RE: [LidcombeUSA] nuts & bolts question
Sounds good...Perhaps the mother and child can continue daily sessions with treatment throughout the day. (Sort of a midway point). Keep me informed.
>From: M B <mjbstudent02@...>>Reply-To: LidcombeUSA@yahoogroups.com>To: LidcombeUSA@yahoogroups.com>Subject: RE: [LidcombeUSA] nuts & bolts question>Date: Thu, 30 Dec 2004 12:09:33 -0500 (EST)>>Hello. Thank you for offering your advice. My comments>follow yours.>>--->>> --- Deanna Earley <dearley@...> wrote:>>--------------------------------->>Hi Michael,>>First, do you have The Lidcombe Program of Early>Stuttering Intervention ? If not, I encourage you to>order a copy.>>Regarding situation 1, sounds like this child is doing>well. Check with the parents and make sure they are>requesting self-evaluation of stutter free speech.>It's important that the child understands the therapy>and then you can move to more of an unstructured>session. (I'm assuming you mean the 10-15 minute>sessions, yes?) Remember it's always ok to make>adjustments. Regarding activities, I like interactive>books, trains, playing with castles and the like...I'm>usually on the floor!>>xxxxxxxx>I will have the parents make the requests for>self-evaluation more often.>>Situation 2: Again, check with the parent regarding>stutter-free speech. With a three year old an>interactive book is usually a good place to start. I>usually move to a more difficult level by playing a>simple game (Cariboo from Cranium is good)or with a>lego set. Although these games are unstructured, you>still have control of the pace.>>Some after thoughts...How long have you been working>with child 2? Is the child consistently a 5 or>6?...or highly variable? I agree with Alida that an>audio tape (or video) is a good idea. It sounds as if>you are comfortable with their therapy during your>sessions with the family, correct?>>xxxxxxxxx>We'll be at 18 weeks by our next appointment.>>There's no problem with the structured sessions in the>clinic (by mom or me). The client is SR1-2 easily. We>just aren't getting any carryover. Now, we need to get>a daily SR1-2 for 2 weeks or so before we switch to>phase 2 right? We were starting to get it at weeks>8-10, but then Mom was separated from the client for a>week and he went to a daily SR of 5-6. Perhaps I just>have to be more patient and wait until we can get him>down to SR 1-2 again. It feels like we're starting>over.>>Here's what I will do:>- look at video of home sessions in case there's>something we can improve on there>- have mom do the home sessions at different times of>the day (she's been doing them before bed)>- request more self-evaluation from the client>>Thanks again for your advice. I'll order the book you>mentioned.>>Michael>>>>>>>> >From: "mjbstudent02" <mjbstudent02@...>> >Reply-To: LidcombeUSA@yahoogroups.com> >To: LidcombeUSA@yahoogroups.com> >Subject: [LidcombeUSA] nuts & bolts question> >Date: Fri, 17 Dec 2004 16:31:23 -0000> >> >> >Hello.> >> >I'm using Lidcombe with several preschool children.>I'm moving along> >pretty well and parents are happy, but I have a>couple clinical> >sticking points. I'm wondering if anyone on this list>would be> >generous enough to share some of their ideas.> >> >Situation 1> >5 year old> >plateau at SR3 and seems stuck (3 weeks)> >> >Situation 2> >3 year old> >down to SR2 then regressed to 5-6> >stuck at sentence solo level and wondering how to>move to more> >discourse like activities> >> >With the older child, I'm taking activities from a>book> >called "fluency at your fingertips" to move from>structured sessions> >to unstructured. I'm hoping that we'll start moving>to SR1 and 2> >after the Christmas break.> >> >The younger child is more challenging. I need to>develop an age> >appropriate hierarchy of activities for Mom to carry>out at home.> >> >Both parents are excellent: daily sessions, very good>at sub- and> >super-stepping activities, excellent ability to make>sessions fun, ...> >> >Here's my real question I suppose? Do you have any>tips on moving> >from structured to unstructured home sessions? I'm>more at a loss for> >the 3 year old.> >> >Regards,> >Michael> >> >> >>>>Yahoo! Groups Sponsor ADVERTISEMENT>>>--------------------------------->Yahoo! Groups Links>> To visit your group on the web, go to:>http://groups.yahoo.com/group/LidcombeUSA/>> To unsubscribe from this group, send an email to:>LidcombeUSAfirstname.lastname@example.org>> Your use of Yahoo! Groups is subject to the Yahoo!>Terms of Service.>>>______________________________________________________________________>Post your free ad now! http://personals.yahoo.ca
I'm having some difficult with a client (6, on Tx
since Oct 8, 2004).
All went well and fluency improved nicely after
following the Lidcombe program.
We switched to the maintenance phase, passed the first
two-week check, but worsened to SR3 or so after that
and has stayed there for about two months.
Clinic visits have been sporadic since then (2 or 3
times in two months), but are back on track now.
Possible problems: mom is asking for too many
corrections (4-5 per day); child reacting negatively
to this (arguing about whether a bump was a bump or
not); Mom may be inflating her home ratings; Mom's
expectations are too high; and doing too many
structured sessions (daily since stuttering increase).
I counselled Mom to: lay off the structured sessions;
reduce the number of requests for correction to two
per day; and start a tangible reward system to
increase the boy's motivation to self-correct.
Do you think I'm on the right track? Any other tips?
Thanks in advance for your assistance.
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