How to do a Fluency Evaluation

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  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


Diagnosis and Evaluation in Speech Pathology (Seventh Edition) by William O. Haynes and Rebekah H. Pindzola (Affiliate link, thanks in advance if you choose to purchase through my link!)