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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!

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.

Level up your skills for addressing complex topics in stuttering assessment and intervention.

™ 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 ages 2 to 5 exhibit stuttering behaviors as they are learning to speak. Although most stop stuttering, roughly 20-25% may continue to stutter into the school-age years and beyond. Continued stuttering is associated with negative consequences, including reduced quality of life. Early intervention increases the likelihood that a child will overcome stuttering and its negative impact. Decades of research have identified risk factors that predict whether a child is likely to continue stuttering. Children who exhibit these risk factors should be evaluated by an SLP to determine if they need treatment to support their speech fluency, general 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 speakers. 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 continue stuttering and experience these 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-gathering software so that it can be administered, as needed, during the intake and assessment process. It can be administered to caregivers or other adults familiar with the child by physicians, physician assistants, nurse practitioners, nurses, or support staff. The first question asks if the child has any 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 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 SLP judgments yielded 100% agreement regarding the need for referral. To Use the CSS-P in Your Practice The CSS-P is designed to be entered into electronic medical record-gathering or screening software. It can also be administered via tablet (iPad/Android) or paper forms. Contact Stuttering Therapy Resources at Info@CSS-P.com / 844-4-STUTTER (844-478-8883) for pricing and additional information. About the Authors Loryn McGill, MS, ASHA-certified SLP  Owner, OC Stuttering Center Adjunct Faculty, University of Southern California Helen Chambers, MS, ASHA-certified SLP School-based clinician focused on stuttering and autism spectrum Tayler Thompson, MS, ASHA-certified SLP Private 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.

  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.

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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.

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.

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. For more information about the OASES assessment, click here.

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. Within three (3) business days, purchasers will be emailed a license, the protected file(s), and instructions for downloading free Safeguard™ viewing and printing software.  For more information about the OASES assessment, click here.

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. For example: Clinicians who wish to use the OASES assessment in their own secure online data collection system may purchase a clinical license to add the OASES to their existing delivery system. Note that most clinicians use the standard printed OASES materials and do not need a clinical license. Scientists who wish to use the OASES assessment in research may purchase a research license. In addition to allowing researchers to place the OASES Response Forms online using a secure, human-participants-approved system such as Qualtrics, the research license also allows users to make approved adaptations or modifications to the OASES protocols for special populations. One adaptation of the OASES Response Forms that is already available is the OASES for Speaking Ability (OASES-SA). This adaptation examines the impact of speaking ability on the lives of people who do not stutter. University educators and departments wishing to use the OASES for educational purposes, such as distributing it in a graduate class or providing access through an online learning system, can purchase an educational license. For more information about OASES clinical and research licenses, please email info@StutteringTherapyResources. Once you have executed a custom license with Stuttering Therapy Resources, you may purchase authorized uses below. For additional information about the OASES assessment, click here. 

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!