Term
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Definition
Who is referring? parents, early childhood teachers, GP
where do people get information from?
check on the web to see what is there?
GP's and other still advising that child will most likely grow out of it. |
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Term
| What should we tell parents/GP's |
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Definition
Red Flag-genetic
fact sheet on natural recovery: more in girls, start earlier (2-3 yrs) recovery, start later: less chance, length of time duration (12 months)
High risk behaviors.
where to seek help
what to say and what not to say |
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Term
| GP's what should they look for? |
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Definition
look for frustration/emotion is child or/and parents.
type of stutters: fixed postures, repetitions (P/W). |
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Term
| GP's when should they refer? |
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Definition
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Term
| GP's Who can they refer to? |
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Definition
Ministry of Education (normally get in because potential for bullying, but long wait list)
Private Clinic through NZSTA |
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Term
| What information do we need? |
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Definition
Case history
speech sample within clinic and from home |
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Term
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Definition
Case history form (Lidcombe case history form)
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Term
| Case history for stuttering |
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Definition
OPEN ENDED QUESTIONS
Stuttering onset
types of stutter- how would you describe them to a parent?
-has is changed from when to started?
-if yes, how?
Sudden or gradual onset? (emotional event etc some parents try and find a reason- tell parents that child had vulnerability, they are not the cause)
parent response to stuttering?
Episodic or continuous.
have they had any previous advice?
childs response to stutter
family history (not just immediate family, look wider)
childs interest
who does the child spend time with?
do those people say anything about the stutter? |
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Term
| What information do we need to give to the parents? |
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Definition
age of onset
research around why
natural recovery
what treatment entails
research behind the programme |
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Term
| What other difficulties may the child have? |
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Definition
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Term
| When to recommend treatment or monitoring |
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Definition
%SS>2%-research criteria
Others would say >1%
or Anytime parental anxiety and child frustration
ongoing monitoring taking severity rating if less than 6 months since onset (unless)
periods of fluency since onset - unless over a year since onset |
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Term
| questions to ask school age children |
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Definition
do you notice your stutter at school
how does your stutter affect you at school (older school age)
do you answer questions in class
how do you get on reading aloud in class? ( do you stutter when reading?)
is there anything you don't do at school because of your stutter?
School age children may be able to do own SR
Do your friends make any comment about your speech
do you ever not talk because of your speech
do you talk on the phone?
do you every change your words around when you think you might stutter? .... etc |
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Term
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Definition
SLT may be asked to go into school to discuss it wil the class or the teacher
can be good for the teacher to discuss range of childhood difficulties
teachers often come up with great ways to address the issue of teasing etc- so that no one child feels focus of attention |
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