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Related Experiment Video

Updated: Jul 5, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Selective mutism: a consensus based care pathway of good practice.

D V Keen1, S Fonseca, A Wintgens

  • 1St George's Healthcare NHS Trust, London, UK. daphne.keen@stgeorges.nhs.uk

Archives of Disease in Childhood
|May 6, 2008
PubMed
Summary
This summary is machine-generated.

Selective mutism (SM), an anxiety condition, is often misunderstood. This study established key management principles for children with SM, creating a care pathway to improve early recognition, assessment, and intervention.

Related Experiment Videos

Last Updated: Jul 5, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Area of Science:

  • Child and Adolescent Psychiatry
  • Anxiety Disorders
  • Clinical Psychology

Background:

  • Selective mutism (SM) is an under-recognized anxiety condition in children, leading to diagnostic and management delays due to its complexity and lack of professional consensus.
  • The condition affects a vulnerable population, with no single professional group responsible for its care, exacerbating challenges in timely intervention.

Framework:

  • Developed 11 key management principles for a selective mutism care pathway through a multi-agency consultation.
  • Utilized a modified Delphi process with 13 international experts to validate these principles via quantitative and qualitative analysis.

Implementation:

  • Achieved high response rates (100% Round 1, 84.6% Round 2) from diverse professional backgrounds.
  • Successfully reached consensus on principles for early recognition, assessment, and intervention in selective mutism.
  • Developed a local care pathway based on agreed-upon management principles.

Implications:

  • Established consensus on timely identification, assessment, and management of selective mutism in children.
  • Highlighted the role of school/preschool settings in SM identification and intervention, advocating for school-based programs.
  • Recommended assessment for coexisting disorders, defined clinical progress, monitoring intervals, referral criteria, and the role of SSRI medication.