Selective mutism is often linked to an underlying
anxiety disorder. Children with selective mutism can speak normally in certain
situations, such as at home or when alone with their parents. However, they
may be unable to speak in other social situations, such as at school or at
places outside their home. Other symptoms associated with selective mutism
can include excessive shyness, withdrawal, dependency upon parents and oppositional
behaviour. Most incidents of selective mutism are not the result of a single
traumatic event, but rather are the manifestation of a chronic pattern of anxiety.
Selective mutism may be treated through various approaches, including behavioural,
group and family therapy and speech-language therapy.
Implications for Planning and Awareness
- Meet with the student and parents before the school year to allow the student
to become familiar with the new classroom, before the other students are
present. Discuss how the school can support this student’s needs by taking
steps to reduce the student’s anxiety as much as possible.
- Make sure all
adults who work with the student have accurate information about how to approach
and support a student with selective mutism.
- Learn as
much as you can about how anxiety may affect learning and social and emotional
well-being. Reading, asking questions and talking to qualified professionals
will build an understanding and help to make decisions to support the student’s
success in the classroom.
- Collaborate with the school
and/or jurisdictional team to identify and co-ordinate any needed consultation
and supports. Children with selective mutism require a team approach incorporating
social, educational, psychological, and possibly speech and language interventions.
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Your awareness needs to begin with conversations with
the student’s parents.
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Implications for Instruction
- Be empathetic to the student’s difficulty to speak in the classroom. It
is not intentional or passive–aggressive behaviour.
- Keep a predictable structure
and clearly explain classroom activities. This will help reduce the unknown
and anxiety.
- When planning a change in a schedule
or a new activity, give the student a preview of the expected change.
- Allow the student to first observe other students
before participating in the activity.
- Keep in mind that although a student may not show outward signs
of understanding, he or she may often understand what is being said.
- Accept nonverbal means of communication, such as nodding, pointing to words
or pictures, drawing, gesturing or writing words down. Avoid trying to cajole
students into speaking.
- Pair the student with peers in activities.
A connection with one or two peers will often provide enough comfort that
the student may start to speak.
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Implications for Social and Emotional Well-being
- Take the time to develop trust with the student and use terms such as “brave”
when he or she attempts to speak in classroom situations.
- Reward successive
approximations of social interaction and communication, including eye contact,
following directions and nonverbal participation in group activities.
- Maintain a matter-of-fact approach and do not attempt to
discuss feelings around speaking. Students may be too anxious to speak in
some situations. Even though these students know they are afraid, they usually
can’t explain why. It may increase their stress level if you attempt to discuss
why they feel this way.
- Keep the student in the same small groups for classroom work so
they are comfortable and do not have to cope with the stress of switching
partners.
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Parents know their children well and can offer insights
on how to support their social and emotional well-being. There is strength in collaborating on strategies that could be used at home,
at school and in the community.
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As you consider the implications for this condition,
think about the following questions:
1. |
Do I need further conversations with the parents to better understand
this student's strengths and needs? |
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Yes |
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No |
2. |
Do I need targeted professional learning?
If yes, what specific topics and strategies would I explore? |
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Yes |
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No |
3. |
Is consultation with jurisdictional staff required?
If yes, what issues and questions would we explore? |
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Yes |
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No |
4. |
Is consultation with external service providers required (e.g., Regional
Educational Consulting Services, Student Health Partnership, Alberta
Children's Hospital, Glenrose Hospital)?
If yes, what issues and questions would we explore? |
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Yes |
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No |
5. |
Are further assessments required to assist with planning for this
student?
If yes, what questions do I need answered? |
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Yes |
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No |
6. |
Is service to the student from an external provider required?
If yes, what outcomes would be anticipated? |
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Yes |
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No |
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