Collections
ALL OASES
The STR website is experiencing temporary technical difficulties that prevent us from displaying the OASES products in our usual way. In the meanwhile, you can find most of the OASES-related materials here.
Assessment and Treatment Resources for All Age Groups
Books Collection: Early Childhood Stuttering Therapy
Evaluation and treatment procedures for young children who stutter have changed dramatically in recent years. Our practical materials will help you provide comprehensive intervention to help young children improve their ease of speaking, develop healthy communication attitudes, and strengthen their communication skills. We suggest keeping a few extra parent booklets in your therapy library to offer expert support to families who are worried about stuttering!
Books Collection: School-Age Stuttering
Use these practical therapy manuals to work through the entire school-age assessment and intervention process, including initial evaluation, making treatment recommendations and writing goals, implementing evidence-based therapy, and planning dismissal. We suggest keeping a few extra parent booklets on hand so that you're always ready to offer expert support to families who are worried about stuttering.
Books Collection: Special Topics
Level up your skills for addressing complex topics in stuttering assessment and intervention.
Childhood Stuttering Screening for Physicians (CSS-P™)
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What Is the Childhood Stuttering Screening for Physicians (CSS-P™)?
The CSS-P is a data-based screening tool for Childhood-Onset Fluency Disorder (ICD-10: F80.81) that indicates when physicians should refer children who stutter, ages 2 to 5, to a speech-language pathologist (SLP) for evaluation and possible treatment.
Why Screen Young Children Who Stutter?
Many young children exhibit stuttering as they are learning to speak. Estimates of incidence for ages 2 to 5 range to 11%.
Although most children stop stuttering, roughly 20-25% continue to stutter into the school-age years and beyond.
Continued stuttering is associated with negative consequences including bullying and reduced quality of life.
Early intervention increases the likelihood that a child will be able to speak more easily and minimize negative impact.
Decades of research have identified "risk factors" that indicate whether a child is likely to continue stuttering.
Children who exhibit these factors should be evaluated by an SLP to determine if they need specialized treatment to support their speech production, general speech and language development, and overall communication abilities.
What Is Stuttering?
All speakers exhibit disruptions in their speech. These disruptions are known as speech disfluencies. Some speech disfluencies reflect stuttering behavior, but some do not.
Stuttering behaviors are speech disfluencies that occur when people know what they want to say but cannot say it in that moment. This is different from what people experience when they are thinking about what they want to say.
Common stuttering behaviors include repetitions, prolongations, blocks, and other indicators that speakers feel “stuck” when talking. Moments of stuttering may involve physical tension or struggle as speakers try to force their words out.
Stuttering is uncomfortable for children. They may try to avoid words or not talk when they think they might stutter. Although this may hide stuttering for the moment, it increases the overall negative impact of the condition.
Without appropriate early intervention, young children are more likely to experience increased stuttering and other adverse consequences. Early intervention can diminish the risk of the negative sequelae of stuttering.
Administering the CSS-P
The CSS-P should be used anytime a caregiver or other observer expresses concern that a child may be stuttering.
The CSS-P is designed for use with electronic medical record software so that it can be administered, as needed, during the intake and assessment process. It can be administered to caregivers by physicians, nurses, or support staff, or it can be completed independently.
The CSS-P is billable under CPT Code 96127 (brief emotional/behavioral assessment).
The first question asks if the child has a family history of stuttering. If so, the child should be referred to an SLP for evaluation without further screening, due to the well-documented genetic predisposition for stuttering.
The numbered questions gather information about the caregivers’ and child’s concerns about stuttering; specific types of disfluencies and stuttering behaviors exhibited; time since onset of stuttering, changes in observable stuttering behavior over time; physical tension or struggle; and whether or not caregivers have other concerns about the child’s speech.
If the number of “Yes” responses is 4 or more, then immediate referral to an SLP is indicated. Otherwise, the child should be rescreened every 3 months until the child and caregivers no longer express concern about stuttering.
Reliability and Validity of the CSS-P
The CSS-P is based on research about stuttering risk factors and affirmed by the clinical judgments of more than 40 SLPs who specialize in the evaluation and treatment of stuttering.
Comparison of CSS-P scores with expert SLP judgments yielded 100% agreement regarding the need for referral.
Using the CSS-P in Your Pediatric Practice
At $5 per use, the CSS-P can be incorporated into electronic medical record, intake, and screening software. It can also be administered via tablet (iPad/Android) or paper forms.
The CSS-P is billable under CPT Code 96127 (brief emotional / behavioral assessment). It can also be billed under CPT Code 96110 (developmental testing), though this maybe limited by some payers.
Contact Stuttering Therapy Resources by email at Info@CSS-P.com or by phone/fax at 844-4-STUTTER (844-478-8883) to purchase.
About the Authors
Loryn McGill, MS, ASHA-certified SLP Owner, OC Stuttering CenterAdjunct Faculty, University of Southern California
Helen Chambers, MS, ASHA-certified SLPSchool-based clinician focused on stuttering and autism spectrum
Tayler Thompson, MS, ASHA-certified SLPPrivate practice clinician specializing in early intervention
J. Scott Yaruss, PhD, ASHA Fellow, ASHA-certified SLP, Board-certified specialist in stuttering Professor, Communicative Sciences and Disorders, Michigan State UniversityPresident, Stuttering Therapy Resources, Inc.
Selected References
McGill & Yaruss (2021) Childhood-onset fluency disorder: “Wait and see” or “refer for revaluation?” Poster. American Academy of Pediatrics.
Yaruss & McGill (2022) Childhood Stuttering Screening for Physicians (CSS-P): Supporting accurate referral of young children who stutter. Paper. American Speech-Language-Hearing Association Convention; Proceedings, Joint World Congress on Stuttering and Cluttering.
Go-To Guides
Exciting Announcement:The first in our new series of Go-To Guide™ Activity Books for Stuttering Therapy is HERE!!!!
We are thrilled to unveil the first in our groundbreaking series of Go-To Guides, specifically crafted to empower Speech-Language Pathologists (SLPs) with the most practical and effective tools for working with students who stutter. These new books, which incorporate our SMART Prep™️ concepts, are supplements to our best-selling comprehensive clinical guides for early childhood and school-age stuttering.
What You Can Expect from Our Go-To Guides:
A Comprehensive Approach Our series covers a broad range of essential topics, from understanding the basics of stuttering to advanced therapeutic techniques.
Practical Activities We have filled these guides with tons of helpful activities that can be seamlessly integrated into your therapy sessions. You'll find a wealth of exercises, strategies, and real-world examples to aid your students' progress.
Customizable Resources We recognize that every student who stutters is unique. That's why our guides offer a wealth of customizable resources, so you can tailor your therapy to suit individual needs.
Evidence-Based Resources Our guides are based on the latest research and evidence-based practices, ensuring that you are equipped with effective tools for stuttering therapy.
Click the link below to place your order! And, be sure to follow us on social media and join our mailing list so you will receive launch dates as we roll out each new Go-To Guide.
NEW! STR Stuttering Is Verbal Diversity Merchandise
Show your stuttering pride with our all-new STR Verbal Diversity Merchandise!
(Note: Our merch is only available in the USA. We are working on international distribution and will announce when it is available.)
OASES Collection: OASES Licenses
OASES Licenses allow users to enter the OASES Response Forms into their own online data collection system (e.g., a HIPAA-compliant electronic medical record or Qualtrics) for clinical, educational, or research purposes. BEFORE PURCHASING AN OASES LICENSE, contact us at licenses@StutteringTherapyResources.com to complete a license agreement.
OASES Collection: OASES Print-Your-Own Forms
Thanks to our partnerships with expert clinicians around the world, the OASES Response Forms have been translated into numerous languages. These forms are delivered by email via a secure, Print-Your-Own PDF system to save on international shipping costs.
OASES Collection: OASES Printed English and Spanish
Overall Assessment of the Speaker's Experience of Stuttering (OASES)
USA Printed English and Spanish
Measure the impact of stuttering with this quick, easy-to-use, comprehensive tool. Evidence-based and founded upon a solid theoretical framework, the OASES protocol supports clinical and research decision-making. OASES Impact Scores and Impact Ratings help you provide diagnoses, qualify individuals for therapy, justify third-party payment, document improvement, and evaluate therapy efficacy.
For more information about the OASES assessment, click here.
Overall Assessment of the Speaker's Experience of Stuttering (OASES)
Worldwide Print-Your-Own
Measure the impact of stuttering with this quick, easy-to-use, comprehensive tool. Evidence-based and founded upon a solid theoretical framework, the OASES protocol supports clinical and research decision-making. OASES Impact Scores and Impact Ratings help you provide diagnoses, qualify individuals for therapy, justify third-party payment, document improvement, and evaluate treatment efficacy.
To avoid international shipping costs, OASES materials for use outside of the USA are provided in a print-your-own format. Upon completing your order, you will receive an email with instructions for accessing forms using our digital portal. No downloads are required!
For more information about the OASES assessment, click here.
Overall Assessment of the Speakers's Experience of Stuttering (OASES)
Clinical, Research, and Educational Licenses
The Overall Assessment of the Speaker's Experience of Stuttering (OASES) protocol was developed to document the impact of stuttering on a person's life. It has been validated for use in various clinical and research settings for many languages. In addition to the standard paper-and-pencil Response Forms and translations offered on this website, we can also offer customized licenses for clinicians and researchers who wish to adapt the form for unique applications and who have the secure infrastructure to do so.
OASES Licenses allow users to enter OASES Response Forms into their own online data collection system (such as a HIPAA-compliant electronic medical record or Qualtrics) for clinical, educational, or research purposes.
The following types of license agreements are available:
Clinical Licenses allow users to enter OASES Response Forms into their own third-party practice management systems. The clinical license does NOT provide an online or automatic scoring system. Note that most clinicians use the standard printed OASES materials and do not need a clinical license.
Educational Licenses allow University programs to enter selected OASES materials into their secure online learning environments. For example, educational programs may wish to make the OASES available for graduate students to view and study in courses about stuttering.
Research Licenses allow users to enter OASES Response Forms into online survey systems for use in research. This includes a NEW shortened version of the OASES-A, the OASES-A-R (for research only).
OASES-Speaking Ability (OASES-SA) is an adaptation of the English OASES Response Forms for use with speakers who do not stutter. The OASES-SA is intended for use in research to collect data from a comparison population. Items on the OASES-SA Response Forms match those on the standard OASES Response Forms, except that these items refer to "speaking ability” and "difficulty speaking,” rather than "stuttering.”
For more information, send an email to info@StutteringTherapyResources.com describing your specific needs. We will work with you to design a custom license agreement. Once the license agreement is fully signed and executed, we will help you place an order.
The cost for the license is the same as for the regular use of the OASES: $56 per 25 administrations of the test, and you will need a manual, as well ($66). License agreements can be arranged for any of the languages in which OASES materials are available.
NOTE: If you wish to access the OASES-A-R or the OASES-SA on our digital portal, you may purchase access below; no license needed.
Stuttering Information Booklets
Parents and teachers are critical allies for speech-language pathologists who work with children and teens who stutter. These booklets support that alliance by helping everyone on a child's team develop healthy communication attitudes toward stuttering and stuttering therapy. In addition to providing current information about stuttering, these booklets answer parents' and teachers' most common questions and concerns. In a concise and engaging format, our stuttering specialists also offer suggestions for supportive classroom and family practices, changing expectations as children mature, and guidelines for choosing and working with an SLP.
Keep a few extra copies in your therapy library so that you're always ready to offer expert support to parents and teachers!