alexa 40 C ONTEMPORARY I SSUES IN C OMMUNICATION S CIENCE AND D ISORDERS • V olume 31 • 40–48 • Spring 2004 40 C ONTEMPORARY I SSUES IN C OMMUNICATION S CIENCE AND D ISORDERS • Volume 31 • 40–48 • Spring 2004 © NSSLHA
Psychiatry

Psychiatry

Journal of Child and Adolescent Behavior

Author(s): E Charles Healey, Lisa Scott Trautman, Michael Susca

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This article describes a model and a process that involves a multidimensional assessment and treatment approach to persons who stutter. Because of the complexity of stuttering, the amount of information that needs to be considered when assessing and treating stuttering can be overwhelming. In this article, a model is proposed that focuses on five components believed to be central to the maintenance of stuttering. The model includes cognitive, affective, linguistic, motor, and social (CALMS) components, which form a basis for assessment and treatment planning. Specifically, the model accounts for individual differences in the performance each client has in the five components, and how changing demands influence a client’s overall communicative abilities. Examples are given that demon- strate how ratings of performance in each component guide assessment. Specific applications of the information derived from the assessment for treatment are illustrated by a case study of a school-age child who stutters.

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This article was published in N C OMMUNICATION S CIENCE AND D ISORDERS and referenced in Journal of Child and Adolescent Behavior

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