Demands & capacities model for treatment of pre-school children who stutter
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DEMANDS & CAPACITIES MODEL (RESTART) FOR TREATMENT OF PRE-SCHOOL CHILDREN WHO STUTTER

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This workshop is designed for speech and language pathologists who want to be trained to practice a Demands and Capacities based treatment for young stuttering children. This method was investigated in the RESTART trial (see www.restartdcm.org). Participants will practice with the selection of relevant assessment-factors and will practice their treatment skills so that they are able to use the method in their daily practice.

Treatment for children who stutter

By the late eighties, the Demands and Capacities Model (DCM) approach had emerged as the standard treatment in the Netherlands for young children who stutter. The exact procedure followed however varied extensively. In some cases, parents were only given advice (e.g. to speak to their child more slowly, while in other cases, speech therapists (fluency experts) gave, instead of advice, training to parents to achieve actual behavioural change. Some focused solely on reducing ‘demands’, while others also worked on reinforcing the ‘capacities’ of the child.

For purpose of a similar treatment approach during the study, the RESTART DCM Method manual was developed. In the final stage of the project, it was decided to make the protocol generally accessible.

Franken, MC., Putker-de Bruin, D. (2007). Restart-DCM Method. Treatment Protocol developed within the scope of the ZonMW project Cost Effectiveness of the Demands and Capacities Model based treatment compared to the Lidcombe Programme of early stuttering intervention: Randomised trial.
 

www.nedverstottertherapie.nl/wp-content/uploads/2016/07/RESTART-DCM.Method.-English.pdf

 

Learning outcome of workshop

 Participants will be able to describe the rationale of the DCM approach and DCM multifactorial assessment (2 hours); they will have practiced selecting relevant demands, conducting a parent-clinician conference cf. DCM approach (2 hours), and treatment skills regarding reducing motoric and linguistic Demands of the child and the environment (3 hours).

Participants will have practiced treatment skills regarding reducing emotional and cognitive Demands of the child and the environment (3 hours), and increasing motoric , linguistic , emotional and cognitive Capacities (4 hours).

Participants will practice applying the (RESTART-)DCM approach in case studies; participants are invited to share their own cases (4 hours).

 

Trainers RESTART-DCM

 

Marie-Christine Franken graduated as a linguist (University of Nijmegen, 1985), speech-language therapist (Hogeschool Nijmegen, 1989), and qualified as a Fluency Expert (1991). Her PhD (University of Nijmegen, 1997) addressed evaluation of stuttering therapy. She has worked for more than 25 years combining clinical work, research and teaching. Currently, she is the principal pediatric speech-language researcher and clinical linguist – fluency expert at the Erasmus University Medical Centre, Rotterdam, The Netherlands and since 2015 a trainer of the RESTART DCM approach for clinicians.

Ellen Laroes graduated as a speech-language therapist (Hogeschool Heerlen, 1985) and qualified as a Fluency Expert (1986). She is registered as a European Fluency Specialist. Ellen works in her private practice specialized in fluency disorders and teaches Fluency Disorders at Zuyd Hogeschool, University of Applied Sciences, Heerlen, the. She is part of the education committee of the Dutch Association for Stuttering Therapy (NVST) and mentor for the European Clinical Specialization in Fluency Disorders (ECSF). Since the eighties, she has been working with the Demands and Capacities Model based treatment and since 2000 with the Lidcombe Program as well. She was one of the participating therapists in the RESTART trial and since 2015 a trainer of the RESTART DCM approach for clinicians.

 

 

 

Module 1 

 

This 3-hour webinar provides a general introduction to the RESTART DCM approach. The background, the research basis and an overview of the method are discussed. Besides being the introduction to module 2-4 of the workshop, it intends to inform speech therapist who consider doing this workshop but have not decided yet, and would like to receive more information about the method before deciding to certify.

 

Module 2-3-4

 

The online workshop is intended for speech therapists who would like to be certified to treat according to the Restart Demands and Capacity Model-based treatment for young children who stutter. This treatment approach has been investigated in the RESTART trial (see www.restartdcm.org) . The participants practice with a selection of relevant assessment factors and practice their treatment skills so that they can apply the method in their daily practice. For an overview of the RESTART DCM treatment method, see our website www.restartdcm.org and, for a free download of the methods manual: 

https://restartdcm.nl/wp-content/uploads/2019/01/RESTART-DCM.Method.-English-met-app.pdf

 

Module 2 

 

After Module 2 participants will be able to describe the rationale of the DCM approach and DCM multifactorial assessment; they will have practiced

- specific elements of the assessment with a video assessment 

- selecting relevant demands to target in treatment

- conducting a parent-clinician conference cf. Restart-DCM approach

- treatment skill regarding reducing motoric and linguistic Demands of the child and the environment.

 

Module 3

 

After Module 3 participants will have practiced:

  • treatment skills regarding reducing emotional and cognitive Demands of the child and the environment, 
  • increasing motoric , linguistic , emotional and cognitive Capacities. 

Participants will be divided into small groups to make sure that everyone can practice their own skills. Closing this module, participants are invited to start using the Restart-DCM approach. This will also be possible when they will not have young stuttering children in their caseload, at the time. 

 

Module 4

 

Before the start of Module 4, participants are invited to submit any questions that may have about using the Restart-DCM approach and they are expected to submit a (short) case study applying the approach. During Module 4, participants will practice applying the Restart-DCM approach in relevant aspects of the submitted case studies, and they will participate in ‘trouble shooting’ related to the questions asked.

 

 

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