In this video, speech-language pathologist Carrie Clark will go over how to do an evaluation for fluency/stuttering.

Summary:

  1. Evaluate General Foundations for Fluent Communication
    • Determine if concomitant speech, language, hearing disorders exist
    • Use hearing screening, speech and voice eval, language eval
  2. Obtain Background Information
    • Determine perceptions of fluency problem by parents, family, teachers, and client
    • Determine impact of fluency disorder on social, academic, and work performance
    • Use interviews, case history, reports from other professionals and family members
  3. Perform Published Testing on Overt and Covert Features
    • Determine if a problem exists, what kind of problem, and its severity by comparing client’s scores to standardized norms
    • Determine communication attitudes and self-concept
    • Use standardized tests
  4. Perform Non-Standardized Testing
    • Determine overt behavior features of speech disfluency (type, frequency, core behaviors, speech rates)
    • Explore use of covert and struggle features
    • See how responsive the child is to different techniques or types of therapy
    • Use to determine direction and method of treatment
    • Do this through analysis of a speech sample using a variety of behavioral observations and rate calculations
    • Be sure to talk about emotions and communication attitudes during this to probe deeper into emotional implications
  5. Evaluate Relevant Environments
    • Determine total resources for treatment
    • Look for obstacles to success in academic or social areas
    • Do this through an assessment of home environment and classroom demands

Source:

Diagnosis and Evaluation in Speech Pathology (Seventh Edition) by William O. Haynes and Rebekah H. Pindzola

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