SELECTIVE MUTISM SERVICE MCMASTER CHILDREN’S HOSPITAL


As Director of the Selective Mutism Service at McMaster Children’s Hospital, Dr. McHolm has been responsible for the development of a clinical service pathway for children with selective mutism and their families. Clinical services include: 1) initial assessment and consultation of referred children, 2) school-based consultation to parents, school personnel, and involved professionals (e.g., speech & language pathologists; daycare staff), 3) individually tailored school-based intervention programming, 4) individual psychotherapy for older children, 5) a six session workshop series for parents and professionals supporting a child with selective mutism, and 5) consultation to professionals from other regions.

In addition to her clinical interests, Dr. McHolm is engaged in several research projects intended to further our understanding of children with selective mutism. These include:

1) principal investigator for a longitudinal study of children with selective mutism (SM). This study in progress tracks approximately 50 children with SM as they develop through childhood, adolescence, and early adulthood. Academic, social, and psychological functioning is assessed at each stage through self-reports, parent-reports, teacher-reports, and objective measures.

2) co-investigator for a multi-site study (in collaboration with Dr. C. Cunningham et al.) designed to examine the psychophysiological and epidemiological characteristics (e.g., academic abilities; social skills; parent-child interactions) of children with SM in comparison to children with social anxiety.

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3) clinical outcome research intended to assess symptom reduction and parents’ sense of competence managing SM after participation in a six session, skills training workshop series.