A Behind-the-Scenes Look at School-Based Intensive Programs for Selective Mutism
School-based intensive programs for Selective Mutism (SM) provide an important opportunity for children with SM to develop confidence and use their brave voices with peers and school professionals. Research has found that intensive therapy for anxiety is effective and efficient (click to see article), exhibiting similar results to the outpatient approach but in a more timely manner. They are hard work; however, done right they can be life-changing experiences that lay the foundation for long term success. In this article, we'll give you a behind-the-scenes look at what a school-based intensive looks like.
Day 1: Building a Strong Foundation
The priority of the first day is to establish comfort between your child and the therapist. The therapist introduces intervention techniques and creates a supportive environment for brave speaking. A reward system will be created together so that your child feels motivated to complete goals. For example, your child may earn stickers or points each time they answer a question, and then exchange what they earn for a prize at the end of the day. Once speaking comfort is established with the therapist, your child will begin generalizing brave interactions to the community and school settings.
Days 2 and 3: Embracing the School Environment
On days two and three, your child will progress through using their brave voice in more challenging situations (while moving at your child’s own pace). The initial goal is to maintain speech with the therapist throughout the day (e.g., in the hallway, in the back of the classroom, at their desk). Time is also spent developing speaking comfort with key individuals such as teachers, counselors, and classmates. Individual and small group interactions in the classroom are also targeted. For example, your child may practice using their brave voice during small group reading or partner work.
Day 4: Advancing and Consolidating Progress
On the final day of the intensive program, brave practices focus on your child’s usual classroom activities. Higher-level goals are determined based on your child’s progress, such as reading aloud, giving presentations, and active participation in classroom activities (e.g., raising hand to answer or ask a question). Brave practices continue with both adults and peers in school, which may include initiating interactions. Notably, the therapist will consult with school personnel on useful strategies to implement and schedule a follow-up meeting to discuss progress and problem-solve. Conversations on the final day include clear brave goals for your child to continue working toward, reward systems to promote ongoing success, and addressing any questions you may have.
It's important to note that this is just a sample plan; in-school intensives are tailored to your child's unique needs and comfort levels. Dr. Heather Schmitt, who regularly does in-school intensives says, "One of my favorite parts of an in-school intensive is being able to see not only the child's bravery and confidence grow, but also the confidence of teachers and other school staff. Empowering everyone throughout the week in a way that will continue bravery after I'm gone is so rewarding!"
In-school intensives for selective mutism can be a powerful tool to help your child find their voice and regain their confidence. If you are interested in learning more about Thriving Minds’ school-based or clinic based intensives, call 734-433-5100 to set up a free 15-minute consultation.