Speech Pathology Australia Members Share Concerns about Association’s Stuttering Proposal (Ep. 508)

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Janet Beilby, Ph.D

Janet Beilby and Kathy Viljoen join Peter Reitzes to discuss a recent proposal by Speech Pathology Australia (SPA) which has many professionals and people who stutter concerned. In an ASHA blog post, Craig Coleman explains this serious issue:

“Recently, Speech Pathology Australia (the national speech-language pathology association of Australia) submitted a proposal to the Australian Government Department of Treasury that would require Medicare rebates be made available for children who stutter, but only if they are treated using the Lidcombe Program.”

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Kathy Viljoen

StutterTalk covered this issue at length on Episode 502. For a brief and creative background on this issue, check out Katie Gore’s amazing summary The Australian Budget Lidcombe Proposal Debate: A Primer in Memes. Today, Dr. Beilby and Ms. Viljoen discuss much, including their experiences with a number of preschool stuttering treatments which have benefited children and families. They also share that Lidcombe treatment does not “work” for all preschoolers who stutter and that the current Speech Pathology Australia proposal may have the effect of discouraging other treatments which may be beneficial and appropriate. Mr. Reitzes asks Dr. Beilby and Ms. Viljoen about a submission made to Australia’s Community Affairs References Committee of the Senate, on University of Sydney letterhead, which concludes in part, that the Australian government should consider the informed choice of parents regarding speech-language pathology services. Ms. Viljoin shared, “I would like to see the SPA proposal be amended to extend coverage to children presenting with the disorder of stuttering rather to a specific treatment per se.” When asked how she might respond to a person who states, “It is only ethical to use Lidcombe treatment with preschoolers who stutter,” Ms. Viljoen responded, “I would ask them if they have had a child who stutters, if they think it is ethical for a program to offer the client to fit the program as opposed to the treatment approach to fit the client.”

Janet Beilby, Ph.D., is Senior Lecturer and Clinical Educator at Curtin University in Western Australia and has been a lecturer, researcher and clinician in the field of stuttering for over 30 years. Dr. Beilby has treated thousands of clients, trained hundreds of students and been awarded over half a million dollars in research funds investigating varying aspects of stuttering disorders.

Kathy Viljoen is the mother of children who stuttered and a Clinical Educator at Curtin University in Western Australia specializing in the management of stuttering. Ms. Viljoen supervises both undergraduate and Masters students at Curtin University in their stuttering placements. The Curtin Stuttering Treatment Clinic is the largest treatment facility for individuals who stutter in Western Australia.

Related Links:

  • Kathy Viljoen’s letter to Speech Pathology Australia – link
  • Janet Beilby’s letter to Speech Pathology Australia – link
  • Speech Pathology Australia’s proposal/budget submission to the Australian Government for 2015-2016 – link
  • The Stuttering Foundation’s Response/Statement titled Another Blunder from Down Underlink
  • Craig Coleman’s post/petition – A Dangerous Precedent from Australia: What It Means and What Happens Nextlink
  • Speech Pathology Australia’s Response/Statement – link
  • Craig Coleman’s ASHA blog post, A Controversial Proposal on Stuttering Treatment from Speech Pathology of Australia: What It Means and What Happens Next – link
  • ASHA blog post by Ann Packman, Mark Onslow and Deborah Theodoros – link
  • International Fluency Association Press Release – link
  • Lidcombe the only effective treatment in Australia? – link
  • Submission to the Community Affairs References Committee of the Senate – “An inquiry into the prevalence of different types of speech, language and communication disorders and speech pathology services in Australia” – link
  • A very important question to Onslow and Packman – link
  • Deborah Theodoros has been misinformed about the efficacy of Lidcombe – link
  • The Australian Budget Lidcombe Proposal Debate: A Primer in Memes – link
  • StutterTalk Episode 502 – link

    Use Your Tools and Other Ineffective Nagging (Ep. 507)

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    Vivian Sisskin, M.S., CCC-SLP

    Vivian Sisskin joins Peter Reitzes to discuss Use Your Tools and Other Ineffective Nagging. Ms. Sisskin is taking up residency this week at StutterTalk for five consecutive days of episodes filled with stuttering goodness and wisdom.

    Vivian Sisskin, M.S., CCC-SLP, is a Clinical Professor in the department of Hearing and Speech Sciences at the University of Maryland and a Board Certified Specialist in Fluency Disorders. Ms. Sisskin runs the Sisskin Stuttering Center in Virginia and is well known for her work in avoidance reduction therapy.

      Praise the Showing Up (Ep. 506)

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      Vivian Sisskin, M.S., CCC-SLP

      Vivian Sisskin joins Peter Reitzes to discuss Praise the Showing Up. Ms. Sisskin is taking up residency this week at StutterTalk for five consecutive days of episodes filled with stuttering goodness and wisdom.

      Vivian Sisskin, M.S., CCC-SLP, is a Clinical Professor in the department of Hearing and Speech Sciences at the University of Maryland and a Board Certified Specialist in Fluency Disorders. Ms. Sisskin runs the Sisskin Stuttering Center in Virginia and is well known for her work in avoidance reduction therapy.

        Fixing the Roof Before Painting the Spot (Ep. 505)

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        Vivian Sisskin, M.S., CCC-SLP

        Vivian Sisskin joins Peter Reitzes to discuss Fixing the Roof Before Painting the Spot. Ms. Sisskin is taking up residency this week at StutterTalk for five consecutive days of episodes filled with stuttering goodness and wisdom.

        Vivian Sisskin, M.S., CCC-SLP, is a Clinical Professor in the department of Hearing and Speech Sciences at the University of Maryland and a Board Certified Specialist in Fluency Disorders. Ms. Sisskin runs the Sisskin Stuttering Center in Virginia and is well known for her work in avoidance reduction therapy.

          Management vs Choice vs Control (Ep. 504)

          stuttering, StutterTalk

          Vivian Sisskin, M.S., CCC-SLP

          Vivian Sisskin joins Peter Reitzes to discuss Management vs Choice vs Control. Ms. Sisskin is taking up residency this week at StutterTalk for five consecutive days of episodes filled with stuttering goodness and wisdom.

          Vivian Sisskin, M.S., CCC-SLP, is a Clinical Professor in the department of Hearing and Speech Sciences at the University of Maryland and a Board Certified Specialist in Fluency Disorders. Ms. Sisskin runs the Sisskin Stuttering Center in Virginia and is well known for her work in avoidance reduction therapy.

            Joy of Communication vs Fluency (Ep. 503)

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            Vivian Sisskin, M.S., CCC-SLP

            Vivian Sisskin joins Peter Reitzes to discuss the Joy of Communication vs. Fluency. Ms. Sisskin is taking up residency this week at StutterTalk for five consecutive days of episodes filled with stuttering goodness and wisdom.

            Vivian Sisskin, M.S., CCC-SLP, is a Clinical Professor in the department of Hearing and Speech Sciences at the University of Maryland and a Board Certified Specialist in Fluency Disorders. Ms. Sisskin runs the Sisskin Stuttering Center in Virginia and is well known for her work in avoidance reduction therapy.

              Many in the Stuttering and SLP Communities Speak Out Against Australian Funding Proposal for “One Size Fits All” Treatment (Ep. 502)

              Jane Fraser, Elaine KelmanCraig Coleman, and Bob Quesal join Peter Reitzes to discuss a recent proposal by Speech Pathology Australia (SPA) which has many professionals and people who stutter concerned. In an ASHA blog post, Craig Coleman explains this serious issue:

              “Recently, Speech Pathology Australia (the national speech-language pathology association of Australia) submitted a proposal to the Australian Government Department of Treasury that would require Medicare rebates be made available for children who stutter, but only if they are treated using the Lidcombe Program.”

              Much is said on today’s episode. Jane Fraser begins by sharing her experience at the Stuttering Foundation hearing from families who do not always find success using Lidcombe Treatment. Jane stresses that a major concern about the SPA proposal is that “one size does not fit all” in stuttering treatment. Ms. Fraser is asked about the Stuttering Foundation’s statement on this issue and a recent Stuttering Foundation blog post. Next, Elaine Kelman is asked about the International Fluency Association’s press release which explains why they feel the Australian Proposal is not fully consistent with evidence based practice. Craig Coleman and Bob Quesal then join the conversation and discuss how there are better ways to advocate for people who stutter then by choosing only one treatment approach to reimburse. Mr. Coleman and Dr. Quesal share their concerns about the possible negative ramifications of the SPA proposal and much, much more.

              StutterTalk invited Gail Mulcair, Executive Director of Speech Pathology Australia or another SPA representative on air to discuss these issues. SPA did not accept the invitation to participate.

              Jane Fraser is president of The Stuttering Foundation, has run the Foundation for more than 30 years and is co-author of If Your Child Stutters: A Guide for Parents now in its 8th edition.

              Elaine Kelman, MSc, Cert CT, Cert MRCSLT is Clinical Manager at The Michael Palin Centre for Stammering Children in London, President of the International Fluency Association, a Certified member of the Royal College of Speech and Language Therapists, an International affiliate of ASHA, and a Member of the Health and Care Professions Council. Ms. Kelman, with Alison Nicholas, authored the textbook Practical Intervention for Early Childhood Stammering: Palin PCI Approach.

              Craig Coleman, MA, CCC-SLP, BCS-F is an assistant professor at Marshall University and a Board-Certified Specialist in fluency Disorders. Mr. Coleman is currently serving as coordinator of ASHA SIG 4 (Fluency) and as a member of the ASHA ad-hoc committee to revise the scope of practice in speech-language pathology. Craig is an adjunct instructor at Indiana University of Pennsylvania and Co-Director of the Stuttering U. summer program for children who stutter, their families, and SLPs.

              Robert Quesal, Ph.D., CCC-SLP is a person who stutters, a professor emeritus of Communication Sciences and Disorders at Western Illinois University, a fellow of the American Speech-Language Hearing Association (ASHA) and a retired board certified specialist in fluency disorders.

              Related Links:

              • Speech Pathology Australia’s proposal/budget submission to the Australian Government for 2015-2016 – link
              • The Stuttering Foundation’s Response/Statement titled Another Blunder from Down Underlink
              • Craig Coleman’s post/petition – A Dangerous Precedent from Australia: What It Means and What Happens Nextlink
              • Speech Pathology Australia’s Response/Statement – link
              • Craig Coleman’s ASHA blog post, A Controversial Proposal on Stuttering Treatment from Speech Pathology of Australia: What It Means and What Happens Next – link
              • ASHA blog post by Ann Packman, Mark Onslow and Deborah Theodoros – link
              • International Fluency Association Press Release – link
              • Tom’s Weidig’s post at the Stuttering Brain blog, Lidcombe the only effective treatment in Australia? – link

                Discussing a Sports Illustrated Article about Michael Kidd-Gilchrist (Ep. 501)

                StutterTalkBTeamJoel Korte and Roisin McManus of the StutterTalk B Team spend today’s episode discussing a Sports Illustrated article about Michael Kidd-Gilchrist, an NBA basketball player who stutters.

                Joel and Roisin also discuss a related article titled Speech-Language Pathologist Helps Former Wildcat Become Fluent for Life.

                  Ask. Dr. Dennis Drayna from the NIH about Genetics and Stuttering (Ep. 500)

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                  Dennis Drayna, Ph.D.

                  Dr. Dennis Drayna joins Peter Reitzes for this special Ask the Expert episode to answer listener questions on genetics and stuttering. Thanks to the NIH for promoting this milestone episode!

                  On today’s episode Dr. Drayna is asked to discuss wide range of questions and topics including his research, advice to physicians, if genetics may be linked to stuttering severity and covert stuttering, the reality of gene-based therapies, related NIH research, how genetics and the environment interact, the inheritability of stuttering, genetics and possible subgroups of stuttering, the replicability of his research and much more. Dr. Drayna discusses a forthcoming publication on using mice to explore the genetics of stuttering.

                  Dennis Drayna, Ph.D., is Senior Investigator at the National Institute on Deafness and Other Communication Disorders at the National Institutes of Health. Read more about Dr. Drayna at the NIH website here. Dr. Drayna has appeared four other times on StutterTalk. Those episodes are archived here.

                    Each Moment of Stuttering Can Be a Huge Success: What I Wish My SLP Knew about Stuttering (Ep. 499)

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                    Robert Dellinger, M.S., CCC-SLP

                    Robert Dellinger joins Peter Reitzes to discus what he wishes his speech-language pathologist (SLP) knew about stuttering. Mr. Dellinger explains that often when school age children who stutter are “fluent” it is usually not the result of therapy, but due to issues such as variability. Robert explains that “fluency” has little use when a student is not able to say what they want, when they want to say it. Mr. Dellinger is asked to discuss IEP goals and to offer advice to SLPs who may be uncomfortable working with children who stutter. Check out Robert’s website here.

                    Robert Dellinger, M.S., CCC-SLP is a school-based speech-language pathologist in Raleigh, N.C., and a person who stutters. He works in an elementary school and consults with colleagues in complicated fluency disorders cases at the elementary, middle, and high school levels. Rob is an active member of the National Stuttering Association chapter in Raleigh and contributes to the local Teens Who Stutter (TWST) group. This spring, Dellinger presented at the North Carolina Speech, Hearing and Language Association convention on the topic, Children Who Stutter – Beyond ‘Speech Tools’: A Multidimensional Approach to a Complex Disorder.

                    As discussed on air, here is the flier to the Cary, NC FRIENDS one day conference on March 7, 2015.