Selective mutism: a home-and kindergarten-based intervention for children 3-5 years: a pilot study.

Abstract

The aim was to examine the outcome of a multimodal treatment for selective mutism (SM). Seven children, aged three-five years, who were referred for SM were included. The treatment started at home and was continued at kindergarten for a maximum of six months, with predefined treatment goals in terms of speaking levels, from I ("Speaks to the therapist in a separate room with a parent present") through to VI ("Speaks in all kindergarten settings without the therapist present"). The outcome measures were the teacher-reported School Speech Questionnaire (SSQ) and the treatment goal obtained (I-VI) six months after the onset of treatment, and the SSQ and Clinical Global Impression Scale (CGI) at one-year follow-up. Six children spoke in all kindergarten settings (VI) after a mean of 14 weeks treatment. One child, with more extensive neuro-developmental delay, spoke in some settings only (V). The mean SSQ score was 0.59 (SD = 0.51) at baseline compared with 2.68 (SD = 0.35) at the six-month evaluation and 2.26 (SD = 0.93) at one-year follow-up. The mean CGI score at baseline was 4.43 (SD = 0.79) compared with 1.14 (SD = 0.38) at follow-up. Home- and kindergarten-based treatment appears to be promising.

• Authors: Beate Oerbeck, Jorunn Johansen, Kathe Lundahl, Hanne Kristensen
• Journal: Clinical child psychology and psychiatry (Clin Child Psychol Psychiatry) Vol. 17 Issue 3 Pg. 370-83 (Jul 2012) ISSN: 1461-7021 [Electronic] England
• PMID: 21852320 (Publication Type: Journal Article)

Topics

• Behavior Therapy (methods)
• Child, Preschool
• Female
• Home Care Services
• Humans
• Male
• Mutism (therapy)
• Pilot Projects
• Schools
• Social Environment
• Treatment Outcome