American Speech-Language-Hearing Association

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.

  • Fluency Treatment

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

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