This is a lidcombe programe for stammering children ages from 2 to 6 years old.Basically work as a behavioral therpay technique.Involved parents or care giver in every day environment to make a postive experience for child.

1. The Lidcombe program
PRESENTED BY : SIBGHA SHAFIQ

2. INTRODUCTION:
It Is A Behavioral Treatment For Stuttering In
Preschool-age Children(2-6 Years Old).
A Parent Or Some Other Significant Person
In The Child's Life Delivers The Treatment In
His/her Everyday Environment.

3. .
Weekly visits in clinic for the measurements
of the child’s stuttering severity).They
ensures that it is a positive and enjoyable
experience for the child.
The Lidcombe Program treatment goal
during Stage 1 is no stuttering or almost
no stuttering, and the goal of Stage 2 is for
no stuttering or almost no stuttering to be
sustained for a long time.

4. STAGES:
The program is conducted in two stages.

5. STAGE :1
They attend the speech clinic once a week and the parent does the treatment each day in the
child’s everyday environment.
Parental Verbal Contingencies in
everyday environment
Stutter free speech
1.Acknowledge the response
2.Praise the Response
3.Request self evaluation
Unambiguous stuttering
1.Acknowledge the response
2.Request self correction

7. By the end of Stage 1,
treatment usually occurs
entirely during
unstructured treatment
conversations. When
stuttering reaches a very
low level, the parent and
child move to Stage 2
of the program.
Regular measurement of
children’s stuttering
severity occurs during the
Lidcombe Program.
Severity Rating (SR) scale:
0 = no stuttering, 1 =
extremely mild stuttering,
and 9 = extremely severe
Parents and
clinicians use the
Severity Rating
scale during the
Lidcombe
Program.
Comparison of SR scores for
the previous week and clinic
sample and they discuss in-
depth the treatment
procedures used or require
any change in a treatment.

8. The criteria for
progressing to Stage 2
are:
(1) %SS less than 1.0
within the clinic
(2) SR scores for the
previous week of 1 or
2, with at least four of
these being 1.
These criteria need to
be achieved for three
consecutive clinic
visits.

9. STAGE :2(The Maintenance Stage)
The parent progressively
reduces the frequency of
verbal contingencies, and the
child and parent attend the
clinic less and less frequently,
providing that the child’s
stuttering remains at the low
levels described above.
Time between clinic visits
increases. The first two clinic
visits are 2 weeks apart, the
next two are 4 weeks apart,
then two are 8 weeks apart,
and the final two visits are 16
weeks apart.

10. Parents continue with
treatment in unstructured
conversations
If child show minimal
progress, SLP may slow
process or move to a previous
stage.

11. Maintenance & Generalization
Through Individualization
Parents are made aware that in
order for the treatment to be
successful the techniques must
generalize beyond the clinic
setting.
Intervention is individualized
base on:
• Age of Child (Type of activity
and duration of the
conversation)
• Stuttering Severity (Must
focus on the dysfluent speech)
• Child’s Behaviors
• Personalities of Child and
Parent ( is they both feel any
discomfort during the
program)
• Familial
Circumstances(Parental time
management with the child)

12. REFERENCES:
The Lidcombe His/her of Wisconsin-Stevens Point, Lorrie Metalated,Stacey Lamers,December,2005.
MANUAL FOR THE LIDCOMBE PROGRAM OF EARLY STUTTERING INTERVENTION 2008 .
Microsoft Word - Lidcombe Program Treatment Guide December 2017.docx (uts.edu.au)