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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: 5.1 Core Clinical Guideline

Taylor-Goh, S., ed. (2005).
RCSLT Clinical Guidelines. Bicester, Speechmark Publishing Ltd.

AGREE Rating: Recommended with Provisos


This evidence-based guideline provides general recommendations for the practice of speech-language pathology across clinical specialty and client population.


  • General Recommendations
    • The clinician should always take a case history. The case history should consider communication, eating and drinking, home and family, social, educational, employment, and medical/physical conditions.
    • Assessment should take into account the World Health Organization (WHO) classification system with consideration for the body function and structures, individual's activity and participation, and contextual factors.
    • Assessment should examine skills in all languages and should be matched to the individual's dialect and religious profile
    • Assessment should be conducted across a variety of social settings and should consider a holistic view of the individual's communication.
    • Differential diagnoses should be formed
    • The clinician should work in partnership with the family and relevant professionals.
    • Timing of intervention should be determined by an evaluation of the individual's readiness and ability to change.
    • Management should be planned based on formation of hypotheses, should include timescales and goals, outcomes should be measured, and treatment should be frequently reviewed.

Keywords: Service Delivery Models

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Added to Compendium: November 2010

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