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A Dangerous Precedent from Australia: What it Means and What Happens Next  By Craig Coleman

3/9/2015

115 Comments

 
Recently, Speech Pathology Australia (the national speech-language pathology association of Australia) submitted a proposal to the Australian Government Department of Treasury that would require Medicare rebates be made available for children who stutter, but only if they are treated using the Lidcombe Program.

The ramifications for this action are significant. As expected, many speech-language pathologists from the U.S. and abroad do not support this action for several reasons. First, this action gravely limits the scope of treatment for stuttering. Many interventions for preschool stuttering have shown to be effective (Millard, Nicholas, & Cook, 2008; Yaruss, Coleman, & Hammer, 2006; Franken, Kielstra-Van der Schalk, & Boelens, 2005). To select any one approach and mandate its use reflects limited knowledge of the clinical process. What happens when a child receives treatment with the Lidcombe program and doesn’t make progress? Does the child have other treatment options? From this mandate, it would appear that is not the case.

Second, this mandate stifles new and innovative treatment approaches. How are new (and perhaps more effective treatment approaches) expected to emerge when only treatment with an existing evidence-base is mandated? Imagine if all infections were still treated using penicillin because it was an early treatment option. Would the government and medical associations support such a position? Perhaps a clearer question is would the lobbyists of the pharmaceutical industry allow legislators to even remotely consider the idea? Do we think less of ourselves as a profession to allow this to happen?

Third, this mandate highlights a concerning trend of what constitutes “evidence.” While certain treatments might have more data than others, that data does not always mean the treatment is more effective. Evidence-based practice includes current scientific evidence, clinician experience, and client /family values. What if the clinician is not properly trained in the treatment approach? What if the personality of the client, family, or clinician is not a good fit for one particular approach? Surely, the best “evidence” comes not from group data, but the individualized outcome of each client we serve. While group data certainly presents scientific evidence, individual outcomes present actual evidence-based practice. That type of data takes into account all aspects of the evidence-based practice triangle.

Fourth, a mandate such as this one creates obvious ethical questions. Who will train all of the speech-language pathologists to use one approach? Will there be a fee for such training? Is there an arrangement between the association, government, and trainers? These questions are not easily answered with a mandate such as this. Even if there are no financial ties, the appearance of such is obvious.

Finally, while the ramifications for stuttering treatment in Australia are apparent, this mandate has far reaching implications. After the precedent has been established, we would be naïve to think this could not happen with other disorders in all parts of the world. This is not an issue for the stuttering community of Australia to deal with. It is an issue for the speech-language-hearing community of the world to deal with.

So, where do we go from here? Here is a potential plan I would like to suggest:

1.     Contact Speech Pathology Australia at policy@speechpathologyaustralia.org.au to express your concerns for this mandate. Stop the trend before it starts.

2.     Advocate for reimbursement for stuttering. While the mandate outlined about is beyond concerning, the state of reimbursement for stuttering treatment in the United States can best be described as “dire.” One of our missions should be to work with insurance providers and demand that they pay for stuttering treatment. Somewhere along the way, we have allowed insurance companies to dictate that stuttering treatment should not be reimbursed. We must reverse that trend.

3.     Create a consortium of professionals. This would allow a database of treatment outcomes to be collected from clinicians in the field. Not only would this help with reimbursement, but it would also allow publication of data collected from individualized treatment approaches. We are professionals, not technicians. Our clients deserve better than “follow-the-manual” based programs and protocols.

4.     Educate. We need to educate our professionals and the public about stuttering. Stuttering is not merely a disruption in the flow of speech. It is much more than that.

As concerning as this mandate is, it can be a positive if we choose to act with reason, courage, and passion.

 
Craig E. Coleman, M.A., CCC-SLP, BCS-F
Assistant Professor, Marshall University
Coordinator, ASHA SIG-4

 
References

Franken, M. C. J., Kielstra-Van der Schalk, C. J., & Boelens, H. (2005). Experimental treatment of early stuttering: A preliminary study. Journal of Fluency Disorders, 30(3), 189-199.
 
Millard, S. K., Nicholas, A., & Cook, F. M. (2008). Is parent-child interaction therapy effective in reducing stuttering? Journal of Speech, Language, and Hearing Research, 51(3), 636-650.

  • Yaruss, J.S., Coleman, C., & Hammer, D. (2006). Treating preschool children who stutter: Description and preliminary evaluation of a family-focused treatment approach. Language, Speech, and Hearing Services in Schools, 37, 118-136.

Update: In order to provide both sides of the discussion, I am including the statement from Speech Pathology Australia: 
http://www.speechpathologyaustralia.org.au/all-latest-news/1997-budget-submission-2015-clarification
While this statement seeks to clarify that this is not an endorsement of one approach, advocating for reimbursement for only one approach certainly seems to send the opposite message. Many insurance companies will not pay for stuttering treatment here in the U.S. But responding to that by supporting a policy that would cover only one approach would be very dangerous and erroneous. 

It is also important to understand that once Medicare programs establish a policy, private payers soon follow suit. It's very naive to believe this policy won't have major negative ramifications in the long run.While it may benefit some children in the short term, there is no doubt in my mind it will not benefit people who stutter or our profession in the long term. 



Signatures of Support for this Post: 

J Scott Yaruss, PhD, CCC-SLP, BCS-F, F-ASHA Associate Professor and Director of MA/MS Programs in Speech-Language Pathology, University of Pittsburgh Coordinator of Clinical Research, Children's Hospital of Pittsburgh of UPMC

Vivian Sisskin, M.S., CCC-SLP, BCS-F, ASHA-F Clinical Professor, University of Maryland
Charlie Osborne, MA, CCC-SLP, University of Wisconsin-Stevens Point
Joseph Donaher, Ph.D., CCC/SLP
Kathleen Scaler Scott, Ph.D., CCC-SLP, BCS-F
Corrin G. Richels, Ph.D. CCC-SLP
Farzan Irani, Ph.D. CCC-SLP
Dale F. Williams, Ph.D., CCC-SLP, BCS-F
Brooke Leiman MA, CCC-SLP
Mary Weidner, M.S., CCC-SLP
Mary Beth Mason-Baughman, PhD, CCC-SLP
Lester F. Aungst, PhD, CCC-SLP
Joel Korte, MA CFY-SLP
Peter Reitzes, MA CCC-SLP
Keely Bauer, M.S., CCC-SLP
Joseph F. Klein, Ph.D., CCC-SLP
Ashley Krieger MS CCC-SLP
Angela Farster, MA, CCC-SLP
Julia Rademacher, M.M., M.A., CCC-SLP
Sara MacIntyre, MA CCC-SLP
Andy McMillin, MA, CCC-SLP
Valerie Ostergaard, MS CCC-SLP/L
Katie Gore, MA, CCC-SLP
Stephanie Coppen, Parent
Courtney Alcott, Parent
Patricia Mason
Joan M. Ross Parent of a PWS
Kathryn Dorney MA/CCC-SLP
Jocyline Graham, M.A., CCC-SLP
Bethany Tileston, MA, CCC-SLP
Katharine Schwartz, CCC-SLP
Zeina Mvemba, MEd CF-SLP
Julie North M.S. CCC/SLP
Malayna Bailey, Student
Steve Marchant MS, CCC-SLP
Courtney Luckman, Student
Joan Duffield. Parent and teacher
Jianliang Zhang, PhD
Karen Spohn, parent
Janet Mascaro, MA CCC-SLP
Sue Shumway, Parent
Melanie Rogers, Parent of PWS
Jean Sawyer
Julie Bourke Parent
Christine Dits, M.A., CF-SLP
Tahisha Bishop
Kimberly A. McGinley, MA CCC-SLP
Valery E. Yura, M.Ed. CCC-SLP
Kathleen Helfrich-Miller, Ph.D. CCC-SLP
Nannette Crawford MA CCC-SLP

Jayme M. Lundy, MA CCC-SLP
Jennifer Coleman MS CCC-SLP
Leigh Growall MA-CCC-SLP
Karen L. Pallies, M.A., CCC-SLP
Brittany Ireland, M.S. CCC-SLP
Lynn A.C. Golightly M.S. CCC-SLP
Taz Quesinberry, M.A., CCC-SLP
Patty A. Walton, M.A, CCC-BCS-F
Timothy Flynn, M.S., CCC-SLP
Midori Rodriguez, MS, CF-SLP 
Ann F. Brandt M.A., CCC-SLP
Meghan Decker, M.S. CCC-SLP
Katie Belardi, M.S., CCC-SLP
Leslie Eckenthal, MS, CCC-SLP
Brittany Fisher, M.S. CF-SLP
Jennifer Moak, M.A., CCC-SLP
Alison Oniboni, M.S., CF-SLP
E. Brooke Thevenin, student
Katrina Stewart, M.S., CF-SLP
Pei-Tzu Tsai, Ph.D., CCC-SLP
Susan Hamilton MA CCC SLP BCS-F
Jami Ellis Kukla, M.S., CCC-SLP
Claudia Kikuta, M.S., CCC-SLP
Anne Elsweiler, MA, CCC-SLP, BCS-F
Lee Caggiano, MA CCC SLP BCS-F
Bailey V. Levis, M.S., CCC-SLP
Joan Lada Butterworth, M.S., CCC-SLP, BCS-F
Jennifer Berkey, M.S., CCC-SLP
Julie Anderson, Ph.D., CCC-SLP
Erin Bass, Student

Michelle A. Jones, M.A., CCC-SLP
Heather L. Grossman, PhD, CCC-SLP, BCS-F

Beth Friedman, MA, CCC-SLP
Carin Keyes, MS CCC-SLP
Nancy Borkman, MS, CCC-SLP
Olivia Hughes, student
Dimitris Marousos
Magda Gammon
Lee Reeves

Amanda Bivens MS, CF-SLP
Kristin Holler, student
Bryan Brown MA CCC-SLP
Sherry Johnson MA, CCC-SLP
Rachel Johnson, Student
Marybeth Allen, MA-CCC-SLP

Mary Wallace, MA-CCC-SLP, BCS-F
Victoria Reynolds, CPSP
Emily Kennedy MA,CCC-SLP
Robert W. Quesal, Ph.D., CCC-SLP
Audrey Holland, Student

Karin Sorg, MS Ed., CCC-SLP
Kay Wallis, MS/CCC, BCS-F
Katie Moore, MS, CCC-SLP
Debbie Musgrave M.S. CCC-SLP
Katie Micco, MS CCC-SLP
Katerina Ntourou, PhD, CCC-SLP
Inbal K. Vellucci, M.A., CCC-SLP
Brenda Vogel, MA, CCC-SLP
Jennifer Barna, MA CCC-SLP
Frances Elvins, M.S. CF-SLP
Michael J. Murphy, AuD
Debra Wygant MA, CCC-SLP
Kelly Zigarovich, MS CCC-SLP
Lynne Hebert-Remson, PhD, CCC-SLP, BCS-F
Chelsey Browell, Student
Sarah Leskowsky, Student

Patricia Bohlman M.S. CCC- SLP
Olivia Flick, Student
Sarah McMahon, M.S., CF-SLP
Mandy J Maguire, PhD, Associate Professor of Communication Sciences and Disorders, University of Texas at Dallas
Erin Dyer, M.A., CCC-SLP
Charlotte J Molrine PhD, CCC-SLP​
Carrie Van Soest
Melissa Kokaly, MS CC-SLP
Maura Dugan, M.A., CCC-SLP



115 Comments
Joseph F. Klein, Ph.D., CCC-SLP
3/9/2015 02:52:17 am

Craig,
This is so important. Count me in.
Joseph F. Klein, Ph.D., CCC-SLP

Reply
Keely Bauer, M.S., CCC-SLP
3/9/2015 03:22:44 am

Well said, Craig!

Reply
Peter Reitzes, MA CCC-SLP
3/9/2015 03:24:53 am

Craig, thank you for all you do and for taking on this hugely important topic.

Reply
Joel Korte, MA CFY-SLP
3/9/2015 03:33:36 am

Thank you for your work on this Craig.

Reply
Lester F. Aungst, PhD, CCC-SLP
3/9/2015 03:36:47 am

The ramifications, as you've stated, are indeed significant, reaching beyond Australia. Count me in.

Reply
Mary Beth Mason-Baughman, PhD, CCC-SLP
3/9/2015 03:43:51 am

I fully support your efforts.

Reply
Valerie Ostergaard, MS CCC-SLP/L
3/9/2015 05:12:15 am

Thank you for all your efforts Craig.

Reply
Andy McMillin, MA, CCC-SLP
3/9/2015 05:31:07 am

Add me to the list!

Reply
Sara MacIntyre, MA CCC-SLP
3/9/2015 05:36:27 am

In full support, thanks for organizing Craig!

Reply
Julia Rademacher, M.M., M.A., CCC-SLP
3/9/2015 05:48:15 am

Add me to the list.

Reply
Angela Farster, MA, CCC-SLP
3/9/2015 05:56:22 am

Thanks for your efforts on this important matter.
Count me in.

Reply
Katie Gore, MA, CCC-SLP link
3/9/2015 06:23:54 am

Thank you for articulating this so well. Please add my name to the list.

Reply
Thank you!
3/9/2015 06:57:30 am

Reply
Courtney Alcott
3/9/2015 07:40:18 am

Please add me!

Courtney Alcott, Parent

Reply
I fully support your efforts . Pleases add me : Joan M. Ross Parent of a PWS
3/9/2015 07:46:16 am

Reply
Patricia Mason
3/9/2015 07:47:18 am

Concerned family member.

Reply
Kathryn Dorney MA/CCC-SLp
3/9/2015 07:49:19 am

Well done Craig. Put my name on the petition.

Reply
Jocyline Graham, M.A., CCC-SLP
3/9/2015 08:22:52 am

Please add my name to the list. I am in full support of your efforts!

Reply
Bethany Tileston, MA, CCC-SLP
3/9/2015 09:14:10 am

Please add my name!
Bethany Tileston, MA, CCC-SLP

Reply
Katharine Schwartz, CCC-SLP
3/9/2015 09:21:10 am

I agree!

Reply
Tahisha Bishop
3/9/2015 09:23:31 am

I agree that therapists should not be limited to one specific treatment approach for stuttering. As a client progress or faces new challenges the clinician must determine the most appropriate approach limiting clinical practices limits client progress.

Reply
Mary Weidner, MS CCC-SLP
3/9/2015 10:03:45 am

Reply
Zeina Mvemba, MEd CF-SLP
3/9/2015 10:44:52 am

Thank you for your dedication and pursuit of this matter. Please add my name to the list!

Reply
Julie North M.S. CCC/SLP
3/9/2015 11:18:50 am

Reply
Malayna Bailey, Student
3/9/2015 11:45:17 am

Reply
Steve Marchant MS, CCC-SLP
3/9/2015 11:49:01 am

Thank You for your work on this.

Reply
Courtney Luckman, Student
3/9/2015 12:38:07 pm

Reply
Joan Duffield. Parent and teacher.
3/9/2015 12:53:48 pm

Reply
Jianliang Zhang, PhD
3/9/2015 01:02:28 pm

Good article. Please count me in.

Reply
Karen Spohn
3/9/2015 01:11:21 pm

Count me in, Karen Spohn, parent

Reply
Count me in! Thank you!
3/9/2015 01:15:42 pm

Reply
Sue Shumway, Parent
3/9/2015 01:27:37 pm

Reply
Janet Mascaro, MA CCC-SLP
3/9/2015 01:27:43 pm

In my 37 years of practice in the field of Speech/Language Pathology, I have never found cook book approaches to be effective. To force a profession to be limited to one approach seems unethical and certainly not in the best interests of the client. Craig has outlined many valid concerns and I hope Speech Pathology Australia will re-evaluate their proposal.

Reply
Melanie Rogers, Parent of PWS
3/9/2015 01:39:46 pm

I fully support your efforts, Craig! I know my son has needed to try a variety of tools to find the best ones for his unique stutter. I would be horrified to think that only one method would be presented to him!

Reply
Christine Dits, M.A., CF-SLP
3/9/2015 02:36:54 pm

Thank you Craig for speaking out on this important topic.

Reply
Julie Bourke Parent
3/9/2015 02:44:35 pm

Reply
Jean Sawyer
3/9/2015 03:08:41 pm

So much research points to one size does not fit all in the treatment of stuttering. Thank you, Craig for your work on this important issue.

Reply
Patricia Bohlman M.S. CCC- SLP
3/9/2015 04:45:41 pm

One method does not fit all children.

Reply
Sarah Leskowsky, Student
3/9/2015 05:02:33 pm

Reply
Chelsey Browell
3/9/2015 05:11:13 pm

Being a student, I am learning more and more that you MUST treat every individual uniquely to their own needs. To mandate one therapy approach over another is not treating the individual. How can you treat an entire population with one approach yet have completely different cases of people who stutter?

Reply
Lynne Hebert-Remson, PhD, CCC-SLP, BCS-F
3/9/2015 05:57:05 pm

Reply
Kelly Zigarovich, MS CCC-SLP
3/9/2015 08:16:49 pm

Reply
Debra Wygant MA, CCC-SLP
3/9/2015 08:57:56 pm

Reply
Michael J. Murphy, AuD
3/9/2015 09:03:16 pm

Reply
Frances Elvins, M.S. CF-SLP
3/9/2015 09:20:05 pm

Reply
Jennifer Barna, MA CCC-SLP
3/9/2015 11:08:52 pm

Reply
Brenda Vogel, MA, CCC-SLP
3/9/2015 11:52:15 pm

Reply
Inbal K. Vellucci, M.A., CCC-SLP
3/10/2015 12:09:03 am

Reply
Katerina Ntourou, PhD, CCC-SLP
3/10/2015 12:20:26 am

Craig thank you very much for the great article! In full support! Please add my name to the list.

Reply
Katie Micco, MS CCC-SLP
3/10/2015 12:21:44 am

Reply
Debbie Musgrave M.S. CCC-SLP
3/10/2015 12:29:19 am

Reply
Signature of Support: Katie Moore, MS, CCC-SLP
3/10/2015 12:38:16 am

Reply
Kay Wallis, MS/CCC, BCS-F
3/10/2015 12:42:37 am

Reply
Karin Sorg, MS Ed., CCC-SLP
3/10/2015 01:00:02 am

You've indicated excellent points.

Reply
Audrey Holland
3/10/2015 01:05:23 am

Student

Reply
Robert W. Quesal, Ph.D., CCC-SLP
3/10/2015 01:19:11 am

scary stuff

Reply
Emily Kennedy MA,CCC-SLP
3/10/2015 01:22:56 am

Reply
Victoria Reynolds, CPSP
3/10/2015 01:23:51 am

I hereby add my signature of support to the above petition, and thank the organiser for his efforts to provide a cohesive response to the Speech Pathology Australia's position.

Reply
I appreciate your article and fully support it. Add my name please! Mary Wallace MA, CCC-SLP, BCS-F
3/10/2015 01:33:17 am

Reply
Count me in Craig. I fully support your statements. Marybeth Allen, MA-CCC-SLP
3/10/2015 01:40:19 am

Reply
Rachel Johnson
3/10/2015 01:44:28 am

Rachel Johnson, Student

Reply
Sherry Johnson MA, CCC-SLP
3/10/2015 01:47:05 am

Reply
Bryan Brown MA CCC-SLP
3/10/2015 01:51:58 am

Reply
Kristin Holler
3/10/2015 02:17:42 am

Kristin Holler, student

Reply
Amanda Bivens
3/10/2015 02:28:35 am

Count me in Craig:
Amanda Bivens MS, CF-SLP

Reply
leereeves
3/10/2015 02:33:57 am

I'm in and ready to help in any way possible

Reply
Magda Gammon
3/10/2015 02:34:47 am

Thank you for your great work in this area, Craig. Well said!

Reply
Dimitris Marousos
3/10/2015 02:47:33 am

I fully support your effort. Please add me to the list. Thank you.

Reply
Olivia Hughes, student
3/10/2015 02:49:28 am

I fully support this. I want to stop this from becoming a global phenomenon in the realm of speech-language and hearing disorders!

Reply
Nancy Borkman, MS, CCC-SLP
3/10/2015 02:50:38 am

Reply
Carin Keyes, MS CCC-SLP
3/10/2015 02:58:19 am

I am signing my name to the list! Thanks Craig!

Reply
Beth Friedman, MA, CCC-SLP
3/10/2015 03:21:15 am

Reply
Heather L. Grossman, PhD, CCC-SLP, BCS-FD link
3/10/2015 04:32:49 am

please add me to the list

Reply
Michelle A. Jones, M.A., CCC-SLP
3/10/2015 05:27:00 am

I fully support your efforts. This in a an important issue.

Reply
Erin Bass
3/10/2015 06:10:47 am

Student

Reply
Julie Anderson, Ph.D., CCC-SLP
3/10/2015 06:40:05 am

Excellent post, Craig. Add me to the list too!

Reply
Jennifer Berkey, M.S., CCC-SLP
3/10/2015 06:56:56 am

Please add me to the list

Reply
Joan Lada Butterworth, M.S., CCC-SLP, BCS-F
3/10/2015 07:25:34 am

Please add me to your list of supporters

Reply
Bailey V. Levis, M.S., CCC-SLP
3/10/2015 07:49:48 am

Count me in too!

Reply
Lee Caggiano, MA CCC SLP BCS-F
3/10/2015 08:56:49 am

I fully support these efforts. This is such an important issue, Lee Caggiano

Reply
Anne Elsweiler, MA, CCC-SLP, BCS-F
3/10/2015 09:57:08 am

Thank you for your excellent post!

Reply
Claudia Kikuta, M.S., CCC-SLP
3/10/2015 10:30:13 am

Reply
Jami Ellis Kukla, M.S., CCC-SLP
3/10/2015 10:31:10 am

Signature of support

Reply
Susan Hamilton MA CCC SLP BCS-F
3/10/2015 10:39:08 am

Reply
Pei-Tzu Tsai, Ph.D., CCC-SLP
3/10/2015 10:44:32 am

Great post!

Reply
Katrina Stewart, M.S., CF-SLP
3/10/2015 10:46:23 am

Reply
E. Brooke Thevenin, student
3/10/2015 11:27:05 am

Reply
Alison Oniboni, M.S., CF-SLP
3/10/2015 11:33:49 am

Supporting this effort all the way, Craig.

Reply
Jennifer Moak, M.A., CCC-SLP
3/10/2015 01:14:36 pm

Reply
Brittany Fisher, M.S. CF-SLP
3/10/2015 01:47:20 pm

Reply
Leslie Eckenthal, MS, CCC-SLP
3/10/2015 03:17:05 pm

Reply
Katie Belardi, M.S., CCC-SLP
3/10/2015 03:33:51 pm

Reply
Meghan Decker, M.S. CCC-SLP
3/10/2015 04:00:56 pm

Reply
Nancy Barcal, M.A. CCC-SLP link
3/10/2015 07:49:01 pm

Thank you for expressing the issues so eloquently and passionately. This is such a dangerous precedent that the entire profession should be concerned for the ramifications if this policy is established. Please count us in! Nancy Barcal and staff

Reply
Barbara Stanton, M.A., CCC-SLP
3/10/2015 09:16:52 pm

It is a dangerous precedent to limit speech-language therapy to one technique or school of thought. Firstly, there are many research based types of therapy that are known to work for clients/patients who stutter.
Secondly, if put into law, the law would not allow for new techniques to be used. Thirdly, it takes therapeutic decisions out of the hands of client and therapist. This is inappropriate and non-therapeutic. Please do not pass the law that requires a particular brand of therapy to be applied to all individuals. Thank you for your time and consideration.

Reply
Constance Dugan, M.A.
3/11/2015 04:00:13 am

Knowing what we know and what we don't know, this is unthinkable.

Reply
John M. Sloan, MS-CCC-SLP, Fellow/ASHA BCS-F link
3/11/2015 07:34:44 am

Thanks for your efforts. The impact of this policy will add to our current struggle to obtain insurance support for our clients from both government and private insurance companies.

Reply
Robert W. Cervantes, NSA member
3/11/2015 08:33:17 am

You have my support.

Reply
Sharon Feldman, MS, CCC-SLP, BCS-F
3/11/2015 08:53:30 am

Reply
Vadim
3/11/2015 01:27:35 pm

You have my support.

Reply
Julie Demes, MS, CCC-SLP
3/11/2015 02:37:36 pm

THANK YOU!

Reply
Angela Gibbs
3/11/2015 03:41:24 pm

What a wonderful article, Craig! Thank you for writing this. All of your thoughts are exactly mine!

Reply
Ann Blanton
3/11/2015 04:50:13 pm

Mandating any kind of treatment for every individual's disorder is foolish and shortsighted. People are not made with a cookie cutter. Deciding on the appropriate treatment for a given individual should not be against the law.

Reply
Carl Herder, MA, CCC-SLP link
3/12/2015 05:10:11 am

Thank you for bringing us like-minded professionals together on this Craig. Please add me to this list.

Reply
Rachel Johnson
3/12/2015 05:19:07 am

Please add me to the list.

Reply
David Evans, Ph.D., CCC-SLP
3/12/2015 05:59:07 am

You have my support. Please add my name

Reply
Maura Dugan, M.A., CCC-SLP
3/12/2015 11:13:07 am

Reply
Melissa Kokaly, MS CC-SLP
3/12/2015 01:34:50 pm

You have my support and appreciation for spearheading this effort!

Reply
Carrie Van Soest
3/13/2015 02:01:16 am

Good work, Craig. I'm in support of your effort.

Reply
Kathleen L. Mays
3/13/2015 06:00:33 am

Reply
Suzanne Crawford-Stacy, M.S., CCC-SLP
3/14/2015 12:03:45 am

You have my support. Please add my name to the petition.

Reply
Charley Adams
3/14/2015 04:29:02 am

thank you for getting this going, Craig!
Charley

Reply
Ellen Mareneck, M.F.A., M.A., CCC-SLP
6/20/2015 06:18:28 am

Bravo, Craig! Add me to the list.

Reply
Barbara Stanton, M.A., CCC-SLP
6/22/2015 11:50:47 am

It is not ethical to make Lidcombe the only treatment for stuttering. Although Lidcombe is a well-respected technique, it is not the only research-based treatment for stuttering.

Reply
Karly Snow. M.A CF-SLP
7/13/2015 02:23:45 pm

Well said! I am in full support of your effort.

Reply



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