?
- video tape
- make sure samples are representative
- attain 2 samples (in/out of clinic)
What assessment is used to look at feelings and attitudes?
Children’s attributed about talking- Revised (CAT-R)
- true and false questions
Pre-Assessment for…
Preschool Children
- children responses and emotions
- parents concerns and expectations
- language, artic, voice intact?
Assessment for…
Preschool Children
- get a video at home
- parent- child interaction
- clinician- child interaction
What would you do if they didn’t stutter?
get them anxious, increase work load
What would you do if they demonstrated severe stuttering?
reduce cognitive demands, you talk at a slower rate
What does typical disfluency look like in preschool?
- less than 10-100 words
- multisyllabic and phrase repetitions
- less then 3 repetitions
- unaware
(changes to environment)
What does borderline stuttering look like in preschool?
- more than 10-100 words
- part word or whole word repetitions
- more then 2 repetitions
(give parents resources)
What does beginning stuttering look like in preschool?
- tension and hurry
- awareness and frustrations
- escape and avoidance
(direct treatment)
Pre-Assessment for…
School Age Children
- children’s feelings and attitudes
- parents awareness level
- how its affecting school/home
Assessment for…
School Age Children
- interview parent, teacher and child
Pre-Assessment for…
Adolescents and Adults
- individuals attitudes
- recording outside clinic
- during diff situatios
Assessment for…
Adolescents and Adults
- interview family, client
- ask them open ended Qs
- effects on social, job
What are the 5 treatment goals for all ages?
Reduce: - frequency - abnormality - negative feelings, thoughts - avoidance Create: - fluency facilitating environment
What is the goal of stuttering modifications?
reducing abnormality of stuttering, to stutter easily
What are the 2 types of stuttering modifications that can be used?
Cancellation (backups): decrease tension, go back and try again
Pull-out: recognize stutter, catch it, reduce tension, continue word
