Three approaches to speech therapy for children who stutter are proposed, reflecting differences in the type and degree of parent involvement required for different age groups. The first approach considers parent-child interaction skills as a basis for facilitating development of fluency skills in young children. Intensive group therapy programs…

This 3.5 year follow-up study concerns a behavioral treatment of stuttering for children aged 9 to 14 years, which involved awareness training, use of a competing response, and social support. Six of seven participants continued to be at or below the criterion of three percent stuttered words. Stuttering increased for one child, but remained far…

This paper reviews parents' emotional reactions following the birth of a cleft lip/palate child. It examines when parents were told of the deformity and discusses the duties of the speech-language pathologist and the psychologist in counseling the parents and the child. (Author/JDD)

Structured interviews with 20 speech language pathologists indicated that their views of administrative support and nonsupport covered many dimensions, including working conditions/resources, advocacy, staff development, and program assistance. (Author/DB)

This article presents several rationales for improved recordkeeping and contracting between speech-language therapists and parents or students. Contracting, therapy, and recording are conceptualized as inseparable, interrelated components of a holistic approach to student improvement. Employers, funding bodies, and accrediting bodies need to…

This article summarizes the major cognitive, behavioral, and language characteristics of the Fragile X syndrome and considers their educational implications. This common heritable cause of mental disability has implications for teaching style, curriculum, family counseling, and speech therapy. (DB)

This paper focuses on formal strategies for remediation of speech production in children and youth with hearing impairments. A seven-step model of speech acquisition is summarized. General principles for improving student speech at phonetic and phonologic levels and specific strategies to deal with common speech errors are offered. (Author/DB)

This article describes ideas for using administrators to facilitate the change to a collaborative consultative model and offers some thoughts on initiation of the model. (Author/JDD)

Speech language pathologists providing collaborative-consultative services are urged to utilize a student skills framework, such as that of the MEGASKILLS approach, which focuses on developing students' confidence, motivation, effort, responsibility, initiative, perseverance, caring, teamwork, problem solving, and common sense. (DB)

Analysis of responses of school-based speech-language pathologists found that respondents spend their time on the following activities: monitoring, screening and Individualized Education Program review activities; conferring with teachers; and other activities such as direct intervention and inservice training. Respondents spent most of their time…

Dynamic assessment methods are compared with respect to their assessment applications. An assessment protocol recommended for the identification of language disorder versus differences is then described. Examples of two Spanish-English bilingual children show how the protocol may be useful to assess children's language-learning potential and to…

The role of the speech-language pathologist (SLP) has developed considerably over the last 10 years given the medical and technological advances in life-sustaining procedures. Over time, children born with congenital, surgical, or "medically fragile" conditions have become mainstreamed into regular school-based settings, thus extending…

Lip movements were examined across several repetitive speaking conditions (speech alone and speaking concurrently with a linguistic, cognitive, or visuomotor challenge task) in 20 young adults. Performance in these nonspeech activities was also compared between isolated tasks and concurrent speech conditions. Linguistic challenges resulted in…

This study examined the impact of a training programme which aimed to support language-, literacy- and social-communication-promoting strategies for professionals working with children with language delay. Sixteen teachers, special needs assistants and therapists based in services for children with mild to severe learning difficulties attended…

Described is a pilot inservice program designed to improve cooperation between a school district's teachers and speech and hearing clinician. (LS)