#014: Where to Start with Fluency Therapy

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I was so excited to sit down and talk to the creator of the Busy Bee Speech blog (and fluency queen! ๐Ÿ‘‘) Lauren LaCour Haines for this week’s episode of the SLP Now podcast.

Lauren is a graduate of Louisiana State University, and she has been a school-based speech-language pathologist in the Baton Rouge area for over 12 years. She is also the lead Special Education teacher at a local primary school, so she’s very much in the trenches with us and has so much practical experience to share!

I know I’ve found the prospect of working with students who stutter to be pretty daunting in the past, but Lauren did such a great job explaining how to work with the complexities of fluency, and it was super helpful to hear her process for working with students who experience disfluency.

It might be hard to believe, but she actually makes fluency therapy sound…fun!! ๐Ÿ˜‚

So grab your beverage of choice (I’ll have an iced chai latte!) put your feet up, and listen in โ€” there is so much goodness in here!! ๐Ÿ‘‡

Key Takeaways

– Where to start when a student is referred to you for fluency concerns
– The 3 factors that help you to write effective fluency goals (Getting a good case history, Observing in the multiple environments, Taking the time to establish rapport)
– The types of red flags you would be looking for when you take a case history
– The importance of contextualized versus decontextualized conversations
– The 3 areas of communication to focus on when writing goals for fluency therapy (Counseling, Education, Stuttering modification)
– How Lauren structures her therapy sessions
– The difference between activities for preschool + school-aged children (that make fluency therapy fun and beneficial!)
– Monitoring progress in therapy when there are so many fluctuations (and Lauren’s tips for using a fluency journal)
– What Lauren wishes she knew when she first started working with students who stutter

Links Mentioned in the Podcast

The Communication Attitude Test
The CALMS Rating Scale
An article by Nina Reeves about how SLPs should get away for writing goals on percent fluency
– Apps for progressive relaxation and diaphragmatic breathing, like Calm, Headspace, or Pacifica.
Lauren’s interactive fluency binder
The Lidcombe program
Stuttering Therapy Resources by Dr. Scott Yaruss and Nina Reeves
Research from ASHA
Disfluency Index Counter (app)
– Lauren’s website BusyBeeSpeech.com โ†’ There are lots of fluency blog posts and resources there!
– If you sign up for her newsletter, she has several, free resources (including the stairs visuals that she mentioned!) that you can access right away.
Lauren’s store on Teachers Pay Teachers

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Thank you!! See you next time! ๐Ÿ‘‹



Hi there! I'm Marisha. I am a school-based SLP who is all about working smarter, not harder. I created the SLP Now Membership and love sharing tips and tricks to help you save time so you can focus on what matters most--your students AND yourself.

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