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Objective: The objective of this study was to compare current beliefs and practice trends in selective mutism between the speech-language pathologist and the psychologist. Methods: Questionnaires addressing the areas of knowledge, treatment, collaboration, and demographics were constructed on Survey Monkey. Links to the questionnaire were sent to speech-language pathologists and psychologists via e-mail. Results were collected and analyzed by informal observation of trends and cross-tab analyses for each group. Group results were compared in order to draw conclusions about current beliefs and practice trends. Results: The psychologist had higher self-ratings of knowledge regarding selective mutism than the speech-language pathologist. However, both professionals reported a similar number of children with selective mutism on their caseloads. Additionally, the speech-language pathologist reported treating the disorder as a communication disorder by focusing on expressive language and pragmatic skills, whereas the psychologist focused on anxiety-relief strategies. Finally, collaboration among the professionals was uncommon although both recognized the advantages of collaboration. Conclusions: There is a disconnect between the two professionals, which may be preventing a more comprehensive assessment and treatment approach to selective mutism.
Selective mutism (SM) is an anxiety disorder in which individuals are unable to communicate in certain environments or contexts (such as at school or in the community) despite having appropriate speech and language skills in other settings. By drawing on their extensive knowledge of language development, language complexity, and therapeutic approaches, speech-language pathologists (SLPs) can provide life-changing results for children with SM. Treating Selective Mutism as a Speech-Language Pathologist is a comprehensive yet accessible resource designed to bridge the gap in the current SM literature and empower SLPs to treat this disorder effectively. This valuable professional resource has tools for SLPs at every stage of their careers, from new clinicians preparing for potential cases of SM to experienced SLPs looking to expand their knowledge base. The first three chapters of Treating Selective Mutism as a Speech-Language Pathologist offer a base of understanding by exploring the roots and characteristics of SM. The text then walks clinicians through effective assessment and diagnosis strategies. The final chapters provide evidence-based treatment strategies, as well as practical guides and activities, for supporting children with SM. Key Features: * Ready-to-use activities, handouts, and forms that can be reproduced and implemented during a therapy session * Up-to-date empirical evidence regarding the etiological factors of SM * Overview of the collaborative team approach necessary for treating SM * Suggestions regarding specific assessment materials and a specific protocol to guide data collection during assessment * Specific, evidence-based treatment strategies provided in a clear, easy-to-understand manner Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.
Bringing together the latest research and understanding on selective mutism, this edited book gives essential information on the various treatment and therapy options. Experts in the fields of speech and language therapy, psychology, music therapy education and communication offer a wide range of professional perspectives on the condition, while case studies from people with selective mutism, past sufferers and parents reveal the personal impact. The book also clarifies what support a person with selective mutism is likely to need at home, school and in social situations. This definitive volume on selective mutism will be key reading for professionals such as speech and language therapists, educational psychologists, child psychiatrists, child and adolescent mental health workers and anyone working with selective mutism in therapeutic and educational settings, as well as family members wanting a closer understanding of what selective mutism is and how they can help.
Selective mutism, or refusal or unwillingness to speak in certain situations or settings, poses a particular challenge to educators and other school-based professionals. In many cases, school personnel are on the front lines of assessment and treatment for these children and must help them succeed in an academic setting. This can be difficult considering that many school-based professionals are pressed for time and resources. Helping Children with Selective Mutism and Their Parents: A Guide for School-based Professionals provides information that can help readers better understand and combat selective mutism. Written for guidance counselors, teachers, principals and deans, school psychologists, and school-based social workers, this book educates readers about the nature of selective mutism and its most common clinical manifestations (such as social anxiety, oppositional behavior, and communication difficulties). Offering methods to determine the form and function of a child's chronically mute behavior, the book provides evidence-based strategies to enhance a child's verbal participation at school and in other social and academic activities. The chapters provide advice for working collaboratively with parents, preventing relapse, and tackling special issues. Easy-to-read and conversational in style, Helping Children with Selective Mutism and Their Parents offers numerous visuals, handouts, case vignettes, and FAQs. The book is an essential resource for educators faced with children with selective mutism, as well as other professionals who work with this population, including clinical child psychologists and psychiatrists, social workers, and pediatricians.
Treatment for Children with Selective Mutism outlines the sequence and essential elements to guide clinicians through a comprehensive, integrated program for young children who display symptoms of SM.
The book has been written for applied researchers and practitioners in the disciplines of school psychology, speech-language pathology, special education, expressive therapy, family therapy, psychiatry, clinical psychology, pediatric medicine, and social work. Elective mutism is discussed within the important context of silence and gender differences in communication. The elective mutism literature focuses on the characteristics of specific patients but little has been done in systematic theory building. Hadley addresses this issue and argues for a multidimensional theory of elective mutism. The book has five major purposes: (1) to provide a background for the problem of elective mutism by identifying the characteristics of healthy users of silence; (2) to provide a compendium of practical approaches for assessing and treating elective mutism; (3) to suggest etiological models of elective mutism based on the evaluation and synthesis of case study data; (4) to identify recurring themes and major issues in the published literature; and (5) to identify research questions related to the assessment and treatment of elective mutism. A unique feature of the book is the inclusion of an assessment instrument for monitoring and recording information about the behavior of silence users. It can also be used to monitor and record progress during treatment. The book addresses the characteristics of elective mutism, psychosocial factors of silence and communication, psychosocial characteristics of electively mute persons, theories of elective mutism, legal aspects of the silence user role, direct observation of behavior, why-questions beyond direct observation, assessment of electively mute behavior, and unsystematic informal treatments. The treatment section is extensive and includes behavioral interventions such as positive self-modeling and expressive therapies such as play therapy, phototherapy and art therapy.
Selective Mutism: A Guide for Therapists, Educators, and Parents provides an effective, research-based behavioral intervention plan for the successful treatment of Selective Mutism. Based on years of clinical experience and expertise, author Dr. Aimee Kotrba provides not only assessment and treatment information, but also case examples, easy-to-implement workbook sheets, and informative handouts. Dr. Kotrba is an advocate of team treatment - parents, schools, and mental health professionals working together to intervene with selective mutism -- and this book provides intervention strategies for all team members, as well as a comprehensive treatment plan that can be individualized to any child. The techniques included emphasize a gradual, stepwise approach to increased speech, as well as fun and engaging activities that can be used at each step of treatment. Tips for engaging and motivating children and teens are included to improve treatment outcomes.
This is the only text to address child and adolescent psychopathology from the viewpoint of the school psychologist. Integrating, comparing, and distinguishing DSM-5 diagnoses from IDEA disability classifications, it provides a comprehensive overview of mental health conditions in this population. This book addresses the impact of these conditions at school and at home, along with a description of practical, evidence-based educational and mental health interventions that can be implemented in school environments. It addresses the role of the school psychologist and details a variety of educational supports and school-based mental health services as they apply to specific conditions. This resource provides comprehensive coverage of school psychologists' responsibilities, including assessment, educational and skill-based interventions and supports, consulting with key stakeholders, and advocacy. Case studies address classification issues and varied approaches psychologists can use to support students. Chapters provide a variety of features to reinforce knowledge, including quick facts, discussion questions, and sources for additional resources. Instructor's ancillaries include instructor's manual, test questions, and mapping to NASP domains as well as PowerPoints and a test bank. Purchase includes digital access for use on most mobile devices or computers. Key Features: Provides a school psychological approach to addressing a full gamut of child/adolescent mental health problems at school and at home Integrates, compares, and distinguishes DSM-5 diagnoses, IDEA disability classifications and other legal protections (i.e., Section 504) for each disorder Covers the impact of various disorders on a child's ability to learn and function in the classroom Addresses practical, evidence-based educational supports and school-based mental health services suited to specific disorders Includes case studies addressing classification issues and delineating practical student supports
Counseling and Interviewing in Speech-Language Pathology and Audiology includes an overview of the role of counseling and the skills and techniques specific to counseling and interviewing. It provides a solutions-focused approach, integrating counseling and treatment using advanced communication skills to better understand and coach the patient. This unique guide uses original models and inventive techniques to impart the most helpful approaches to counseling as part of the therapy process in speech-language pathology and audiology. Filled with strategically positioned real life scenarios, each chapter delves into a key aspect of counseling, simplifying and clarifying the concepts and methods clinicians will find practical and comprehensive.
There have been important developments in the study and treatment of selective mutism during the ten years since the first edition of this book was published. Understanding of the subject has improved more dramatically than in any period since the phenomenon of children who talk readily in some situations but not in others was first recognised over a century ago. The second edition of this practical book reports recent developments in medication and combined therapies. New findings on the links between social anxiety, biological and genetic factors and selective mutism are described. At the same time the authors remain committed to understanding this pattern of behaviour in its full social context in family and community and to employing behavioural approaches to intervention alongside other methods. This is the fullest and most authoritative book-length account of selective mutism in print.