Assessment of the Preschool Child

1
Assessment of the Preschool Child

• Case history form
• Birth history
• Developmental history
• Medical history
• School history
• Family history

2
Preschool Child (continued)

• Interview with parents
• Parents alone
• Parents with the child
• Speech sample
• Pre-recorded sample from parents
• How to get a speech sample
• Analysis
• Types of disfluencies
• Frequency of disfluencies
• Rate of speech

3
Preschool Child (continued)

• Secondary behaviors
• Physical concomitants
• Avoidances
• Feelings and attitudes
• Is he aware of disfluencies?
• Is he bothered by disfluencies?
• Frustrated? Fearful?
• Other speech and language skills

4
Preschool Child (continued)

• Possible treatment levels
• Normal disfluency
• Types of disfluency
• Frequency of disfluency
• Borderline stuttering
• Types of disfluency (50 stutter-types)
• Beginning stuttering
• Presence of tension in cores
• Presence of escape behaviors

5
Preschool Child (continued)

• Recommendations for Normal
• Parent education
• Follow-up visit scheduled
• Recommendations for Borderline
• Parent education
• Indirect treatment
• Follow-up visit scheduled
• Recommendations for Beginning
• Parent education
• Indirect or direct treatment
• Follow-up visit scheduled

6
Assessment of the School-Age Child

• Case history form
• Birth history
• Developmental history
• Medical history
• School history
• Family history

7
School-Age Child (continued)

• Interview with parents
• Parents alone
• Parents with the child
• Interview with teacher
• Speech sample
• Classroom observation
• Clinic speech sample
• Analysis
• Types of disfluencies
• Frequency of disfluencies
• Rate of speech

8
School-Age Child (continued)

• Secondary behaviors
• Physical concomitants
• Avoidances
• Feelings and attitudes
• Administer A-19 or CAT
• Other speech and language skills
• Academic considerations

9
School-Age Child (continued)

• Possible treatment levels
• Beginning stuttering
• Presence of tension in cores
• Presence of escape behaviors
• Intermediate stuttering
• Presence of avoidance behaviors
• Negative self-attitude

10
School-Age Child (continued)

• Public School Setting and IDEA
• IEP team
• Goals and objectives
• Recommendations for Beginning
• Parent education
• Indirect or direct treatment
• Recommendations for Intermediate
• Parent education
• Direct treatment

11
Assessment of the Adolescent-Adult

• Case history form
• Medical history
• Family history
• Social history
• Stuttering history

12
Adolescent-Adult (continued)

• Interview
• Speech sample
• Spoken task
• Reading task
• Analysis
• Types of disfluencies
• Frequency of disfluencies
• Rate of speech

13
Adolescent-Adult (continued)

• Secondary behaviors
• Physical concomitants
• Avoidances
• Feelings and attitudes
• Administer Modified Erickson or other attitude
  questionnaire
• Other speech and language skills

14
Adolescent-Adult (continued)

• Possible treatment levels
• Intermediate stuttering
• Presence of avoidance behaviors
• Negative self-attitude
• Advanced stuttering
• Mature enough to handle advanced treatment
  assignments