Stuttering in School-Age Children: A Comprehensive Approach to Treatment PurposeThis letter, prepared through a close collaboration between the authors and more than 100 colleagues, responds to a paper by the editor of Language, Speech, and Hearing Services in Schools that highlighted the need for research on treatment for stuttering in school-age children.MethodOur response addresses 3 themes: First, we offer ... Letter to the Editor
Letter to the Editor  |   October 2012
Stuttering in School-Age Children: A Comprehensive Approach to Treatment
 
Author Affiliations & Notes
  • J. Scott Yaruss
    University of Pittsburgh, PA
  • Craig E. Coleman
    Marshall University, Huntington, WV
  • Robert W. Quesal
    Western Illinois University, Macomb
  • Correspondence to J. Scott Yaruss: jsyaruss@pitt.edu
  • Craig E. Coleman performed the work while affiliated with the Children’s Hospital of Pittsburgh
    Craig E. Coleman performed the work while affiliated with the Children’s Hospital of Pittsburgh×
  • Editor: Edward Conture
    Editor: Edward Conture×
  • © 2012 American Speech-Language-Hearing Association
Article Information
Speech, Voice & Prosodic Disorders / Fluency Disorders / Professional Issues & Training / Letter to the Editor
Letter to the Editor   |   October 2012
Stuttering in School-Age Children: A Comprehensive Approach to Treatment
Language, Speech, and Hearing Services in Schools, October 2012, Vol. 43, 536-548. doi:10.1044/0161-1461(2012/11-0044)
History: Received June 10, 2011 , Revised November 17, 2011 , Accepted June 6, 2012
 
Language, Speech, and Hearing Services in Schools, October 2012, Vol. 43, 536-548. doi:10.1044/0161-1461(2012/11-0044)
History: Received June 10, 2011; Revised November 17, 2011; Accepted June 6, 2012
Web of Science® Times Cited: 5

PurposeThis letter, prepared through a close collaboration between the authors and more than 100 colleagues, responds to a paper by the editor of Language, Speech, and Hearing Services in Schools that highlighted the need for research on treatment for stuttering in school-age children.

MethodOur response addresses 3 themes: First, we offer agreement with the editor’s call for research because more evidence about treatment for children who stutter is certainly needed. Second, we provide an overview of recent literature, demonstrating that the majority of current treatments include strategies for helping children improve speech fluency in addition to helping them increase acceptance of their stuttering and diminish the negative consequences of the disorder. Third, we present several strategies designed to help clinicians respond to the individual needs of children who stutter in a data-based, comprehensive manner that focuses on minimizing the adverse impact of stuttering on children’s educational endeavors, and on their lives as a whole.

ConclusionMuch has been learned about the factors that contribute to the successful treatment of stuttering in school-age children, and evidence will continue to accumulate. Meanwhile, speech-language pathologists can help children increase their fluency while simultaneously minimizing the adverse impact of their speaking difficulties and helping them improve their overall communication.

ACKNOWLEDGMENTS
All of the following individuals—SLPs in a variety of clinical and research settings, related professionals with expertise in stuttering, people who stutter, and representatives of stuttering support organizations—participated directly in the development of the ideas, content, form, writing, and revision of this letter to the editor. Their many substantive contributions should be recognized, for the clinician’s expertise and the clients' values form two of the three key pillars for adhering to the principles of evidence-based practice.
Charley Adams
University of South Carolina, Columbia
Mark Allen
Center for Stuttering Therapy, Evanston, IL
Marybeth S. Allen
University of Maine, Orono
Barbara Amster
La Salle University, Philadelphia, PA
Julie Anderson
Indiana University, Bloomington
Deryk S. Beal
Boston University, MA
Janet Beilby
Curtin University, Perth, Western Australia
Nan Bernstein Ratner
University of Maryland, College Park
Michael Blomgren
University of Utah, Salt Lake City
Sr. Charleen Bloom
The College of Saint Rose, Albany, NY
Patti Bohlman
Milwaukee Public Schools, WI
Willie Botterill
Michael Palin Centre, London, UK
Dorvan Breitenfeld
Eastern Washington University, Cheney
Kristen A. Brence
Children’s Hospital of Pittsburgh of UPMC, PA
Shelley B. Brundage
George Washington University, Washington, DC
Judith V. Butler
Private Practice, Franklin, MA
Michelle L. Byrnes
University of Western Australia, Perth
Lee Caggiano
Stuttering Therapy and Resource Center of Long Island, NY
Friends, the National Association of Young People Who Stutter
New York University, Queens College, and C.W. Post University, New York, NY
Susan M. Cochrane
Freedom To Speak, Honeoye, NY
Christopher Constantino
University of Memphis, TN
Diane Parris Constantino
Boston University/Sargent College, MA
Susanne Cook
Evans, GA
Donna Cooperman
The College of Saint Rose, Albany, NY
Derek E. Daniels
Wayne State University, Detroit, MI
Anthony Dilollo
Wichita State University, KS
Joseph G. Donaher
The Children’s Hospital of Philadelphia, PA
University of Pennsylvania, Philadelphia
Erin C. Dyer
University of Wisconsin, Whitewater
Judith T. Eckardt
Fluency Therapy & Consultation, Tucson, AZ
Tammy Flores
National Stuttering Association, New York, NY
Garth Foote
McGill University Health Centre, Montreal, Quebec
Jane Fraser
Stuttering Foundation of America, Memphis, TN
Rodney Gabel
The University of Toledo, OH
Diane C. Games
Tri-County Speech Associates, Inc., Cincinnati, OH
Sheryl Gottwald
University of New Hampshire, Durham
Cheryl Green
Portland, OR
Heather Grossman
American Institute for Stuttering, New York, NY
Barry Guitar
University of Vermont, Burlington
Nancy E. Hall
University of Maine, Orono
E. Charles Healey
University of Nebraska, Lincoln
Lynne Hebert-Remson
Scottsdale Unified School District, AZ
Carl L Herder
University of Maryland, College Park
George Washington University, Washington, DC
Caryn Herring
Our Time Theater, New York, NY
Farzan Irani
Texas State University–San Marcos
Eric Jackson
Long Island University, Brooklyn, NY
Jeanne K. Meyer Junjulas
The College of Saint Rose, Albany, NY
Saratoga Hospital, NY
Ellen M. Kelly
Vanderbilt University Medical Center & Bill Wilkerson Center for Otolaryngology and Communication Sciences, Nashville, TN
Elaine Kelman
Michael Palin Centre, London, UK
Joseph F. Klein
Appalachian State University, Boone, NC
Jennifer Kleinow
La Salle University, Philadelphia, PA
Shelly Jo Kraft
Wayne State University, Detroit, MI
Tricia Krauss-Lehrman
TKL Speech and Language Services, Dallas, TX
Ashley Krieger
Children’s Hospital of Pittsburgh of UPMC, PA
Kim Krieger
Successful Stuttering Management Program, Cheney, WA
Karen Ruehle-Kumar
Speech-Language Pathologist, Phoenix, AZ
Judith Maginnis Kuster
Minnesota State University, Mankato, MN
Allison Ladavat
Pittsburgh, PA
Ellen Bennett Lanouette
Ysleta Independent School District, El Paso, TX
Lyndal Le Bas
Rhyme & Reason Speech Pathology, Canberra, Australia
Julie Leokumovich
Center for Speech and Language Pathology, Greenwich, CT
Paula Leslie
University of Pittsburgh, PA
Jonathon Linklater
Irish Stammering Association & SpeechMatters.ie, Dublin, Ireland
Sara MacIntyre
University of Pittsburgh, PA
Richard Mallard
Southwest Texas State University, San Marcos
Walter H. Manning
The University of Memphis, TN
Nathan Maxfield
University of South Florida, Tampa
James A. McClure
National Stuttering Association, Albuquerque, NM
Andy McMillin
Portland State University, OR
Ken Melnick
Worcester State University, MA
Sharon Millard
Michael Palin Centre, London, UK
Lawrence F. Molt
Auburn University, AL
William P. Murphy
Purdue University, West Lafayette, IN
Frederick P. Murray
University of New Hampshire, Durham
Charlie Osborne
University of Wisconsin–Stevens Point
Voon Pang
Speech Language Therapist, Auckland, New Zealand
Kristin M. Pelczarski
Bloomsburg University, Bloomsburg, PA
Megan Pellek
University of Pittsburgh, PA
Becky Peters
Private Practice, Gilbert, AZ
Laura W. Plexico
Auburn University, AL
Ryan Pollard
Lehman College, CUNY, Bronx, NY
Peter R. Ramig
University of Colorado, Boulder
Sheree Reese
Kean University, Union, NJ
Lee Reeves
National Stuttering Association, McKinney, TX
Nina Reeves
Frisco/Garland Independent Schools, TX
Stuttering Therapy Services/Seminars, McKinney, TX
Peter Reitzes
StutterTalk, Inc., Chapel Hill, NC
Gary J. Rentschler
Duquesne University, Pittsburgh, PA
Nancy Ribbler
Broward County School District, Plantation, FL
Elaine Robin
Private Practice, Shanghai, China
Jean Sawyer
Illinois State University, Normal
Ann H. Schneider
Children’s Hospital of Pittsburgh of UPMC, PA
Phil Schneider
Queens College, CUNY, New York, NY
Schneider Speech Pathology, Queens, NY
Uri Schneider
Schneider Speech Pathology, Queens, NY
Schneider Center for Fluency and Learning, Jerusalem, Israel
Lisa A. Scott
Florida State University, Tallahassee
Carol H. Seery
University of Wisconsin–Milwaukee
David A. Shapiro
Western Carolina University, Cullowhee, NC
Lynne Shields
Fontbonne University, St. Louis, MO
Chamonix Olsen Sikora
Speech-Language Pathologist, Higganum, CT
Vivian Sisskin
University of Maryland, College Park
Susan Smith
Sequoya Elementary School, Scottsdale, AZ
Greg Snyder
University of Mississippi, Oxford
Terri Spencer
Speech-Language Pathologist, Papillion, NE
Kenneth O. St. Louis
West Virginia University, Morgantown
Michael Susca
University of the Pacific, Stockton, CA
Glen Tellis
Misericordia University, Dallas, PA
John A. Tetnowski
University of Louisiana at Lafayette
Mitchell Trichon
St. John’s University, Queens, NY
National Stuttering Association, New York, NY
Jim Tsiamtsiouris
William Paterson University, Wayne, NJ
Blair Voigt
Green Hills Area Education Agency, Red Oak, IA
Patty A. Walton
University of Northern Colorado, Greeley
Metropolitan State College of Denver, CO
Colorado Center for Stuttering Therapy, Denver
Mary Weidner
Children’s Hospital of Pittsburgh of UPMC, PA
Glenn Weybright
Private Practice, Portland, OR
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