Source: http://www.asha.org/PRPSpecificTopic.aspx?folderid=8589935336&section=Treatment

Speech Modification (Fluency Shaping) Techniques:

Speech modification (including fluency shaping) strategies (Bothe, 2002; Guitar, 1982, 2013) include a variety of techniques that aim to make changes to the timing and tension of speech production or that alter the timing of pauses between syllables and words. These modifications are used regardless of whether a particular word is expected to be produced fluently. Strategies associated with speech modification include

• rate control,
• continuous phonation,
• prolonged syllables,
• easy onset,
• light articulatory contact.

Other speech modification strategies, including appropriate use of pausing, are used not only to increase the likelihood of fluent speech production but also to improve overall communication skills (e.g., intelligibility, message clarity, etc.). In addition to being used for improving communication skills, pausing is also an effective method of rate control.

Keep in mind the child may be self-conscious about using these techniques

Stuttering Modification Strategies (Reducing Physical Tension/Struggle)

• Identify where in the speech mechanism physical tension is and release it
• Traditional stuttering modification strategies include preparatory set, pull-out, and cancellation and require a child to identify a moment of disfluency before, during, or after it occurs, making adjustments to reduce tension and struggle. The specific strategy that is selected will depend on when the client “catches” the disfluency, whether it be following a moment, in the moment, or in anticipation of the moment of disfluency (Van Riper, 1973).
• These strategies, like speech modification strategies, are introduced along a hierarchy of speaking situations that varies both with linguistic demands and with the stressors of the environment.

Strategies For Reducing Negative Reactions (Personal And Environmental Context)

• Desensitization
• Cognitive Restructuring
• Self-Disclosure
• Support Group (grouping your kiddos who stutter)