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1 Contents Preface "'" xi Contributors "'" xiii Part I. Bacqround 1 Overview of the Lidcombe Program "'" 3 Mark Onslow What Kind of Treatment Is the Lidcombe Program! What Is the Treatment in the Lidcombe Program! 6 How Is the Lidcombe Program Implemented? The Two Stages of the Lidcombe Program 8 A Typical Clinic Visit with the Lidcombe Program The Evidence Base for the Lidcombe Program Appendix I.A: Sampling of Events from Lidcombe Program Clinic Visits 2 From Laboratory to Living Room: The Origins and Development of the Lidcombe Program "'" 21 Mark Onslow 20 Minnesota, United States Sydney, Australia 23 3 The Lidcombe Program in Historical Context "'" 27 Barry Guitar Brief History of Treatment of Stuttering in Young Children What Is Traditional and What Is Different About the Lidcombe Program! Acknowledgments

2 vi.x> Contents 4 The Timing of Early Intervention with the Lidcombe Program...", 41 Ann Packman, Mark Onslow, and Joseph Attanasio Research Findings 42 The Decision-Making Process Part II. Procedures 50 5 Measuring Stuttering...", 59 Michelle Lincoln and Ann Packman Stuttering Measures 59 Implementing Stuttering Measures 61 The Role of Measurement in the Lidcombe Program Verbal Response..Contingent Stimulation...", 71 Mark Onslow Stutter-Free Speech Unambiguous Stuttering Nonessential Responses Kinds of Parental Verbal Response-Contingent Stimulation 72 Treatment in Structured and Unstructured Conversations Reference 7 79 Maintenance of Treatment Effects...", 81 Margaret Webber and Mark Onslow The Empirical Basis of Stage 2 81 When To Start Stage 2 82 Implementing Stage 2 82 A Clinical File Audit of Stage 2 84 A Typical Stage 2 Clinic Visit 85 75

3 Contents...>r vii Two Case Studies of Stage 2 86 Transcript ofa Videorecording of a Clinician Explaining Stage 2 to a Parent Troubleshooting..."" 91 Elisabeth Harrison, Kerry Trofari, Isabelle Rousseau, and Cheryl Andrews Method Results Part III. Case Studies 9 Routine Case Studies..."" 103 Isabelle Rousseau and Sue O'Brian Oliver Lucy Bill Dean Special Case Studies..."" 119 Sally Hewat, Vanessa Harris, and Elisabeth Harrison Children with Other Speech and Language Problems Children with Medical Problems 123 Children from Non-English Speaking Backgrounds Sensitive or Shy Children 129 Children of Working or Busy Parents Part IV. The Lidcombe Program Around the World 11 Australia 139 Ann Packman, Isabelle Rousseau, Mark Onslow, Rebekah Dredge, Elisabeth Harrison, and Linda Wilson Survey of Australian Clinicians' Use of the Lidcombe Program 141

4 viii...", Contents Telehealth Delivery of the Lidcombe Program The United Kingdom..." Rosemarie Hayhow, Mary Kingston, and Rebeccah Ledzion Historical Perspectives: The 1970s and 1980s Historical Perspectives: The 1990s Themes and Issues in the Treatment of Early Stuttering in the United Kingdom 150 The Introduction of the Lidcombe Program in the United Kingdom Studies of Children Treated with the Lidcombe Program in the United Kingdom Canada..." Rosalee Shenker and JoAnne Wilding Number of Canadian Clinicians Using the Lidcombe Program Historical Perspectives 162 Number of Canadian Children Treated with the Lidcombe Program Clinical Issues in the Canadian Context Cultural Issues in the Canadian Context New Zealand..." Mark Jones, Marjorie Blakeley, and Tika Onnond Historical Perspectives 173 Introduction of the Lidcombe Program in New Zealand A Randomized Controlled Trial of the Lidcombe Program Survey of New Zealand Speech-Language Therapists

5 Contents...>r ix 15 South Africa.x> 183 Margaret Marks Wahlhaus, joan Girson, and Caron Levy Historical Perspectives 183 Introduction of the Lidcombe Program in South Africa Summary of Clinical Experiences with the Lidcombe Program in South Africa Part v. Reflections Parents Talk About the Lidcombe Program.x> 193 Mark Onslow, joseph Attanasio, and Elisabeth Harrison 17 Issues.x> 199 Ann Packman Cultural Issues Procedural Issues Theoretical Issues Empirical Issues Some Observations and Reflections.x> 207 joseph Attanasio A New Jersey Yank in Lidcombe, Australia's Court On the Issue of Models 208 Principles of Effective Treatment 209 Advice to Clinicians Who Might Worry: Don't 207 What We Have Needed Simple or Complex?

6 x..", Contents Is There a Theory Behind the Treatment? Measurement Is the Rule 2 I 2 TIming of Intervention Index ox' 215 About the Authors ox' 223