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From: Tim Mackesey, CCC-SLP, BRSFD
Date: 21 Oct 2012
Time: 07:57:33 -0500
Remote Name: 74.190.186.169
Kevin is right with most kids. However, some pre-k children have such tonic and severe blocking that they need to be assisted to say words. An example would be a 3 yo who has severe blocks on common starting words such as I, what, can. If SLP says at the end of severe utterance "that was bumpy let's say that again" the child may go right back into tonic stutter. That is a very precarious position. Back up and teach fluent onset. An ounce of prevention is worth a pound of cure. I just did an eval on 5 yo who stuttered on 28 items on GFTA (one word utterance). That child, and others I see, need to learn some easy onset to initiate speech. I use a multi-sensory approach with visual, auditory, and tactile input.