EBP Compendium: Summary of Clinical Practice Guideline
Royal College of Speech & Language Therapists; Department of Health (UK); National Institute for Clinical Excellence (NICE)
RCSLT Clinical Guidelines: 5.9 Disorders of Fluency
Taylor-Goh, S., ed.
(2005).
RCSLT Clinical Guidelines. Bicester, Speechmark Publishing Ltd.
AGREE Rating: Highly Recommended
Description:
This evidence-based guideline provides recommendations for the assessment and management of fluency disorders in children and adults. This guideline is intended for speech-language pathologists.
Recommendations:
- Fluency Screening/Assessment
- Consider communication abilities in a range of contexts
- Consider speech, language, social, and communication skills
- Collect a case history
- Include quantifiable measures in evaluation (e.g., frequency, severity, speech rate, and associated behaviors)
- Include self or carer reports
- Consider the strengths or weaknesses of the individual's lifestyle
- Consider the individual's previous therapy experiences and the individual's goals of treatment
Specific recommendations are also available for developmental stammering, acquired/late onset fluency disorders, and cluttering.
Management should include:
- Provision of information regarding the nature of the fluency disorder
- Presentation of the treatment options and involvement of client in decision-making
- Explanation of therapy process and process of change
- Collaboration with the school, workplace, or family
- Service delivery options may include individual therapy, group therapy, intensive therapy, parent/caregiver participation
Specific recommendations are also available for developmental stammering, acquired/late onset fluency disorders, and cluttering.
Keywords: Fluency Disorders
Access the Guideline
Added to Compendium: November 2010