2025 - 2026 Assessments

FLUENCY, VOICE, AND SPEECH MECHANISM

SSI-4: Stuttering Severity Instrument– Fourth Edition Glyndon D. Riley AGES: 2-10 and up TESTING TIME: 15 to 20 minutes ADMINISTRATION: Individual

The Stuttering Severity Instrument–Fourth Edition (SSI‑4) is a reliable and valid norm-ref- erenced stuttering assessment that can be used for both clinical and research purposes. It measures stuttering severity in both children and adults in the four areas of speech behavior: (1) frequency, (2) duration, (3) physical concomitants, and (4) naturalness of the individual’s speech. Frequency is expressed in percentage syllables stuttered and con- verted to scaled scores of 2–18. Duration is timed to the nearest one-tenth of a second and converted to scaled scores of 2–18. The four types of Physical Concomitants are converted to scaled scores of 0–20. The SSI‑4 can also be used in conjunction with the Stuttering Prediction Instrument for Young Children (SPI). A Clinical Use of Self-Reports (CUSR) protocol is used to incorporate client self-reports into the treatment process. This report is provided in Appendix A and described in Chapter 4. This protocol makes it possible to track changes in perceived stuttering severity, locus of control and avoidance, and to make treatment changes in real time. The SSI‑4 was normed on a sample of 72 preschool-aged children, 139 school-aged children, and 60 adults. It has three components, each of which is used to assess and monitor stuttering severity in both children and adults for clinical and research use: (1) Examiner’s Manual and Picture Plates, (2) Test Record and Frequency Computation Forms, and (3) Subjective Stuttering Scales.

COMPLETE SSI‑4 KIT INCLUDES: Examiner’s Manual and Picture Plates, 50 Test Record and Frequency Computation Forms, and Subjective Stuttering Scales. (©2009)

#13025 SSI‑4 Complete Kit $170.00 #13026 SSI‑4 Examiner’s Manual and Picture Plates . . . . . . ........ 103.00 #13026E SSI‑4 Virtual Examiner’s Manual and Picture Plates . . . . ..... 96.00 #13027 SSI‑4 Test Record and Frequency Computation Forms (50) . ... 81.00

TOCS: Test of Childhood Stuttering Ronald B. Gillam • Kenneth J. Logan • Nils A. Pearson AGES: 4 through 12 years TESTING TIME: 20 to 30 minutes ADMINISTRATION: Individual

The Test of Childhood Stuttering (TOCS) provides clinicians and researchers with a sound method for assessing speech fluency skills and stuttering-related behaviors in children 4 through 12 years of age. Its main purposes are to (1) identify children who stutter, (2) gauge the severity of a child’s stuttering, and (3) document changes in a child’s fluency functioning over time. It can also be used as a tool in research on child- hood stuttering. The TOCS is composed of three major components: 1. THE STANDARDIZED SPEECH FLUENCY MEASURE Four speech fluency tasks are used to identify children who stutter and rate the sever- ity of their stuttering. A. Rapid Picture Naming —Children are to name a series of 40 pictures as quickly as possible. This determines how fluently children produce single words in a time-stressed context. B. Modeled Sentences —Children are shown two pictures, side by side, differing in one important detail. The examiner says a sentence about one of the pictures. Children are to produce sentences that contain the same syntactic structure as the sentence the examiner has modeled. This evaluates children’s ability to speak fluently in a context in which sentences that vary in syntactic complexity must be formulated and then spoken. C. Structured Conversation —Children are asked to answer open-ended questions about a sequence of eight pictures. This evaluates children’s ability to speak flu- ently in a dialogue context. D. Narration —Children are to generate a story that is based on the picture cards used in “Structured Conversation.” This assesses children’s ability to speak flu- ently in a monologue context. 2. THE OBSERVATIONAL RATING SCALES The Speech Fluency Rating Scale and the Disfluency-Related Consequences Rating Scale enable the examiner to gather information about stuttering and related behav-

iors from parents, teachers, and other individuals who have known the child for an extended period of time. 3. THE SUPPLEMENTAL CLINICAL ASSESSMENT Eight supplementary fluency-related assessments enable examiners to probe disflu- ency-related data in greater detail: (1) clinical interviews, (2) comprehensive analysis of disfluency frequency and types, (3) speech rate analysis, (4) disfluency duration analysis, (5) repetition length analysis, (6) associated behavior analysis, (7) stuttering frequency analysis, and (8) speech naturalness analysis. COMPLETE TOCS KIT INCLUDES: Examiner’s Manual, Picture Book, 25 Examiner Record Booklets, and 25 Observational Rating Scales, all in a sturdy storage box. (©2009) #12200 TOCS Complete Kit $244.00 #12201 TOCS Examiner’s Manual . . . . . . . . . . . . . . ............... 90.00 #12201E TOCS Virtual Examiner’s Manual . . . . . . . . . . . ............ 84.00 #12202E TOCS Virtual Picture Book . . . . . . . . . . . . . ............... 58.00 #12203 TOCS Examiner Record Booklets (25) . . . . . . . . . ........... 60.00 #12204 TOCS Observational Rating Scales (25) . . . . . . . . . .......... 41.00

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2025–2026 ASSESSMENTS | 85

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