Demands and Capacities Model based treatment for young children who stutter


Within the scope of the research project Cost-effectiveness of the Demands and Capacities Model based treatment compared to the Lidcombe programme, known as the RESTART-study, a treatment protocol has been developed based on the DCM treatment model.

de Sonneville-Koedoot C, Stolk E, Rietveld T, Franken MC. (2015). Direct versus Indirect Treatment for Preschool Children who Stutter: The RESTART Randomized Trial. PLoS ONE 10(7): e0133758. doi:10.1371/journal.pone.0133758 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0133758

RESTART Method-in revision – temporarely unavailable

Treatment for children who stutter

By the late eighties, the Demands and Capacities Model (DCM) approach had emerged as the standard treatment in the Netherlands for young children who stutter. The exact procedure followed however varied extensively. In some cases, parents were only given advice (e.g. to speak to their child more slowly, while in other cases, speech therapists (fluency experts) gave, instead of advice, training to parents to achieve actual behavioural change. Some focused solely on reducing ‘demands’, while others also worked on reinforcing the ‘capacities’ of the child.

For purpose of a similar treatment approach during the study, the RESTART DCM Method manual was developed. In the final stage of the project, it was decided to make the protocol generally accessible.

Franken, MC., Putker-de Bruin, D. (2007). Restart-DCM Method. Treatment Protocol developed within the scope of the ZonMW project Cost Effectiveness of the Demands and Capacities Model based treatment compared to the Lidcombe Programme of early stuttering intervention: Randomised trial.

Use the download button on this page for the manual


Demands and Capacities Model workshops in English


At making the manual accessible a course was developed in which the methods and skills described are taught and trained.

In a three-day workshop, designed for speech and language pathologists, participants will be trained to practice the version of the Demands and Capacities Model (DCM) that was researched in the RESTART trial.

Learning outcome of 2 or 3-day workshop RESTART DCM

Day 1: Participants will be able to describe the rationale of the DCM approach and DCM multifactorial assessment (2 hours); they will have practiced selecting relevant demands, conducting a parent-clinician conference cf. DCM approach (2 hours), and treatment skills regarding reducing motoric and linguistic Demands of the child and the environment (3 hours).

Day 2: Participants will have practiced treatment skills regarding reducing emotional and cognitive Demands of the child and the environment (3 hours), and increasing motoric , linguistic , emotional and cognitive Capacities (4 hours).

Day 3 – optional: participants will practice applying the (RESTART-)DCM approach in case studies; participants are invited to share their own cases (4 hours).

Information on Workshops in Turkey

RESTART DCM  workshops in Istanbul, Turkey, organised at the request of DILGEM, are postponed due to the Corona outbreak to january 2021. These workshops will, depending on the corona measures, be held partly or entirely online . The spoken language will be English with Turkish translation.  For more information, registration, cost e.d. contact DILGEM. For substantive information RESTART-DCM use our contact form

RESTART DCM Workshop Istanbul, Turkey – start january 2021

Information on Online Workshop 2021

July 15, 16 and September 11 2021 an international 3day  workshop RESTART DCM will take place entirely online.  The language of instruction will be English. For registration or information mail to:

Marie-Christene Franken
Ellen Laroes

e-mail: info@restartdcm.org or use our contactform.

For those interested in following an online workshop but are unable to join us this summer from 10:00 am to 17:00 pm Central Europe Time due to time differences, please let us know. When there is enough interest, we will organize a 2e workshop online suitable for a different time zone.

Information about RESTART DCM Workshop ONLINE 2021

Video coaching

Participants of the workshop can, after finishing the workshop, upload a video in which they show certain parts of their diagnostics and/or parts of a therapy session for supervision purposes. They receive feedback, possible alternatives and suggestions and focus points for therapy from RESTART DCM trainers.

 More information & booking

For more information about RESTART DCM and for booking a 2 or 3-day workshop face to face or online in your country, you can mail

Marie-Christene Franken
Ellen Laroes

e-mail: info@restartdcm.org

3-day workshop ONLINE 2021 or at your own venue.

Every year, during summer, an international workshop is organized in which English is the language of instruction. This workshop is, when a certain minimum of participants is reached, given in Rotterdam, the Netherlands. For the first time this workshop will be given entirely online summer 2021 (July 15 + 16, September 11).

Another possibility is that the workshop is given abroad at the request of a group of speech and language pathologists. In that case the organization is done by the hosting party in close consultation with the RESTART DCM trainers. Please use the contact form if you are interested in the possibility of hosting a workshop in your own country or hosting online. The RESTART trainers are Marie-Christine Franken and Ellen Laroes

After having followed the workshop participants will have access to the closed part of the website in which forms, to be used in diagnostics and therapy, audio material on the OMAS and SMT and extra information is made available.


Marie-Christine Franken graduated as a linguist (University of Nijmegen, 1985), speech-language therapist (Hogeschool Nijmegen, 1989), and qualified as a Fluency Expert (1991). Her PhD (University of Nijmegen, 1997) addressed evaluation of stuttering therapy. She has worked for more than 25 years combining clinical work, research and teaching. Currently, she is the principal pediatric speech-language researcher and clinical linguist – fluency expert at the Erasmus University Medical Centre, Rotterdam, The Netherlands and since 2015 a trainer of the RESTART DCM approach for clinicians.

Ellen Laroes graduated as a speech-language therapist (Hogeschool Heerlen, 1985) and qualified as a Fluency Expert (1986). She is registered as a European Fluency Specialist. Ellen works in her private practice specialized in fluency disorders and is a former teacher of Fluency Disorders at Zuyd Hogeschool, University of Applied Sciences, Heerlen. She is connected to the education committee of the Dutch Association for Stuttering Therapy (NVST) and mentor for the European Clinical Specialization in Fluency Disorders (ECSF). Since the eighties, she has been working with the Demands and Capacities Model based treatment and since 2000 with the Lidcombe Program as well. She was one of the participating therapists in the RESTART trial and since 2015 a trainer of the RESTART DCM approach for clinicians.

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