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Register for a Short Course or Computer Lab when you register for the ASHA Convention. If you do not pre-register for short courses or computer labs, there may not be seats/tickets available in Chicago. To purchase a ticket or exchange a ticket in Chicago, go to Registration located in Hall E on Level 2 at the Lakeside Center/McCormick Place to register. Also, read about ASHA CEUs.
* Discounted Special Interest Division Short Courses. If you belong to any Special Interest Division, you can register for specific Division Short Courses at half price. If you would like to join a Special Interest Division, call ASHA’s ActionCenter at 1-800-498-2071.
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Short Courses | Computer Labs | Lunch With the Professor
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Short Courses
Thursday, Nov. 13, 2003
9:00am - 12:00pm
*SC01 - SOLD OUT
Emotional Intelligence: Tool for Enhancing Professional Skills
Elaine Ledwon-Robinson, Laura Karcher
Meeting the complex demands of clinical/academic work settings requires skilled leadership and highly functioning teams. In this session, sponsored by Special Interest Division 11: Administration and Supervision, participants learn the principles of emotional intelligence, including its impact on hiring, supervising, coaching and mentoring; develop goals to improve EI skills; and explore use of EI principles to manage intergenerational challenges. The session concludes with presentation of a systematic method for appraising/developing correlates of EI in student clinicians, consistent with the process of formative assessment.
*SC02 - SOLD OUT
Recent Research on Asperger's Syndrome & Higher Functioning Autism
Fred R. Volkmar, Rhea Paul
This session, sponsored by Special Interest Division 1: Language Learning and Education and the Convention Program Committee, presents current research on the basic skills necessary to understand and adjust to the social world, and the apparent breakdown of these mechanisms of socialization in individuals with autism, Asperger's and related conditions. Theoretical approaches to understanding these conditions will be summarized and reviewed in light of recent research on potential brain mechanisms. The utility of new and innovative approaches in characterizing the social disability of these conditions will be addressed. A review of social skills training programs with special reference to programs most appropriate for students with AS will be presented.
SC03
Construct Validity: Essence of Assessment
John Ronald Muma
The field of test and measurement made a major shift in the 1980s when construct validity became the essence of assessment and theory driven. This session reviews 26 widely used speech and language tests and descriptive procedures and shows that nearly all lack theory-driven construct validity even though most claim to have construct validity. Thus, many, if not most, speech and language tests merely yield data rather than evidence of what a child can do.
SC04 - SOLD OUT
Counseling Skills for Working With Children Who Stutter & Their Families
Charleen M. Bloom, Donna K. Cooperman
The Master Class concept is based on the philosophy expressed in the saying, 'If you tell me I will forget. If you show me I might remember. If you include me I will learn.' This session, sponsored by the Convention Program Committee and presented by two master clinicians, involves an interactive, case-based discussion·of counseling principles and strategies to use with school-age children who stutter and their families.
*SC05 - SOLD OUT
Aging 102: Working Effectively With the Very Old
Susan Goldfein, Rosemary Lubinski, Kassie Witte
This session, sponsored by Special Interest Division 15: Gerontology, follows on from Aging 101, presented at ASHA in 2001. Aging 102 focuses on the special considerations for working with people who are 80+ years of age. Understanding the special needs of this population is vital to clinicians serving the elderly as the 8th decade of life is the fastest growing segment of the elderly population. This short course focuses on the demographics of the 'old old,' special communication issues, and practical considerations for treating disorders common to this population including hearing, cognitive/linguistic processes, dementia and swallowing.
SC06 - SOLD OUT
Management of Neurogenic Dysphagia
Jeri A. Logemann, Karen Dikeman, Gary Gramigna, Jacqueline Hind, Marta Kazandjian, Lisa Kelchner, Steven R. Kosek, Donna Lundy, Susan McGarvey-Toler, Carrie A. Stangl
This short course focuses on patients with neurogenic dysphagia and their management. Cases will be presented with videofluoroscopic examples of swallow, other background information, therapy plan and outcome.
Thursday, Nov. 13, 2003
2:00pm - 5:00pm
*SC07
Internet Gold for School-Based Services
Judith M. Kuster
This short course, sponsored by Special Interest Division 16: School-Based Issues, will demonstrate how the Internet provides unique opportunities for school-based service providers to 1. maintain and expand their professional knowledge base, 2. economize on scarce travel and subscription money, 3. collaborate and consult, 4. augment some types of services and 5. find and create treatment materials.
SC08 - SOLD OUT
Dysphagia & Dementia: Medical Issues, Ethics, & Quality of Life
Carol Monteleoni, Judith C. Ahronheim, Gerald Blandford, Lori Sampson-Baum
Abnormal feeding behaviors, including loss of the oral preparatory phase of swallowing, characterize progressive dementias. When SLPs evaluate and treat severely demented patients, their input is a major factor in decisions regarding feeding tube placement. In this session two physicians and two SLPs address aversive feeding behaviors, risks and debatable benefits of feeding tube placement, patient autonomy, legal considerations, and the role of the SLP in an interdisciplinary team to manage this population.
SC09
Supporting Language & Literacy Development at Home & in the PK Classroom
David K. Dickinson
This session, cosponsored by the the Specialty Board on Child Language, the Convention Program Committee, and Special Interest Division 1: Language Learning and Education, and intended for practitioners, discusses the impact of language skills at the end of kindergarten on later reading comprehension, emphasizing the importance of early language to later literacy development. It highlights the importance of fostering language growth in preschools; videotape segments illustrate strategies for effectively supporting language. The presentation reflects the work begun during the Home-School Study of Language and Literacy and continuing the past 15 years.
SC10
Conquering the Challenges of Stuttering Therapy in a School-Based System
Susan Cochrane
The Master Class concept is based on the philosophy expressed in the saying, If you tell me I will forget. If you show me I might remember. If you include me I will learn. This session, sponsored by the Convention Program Committee and presented by a master clinician, involves an interactive, case based discussion describing how quality services to children who stutter in the schools is a multidimensional problem. This session will offer opportunities for participants to problem solve challenges commonly encountered in the public school system when working with children who stutter.
SC11 - SOLD OUT
Practice Guidelines for Cognitive-Communication Disorders After Brain Injury
Mary R. Kennedy, McKay M. Sohlberg, Lyn S. Turkstra, Carl Coelho, Jack Avery, Mark Ylvisaker
In recent years there has been a growing interest in evidence-based practice in rehabilitation. This short course, co-sponsored by Special Interest Division 2: Neurophysiology and Neurogenic Speech and Language Disorders, presents practice guidelines in the management of individuals with cognitive-communication disorders after traumatic brain injury. Guidelines for five management areas will be discussed: assessing cognitive-communication disorders, direct attention training, treating memory disorders, managing metacognitive and executive dysfunction, and intervention for social skills and behavior.
*SC12
NIH Grantsmanship
Thomas Tatham, Weijia Ni
This session, sponsored by Special Interest Division 12: Augmentative and Alternative Communication, is designed to aid participants in successfully competing for grant support. The course will include an overview of review and funding procedures, a mock study section meeting, a discussion of grant programs appropriate to various stages of career development, and a session on grantsmanship.
Friday, Nov. 14, 2003
9:00am - 12:00pm
SC13 - SOLD OUT
Weaning Children From Gastrostomy Tubes:Treating the Whole Child
Mary Cameron Tarbell
Many children are gastrostomy tube-dependent due to significant oral hyper-/hypo-sensitivity as well as inexperience and behavioral issues that prevent normal eating patterns from developing. This session identifies those who are appropriate for tube weaning and gives essential information for transitioning to oral feeding.
*SC14
Pragmatic Communication Disorders: Biology to Bedside to Billing
Lyn S. Turkstra, Roberta Depompei, Karen A. Hux, Marsha Howell
This session is sponsored by Special Interest Division 2: Neurophysiology and Neurogenic Speech and Language Disorders. Pragmatic communication disorders are associated with many developmental and acquired etiologies, including autism, traumatic brain injury, and stroke. These disorders may affect long-term life participation more than impairments in language or other cognitive functions. Recent research advances have the potential to significantly influence intervention. The goals of this short course are to link research in social cognition with clinical practice, and to present strategies to obtain reimbursement for this critically important area of clinical practice.
SC15
Problem-Solving Issues of Eligibility & IEPs for Children Who Stutter
Kathleen Whitmire
The Master Class concept is based on the philosophy expressed in the saying, 'If you tell me I will forget. If you show me I might remember. If you include me I will learn.' This session, sponsored by the Convention Program Committee and presented by a master clinician, involves an interactive, case-based discussion regarding issues of eligibility, service delivery, and goals and objectives with respect to IDEA 97 for school-based speech language services for children who stutter.
*SC16
Understanding the Performance Continuum for Children With Cochlear Implants
Patricia M. Chute, Mary Ellen Nevins
Performance of children with cochlear implants varies as the result of a number of factors. This short course, sponsored by Special Interest Divisions 7: Aural Rehabilitation and Its Instrumentation, and 16: School-Based Issues, identifies candidacy factors that influence performance that are beyond the control of the speech language pathologist / audiologist, and offers device management and habilitative strategies for application by school personnel and SLPs with children with implants on their caseload.
SC17
EmPOWERing Expository Writing for Students With LLD
Bonnie D. Singer, Anthony Bashir
This session presents a strategic approach to expository writing instruction and intervention called EmPOWER. This strategy teaches, scaffolds, and coaches executive and self-regulatory systems that directly influence the writing process. Teachers and SLPs can use EmPOWER to guide written language instruction/intervention, and students can use it to guide their own composing process. We will explore how EmPOWER can be implemented within a variety of intervention settings and examine its effects on students' expository writing.
*SC18
Neural Correlates of Bilingualism
Arturo Hernandez
This session, sponsored by the Convention Program Committee and Special Interest Division 14: Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations, focuses on detailed analysis of bilingual language processing and its implications for treatment of populations with language disorders. Data from fMRI studies of children and adults and the role of nonlinguistic factors in bilingual processing will also be discussed.
Friday, Nov. 14, 2003
2:00pm - 5:00pm
SC19 - SOLD OUT
Managing the Dilemma of Dysphagia in Patients Approaching the End of Life
Elizabeth Brown, Cara Frederick, Anne Jones, Warren Line
In this session an SLP, RN, and MD discuss ways to expand and refine intervention for the dysphagia population approaching the end of life to teach SLPs to identify patients who may not benefit from aggressive dysphagia treatment; encourage interdisciplinary approaches to end-of-life care with consideration for familial/cultural differences; promote patient/family education regarding benefits/risks of oral/nonoral nutrition; review the dying process with emphasis on comfort care; and discuss medical futility and legal/ethical dilemmas.
SC20 - SOLD OUT
Intervention Principles for Working With Teenagers Who Stutter
Patricia Zebrowski
The Master Class concept is based on the philosophy expressed in the saying, 'If you tell me I will forget. If you show me I might remember. If you include me I will learn.' This session, sponsored by the Convention Program Committee and presented by a master clinician, involves an interactive, case-based discussion of intervention principles for addressing the behavioral, affective, and cognitive aspects of stuttering in adolescents.
*SC21 - SOLD OUT
Articulation & Resonance Disorders Related to Orofacial Anomalies
Ann W. Kummer, Michael P. Karnell, Dennis M. Ruscello, Lynn Marty Grames
This session, sponsored by Special Interest Division 5: Speech Science and Orofacial Disorders, describes various orofacial anomalies, including facial paralysis, short upper lip, nasal cavity malformation, maxillary retrusion, crossbite, malocclusion, macroglossia, hypertrophic tonsils and adenoids, submucous cleft and velopharyngeal dysfunction. Their potential effect on speech and resonance will be discussed and appropriate treatment described. Common compensatory productions and specific treatment techniques will be given, including general treatment principles via a motor learning paradigm.
SC22
Social Networks: Assessment, Intervention Planning & Research Tool
Sarah W. Blackstone, Mary Hunt Berg, Elisa Kingsbury, Patricia Dowden, Gloria Soto
This session describes how clinicians and researchers from several countries are using Social Networks: A Communication Inventory for Individuals with Complex Communication Needs and their Communication Partners. Participants will learn the theoretical frameworks underlying the tool and how Social Networks is being used with children and adults with severe communication impairments. Case examples illustrate the application of the tool across the age span and with different disability groups.
SC23
How to Avoid Due Process; But If You Must...
Barbara J. Moore-Brown, Roberta Kreb, Beth Nishida
Due process hearings are costly emotionally and fiscally. School-based clinicians play significant roles in both the process and outcomes of hearings. This session provides comprehensive information and strategies from the perspectives of district directors and a hearing officer. If you work in schools, you should attend this session!
SC24
Meaning-Based Literacy Intervention: From Planning to Implementation
Jack S. Damico, Holly L. Damico, Ryan Nelson, Holly K. Hawley
To increase effectiveness in literacy service delivery, SLPs must recognize the advantages of meaning-based literacy instruction. Drawing from extensive research in language arts and from our teaching/intervention experience, this session provides direction for planning and implementing a meaning-based and top-down orientation to literacy intervention. Principles will be discussed, strategies and techniques demonstrated, and materials made available to establish a meaning-based program 'on Monday morning.
Saturday, Nov. 15, 2003
9:00am - 12:00pm
*SC25 - SOLD OUT
Occupational Voice Problems Across Professions: Identification & Treatment
Glenn William Bunting, Clark A. Rosen, Yolanda D. Heman-Ackah, Nelson Roy, Bari Hoffman-Ruddy, Michael Towey, Kate DeVore
Occupational voice problems can have a profound impact on an individual's psychological, social, and economic well being. This short course, sponsored by Special Interest Division 3: Voice and Voice Disorders, addresses current occupational health issues across a wide range of voice disorders including the definition of a vocal disability, workman's compensation and patient rights issues, prevention, education and treatment of voice problems in teachers and telemarketers, medical/surgical management of occupational voice disorders, and behavioral intervention for the performing voice.
*SC26
Once in a Lifetime: Counseling Issues Surrounding Children With Hearing Loss
Michael K. Wynne, Allan O. Diefendorf, Melody F. Harrison, Donald M. Goldberg, Patricia M. Chute
Five talking heads in this short course, sponsored by Special Interest Division 9: Hearing and Hearing Disorders in Childhood, will address the counseling needs of families having children with hearing loss and helping these families cope with the issues and complexities of the child's communication difficulties resulting from the hearing loss. The course is intended to demystify the counseling experience covering universal newborn hearing screening to transitioning the family through the evaluation and management process to the selection and fitting of amplification, ALDs, and cochlear implants to communication training to multicultural issues.
*SC27
School Age Stuttering Treatment: Clinical Issues & Problem Solving
Nina Reardon, Vivian Sisskin
This short course, sponsored by Special Interest Division 4: Fluency and Fluency Disorders, is designed for clinicians who have basic skills in stuttering treatment but are unsure where to go next when it comes to the children on their caseload. Two nationally recognized fluency clinicians present ideas, skills, and insights into optimizing treatment for school-age children. If you feel that something may be missing for your kids who stutter, then this presentation is for you!
SC28 - SOLD OUT
How to Create an Effective Phonological Awareness Program for Kindergartners
Carol Bucklin, Susan Hegel
This session will provide the structure and theoretical foundations for school-based SLPs to create a phonological awareness program for kindergarten students. Step-by-step procedures will be provided as well as materials from our program. Issues of assessment, planning, time-effective scheduling, and working with other building specialists and administrators are all discussed.
*SC29
Delicate Interplay of the Pulmonary & Alimentary Tracts
Paul E. Marik, Colin Rudolph
This session is cosponsored by the Convention Program Committee and Special Interest Division 13: Swallowing and Swallowing Disorders (Dysphagia). The pulmonary and alimentary tracts, two essential physiological systems that contribute to the sustenance of the human organism, are delicately intertwined and closely coordinated. When these systems are exposed to disease or insult, the close proximity and narrowly controlled coordination can lead to compromise of the physical health of the individual. This session focuses on the compromise of these delicately balanced systems, with attention to pulmonary clearance mechanisms as well as the physiology and complications of gastroesophageal reflux.
Saturday, Nov. 15, 2003
2:00pm - 5:00pm
SC30
Lifespan Literacy: Universal Issues Across Cultures
Joyce L. Harris, Carol Westby
This session, sponsored by Special Interest Division 14: Communication Disorders and Sciences in Culturally and Linguistically Diverse Populations, notes that in the 21st century, literacy is seen as a natural extension of a person's communication development. Over the last century, the functions of literacy have expanded. SLPs have increasing roles and responsibilities with respect to the development and maintenance of literacy. To be effective in these new roles, SLPs require an understanding of functional literacy across the lifespan, cultural influences on text processing, and family literacy across the lifespan.
SC31
Tracheoesophageal Voice Restoration Following Total Laryngectomy
Eric Blom
This session focuses on necessary knowledge for SLPs' participation in tracheoesophageal voice restoration, including candidacy assessment, surgical concepts, types of voice prostheses and tracheostoma valves, voice prosthesis and tracheostoma valve fitting and instruction, and pulmonary rehabilitation, with particular emphasis on causes, assessment and management of complications and their solutions.
*SC32
Science in Everyday Clinical Practice
Jay Lubinsky, Kenn Apel, Rosalind R. Scudder
This session, sponsored by Special Interest Division 10: Issues in Higher Education, presents practical ways for clinicians to develop skills as 'scientist practitioners.' Geared to practicing clinicians, university faculty, practicum supervisors, and clinical educators, the session covers single-subject or clinical research designs, and the components of internal validity and evidence-based practice. Participants should bring cases for discussion.
SC33
Assessment & Intervention of Older Adults Using the ICF Framework
Travis T. Threats, Barbara B. Shadden, Candace P. Vickers
ASHA uses the World Health Organization's 2001 International Classification of Functioning, Disability, and Health (ICF) as the framework for the field. The ICF will be outlined as it specifically relates to assessment and intervention in older persons with communication disorders. Normal aging and the effects of personal factors, environmental factors, and disease on older adults' communication function will be discussed. Assessment of these interacting influences and strategies for intervention will be presented via both lecture and videotapes.
SC34
Neuroanatomy: Review of Motor Systems Applied to Clinical Practice
Edythe A. Strand
Using a clinical perspective, this session provides a review of the anatomy of neural systems important to speech production. Discussion focuses on the anatomy and function of cranial nerves, upper and lower motor neurons, basal ganglia and cerebellum. Special emphasis is given to neuroanatomical correlates of associated speech and voice disorders. Videotaped examples of motor speech disorders associated with selected neural systems are used to generate discussion.
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Computer Labs
Thursday, Nov. 13, 2003
8:00am-10:00am
CL01
Using Dynamic Display Page Clusters to Provide Fast Communication
Christine Scally
Fast access to predictable utterances provides the young augmented communicator with a critical tool for establishing his or her status as an active verbal participant in daily activities at home and school. A page cluster, an organizational strategy applicable to all dynamic display platforms, uses automatic navigation to create efficient access to situation-based phrases and sentences. Participants will develop and program a page cluster using dynamic display software.
Thursday, Nov. 13, 2003
1:30pm - 3:30pm
CL02
Computer Applications on a Limited Budget for School-Based SLPs
Carolyn J. Golbabai, Estelle Hermes
The focus of this lab is creative selection, planning, and usage of economical software for 3- to 10-year-old students with communication impairments. Participants will develop their ability to integrate low-cost computer applications with IEPs. Computer activities will be modeled, practiced, and followed up with related lesson-plan writing.
Thursday, Nov. 13, 2003
4:00pm - 6:00pm
CL03
Fluency Assessment for School SLPs: On-Line Training Course
Nancy Ribbler, Tom Ehren
This session provides fluency assessment training for school-based SLPs in a computer lab setting. Participants use a multidimensional approach to stuttering incorporating cognitive, affective, social, motor, linguistic and educational impact factors, with training in using systematic fluency transcription procedures, implementing teacher/parent checklists and using a functional fluency rating scale to help determine eligibility and promote increased effectiveness, consistency and reliability when assessing fluency disorders in the school setting.
Friday, Nov. 14, 2003
8:00am - 10:00am
CL04
Exploring Communication Disorders on the Visible & Invisible Web
Judith M. Kuster
The phenomenal proliferation of Internet material makes it imperative that professionals understand efficient ways to access information, as well as critically evaluate information discovered. Internet search strategies are continuously evolving and new strategies need to be learned. This session proposes to point participants in appropriate directions with guided exploration.
Friday, Nov. 14, 2003
10:30am - 12:30pm
CL05
Graphics File Manipulation for Presentations
George L. Charpied
Increasingly significant emphasis is given to presenting clinical and research data in a graphic form. Whether the images are original or gleaned from others' work, presenters need to know several principles of image manipulation: copyright and fair use laws, composition, use of color and fonts, and simply having the image convey your ideas and not hide them. This hands-on computer tutorial covers the basics in image manipulation for presentation.
Friday, Nov. 14, 2003
1:00pm - 3:00pm
CL06
Computerized Phonological Assessment & Intervention: Keep Up With the Kids
Barbara Hanford Bernhardt, Julie J. Masterson
Clinicians struggle to balance the desire to conduct comprehensive assessments with the requirements of serving a large caseload. We will show you how to use Computerized Articulation and Phonology Evaluation System (CAPES) to administer a single-word inventory tailored to the developmental level of the child, perform desired analyses, and view recommended treatment goals. Use of a second software package, Picture Gallery, to address those goals will be illustrated.
Friday, Nov. 14, 2003
3:30pm - 5:30pm
CL07
The 5-Minute Report: Fast, Complete Reports Using Databases & Mail Merge
James L. Fitch
This computer laboratory takes participants step-by-step through a procedure for encoding evaluation information in a database and using that data to produce a report through a mail merge word processing program. The demonstration, on MicroSoft Word and Excel, is applicable to other word processors and databases.
Saturday, Nov. 15, 2003
8:00am - 10:00am
CL08
Computer-Based Speechreading Training
Lorraine A. Delhorne, Patrick M. Zurek
This session demonstrates a computer-based training program, Seeing and Hearing Speech, that helps adults with hearing loss learn to combine what they see with what they hear to understand speech better. The interactive CD-ROM uses the multimedia capabilities of personal computers and computer-aided learning techniques to allow people to practice speechreading at their own pace. The program can be used in professionally led training classes or in home study. This session provides hands-on experience and will not be used as a vehicle for sales.
Saturday, Nov. 15, 2003
10:30am - 12:30pm
CL09 - CANCELLED
E-learning & Fluency Disorders
Anthony Caruso
This computer lab, sponsored by the Convention Program Committee, examines the use of e-learning or computer-based training in fluency disorders. Section 1 discusses components of e-learning; section 2 demonstrates e-learning for pre-service and in-service training in fluency disorders (e.g., identifying moments of stuttering and stuttering types); section 3 offers examples of e-learning applied to fluency treatment. Demos that address emotional concerns in stuttering will also be presented.
Saturday, Nov. 15, 2003
1:00pm - 3:00pm
CL10
Teaching-Learning Anatomy of Speech Articulation via Muscle Vector Animation
Byoung W. Kim, John A. Grozik
This computer laboratory session presents a new pedagogical tool that was developed for teaching-learning effectively the major muscles of speech articulation and their specific functions via computer animation of muscle vectors.
Saturday, Nov. 15, 2003
3:30pm - 5:30pm
CL11
AAC Evidence-Based Practice Using the Performance Report Tool (PeRT)
Katya Hill, Barry Romich, Margi Tucci
AAC automated performance monitoring tools are available for evidence-based clinical intervention. This session provides an opportunity to become familiar with the language activity monitoring (LAM) tools, and PeRT (Performance Report Tool) used to support language sampling from augmented communicators for evidence analysis and characterizing communication competence.
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Lunch With the Professor
Thursday, Nov. 13, 2003
12:30pm - 1:30 pm
479
Teaching Stuttering Modification Skills to Children Who Stutter
Barry Guitar
Lunch with the Professor is a new exciting format designed to provide clinicians training in the treatment of stuttering. Offered in an intimate and relaxed luncheon setting, participants have the opportunity to personally meet and interact with an expert researcher-master clinician in the field of fluency disorders. This session, sponsored by the Convention Program Committee, describes the principles and steps necessary to teach school-age children how to successfully employ stuttering modification strategies. Preregistration is required for this session. Tickets are $50 and can be purchased on the convention registration form. Space is limited!
Saturday, Nov. 15, 2003
1:30pm - 2:30pm
544
Issues in Stuttering Intervention for Adolescents
Patricia Zebrowski
Lunch for the Professor is a new exciting format designed to provide clinicians training in the treatment of stuttering. In an intimate and relaxed luncheon setting, participants have the opportunity to interact with an expert researcher-master clinician in the field of fluency disorders. This session, sponsored by the Convention Program Committee, will begin with a description of an intensive residential program for teenagers who stutter, followed by group discussion of stuttering treatment issues with this population. Preregistration is required for this session. Tickets are $50 and can be purchased on the convention registration form. Space is limited!
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