Treatment of Selective Mutism: A Best-Evidence Synthesis

School Psychology Quarterly

Pionek Stone, B., Kratochwill, T. R., et al. (2002).

School Psychology Quarterly, 17(2), 168-190.

This review investigates the effects of behavioral, biological, or combination treatment approaches on communication in children with selective mutism.

Spencer Foundation



Not stated

Not further specified

114

<div>Overall, treatment led to positive outcomes in verbal communication for children with selective mutism. Successful treatment programs included:</div> <div> <ul> <li>programs with an emphasis on applied behavior analysis (e.g., positive reinforcement, contingency management, shaping, stimulus fading); and</li> <li>programs using combined behavioral approaches (e.g., modeling with positive reinforcement).</li> </ul> <div>No differential effects were found between these two models. The effectiveness of other programs, including those utilizing desensitization techniques or social skills training, could not be determined due to a lack of quantifiable data. Additional research is indicated.&nbsp;</div> </div>