CASE STUDY KEY

Karen 4 years, 3 months Initial

Mother
Began at 2 years – it is getting worse; starting to shut down – especially with people
she doesn’t know and at school
Mother, aunt, grandfather, and uncle stutter
Stutters at the beginning of words
Said, “Mouth broken”; gets upset when she can’t talk
Mother stuttered until she was 35
Visible signs of frustration
Avoids situations
Worse when excited or tired
Affecting self-esteem
Whole word, phrase, sound and syllable repetitions
Sound prolongations
Blocks
Bangs hand on table when can’t get words out; sometimes stomps foot
Changes in pitch and loudness

PreK Teacher
Shows visible signs of frustration
First noticed problem 3 or 4 months ago (now January)
Avoids situations in which teasing or embarrassment may occur
Does not talk very much at school
Karen is a very shy little girl and will not participate in show and tell or circle time.
I think she may be embarrassed by her speech.
I asked her if talking was hard for her and she told me it was. She seems very sad
about her problems with talking.
Prefers to use gestures
Disfluency appears to be affecting self-esteem and attitude toward self
Sound or syllable repetitions
Sound prolongations
Avoids eye contact
Mom is very worried about this situation. I will do anything I can to help.
Most of the time she plays with the dolls in the corner of the classroom
I hope that speech therapy can help this little girl.

SSI-3
Total overall score – 32 Percentile 96-99 Severity – Very severe

ELIGIBLE
Andrew 9 years, 0 months Re-Eval
Mother
Started stuttering at 2 years of age
No one else in family stutters
Speech is much better now. He really doesn’t stutter any more.
He stutters more when he is out of breath or excited.
He has problems saying r and th.

4th Grade Language Arts Teacher

Andrew is sometimes a little disfluent after recess
Interjections
Associated language, voice quality, articulation concerns
Andrew still had some trouble earlier this year but sounds a lot better now

SLP Obs.
Disfluency tends to come and go – lunchroom – mostly when talking to groups of
friends
Syllable repetitions
Interjections
Associated articulation concerns (/r, Ɵ, ð)

SSI-3
Total overall score – 6 Percentile – 1-4 Severity – very mild

DISMISS for fluency, but make him a mentor. Write follow-up into ARD notes.
Might want to write one fluency goal.
Keep in for articulation