Many school aged children, as old as 10 years of age, are successfully treated with the Lidcombe Program. The main consideration when employing the treatment with these older children is to ensure it is conducted in an age appropriate way. For example, contingencies need to be age appropriate and this may mean that acknowledgement is used more than praise. In addition, stimulus materials for the structured treatment conversations need to be age appropriate. Also, the children may be involved in taking their own severity ratings. Generally speaking, school age children will take a much more active role in the treatment process.
The challenges include that the outcome of treatment needs to be kept realistic as the stutter may reduce but the child may have some residual stuttering and will need to learn how to manage relapse when it occurs. In addition, motivation may also be an issue on the part of the child. The speech language pathologist and the parent may need to include external motivators, i.e. rewards, much more than with a preschool child.