The Other Fluency Disorder: Evaluation of Cluttering
Presented by Claire Barbao
Nonfinancial: Claire Barbao has no competing nonfinancial interests or relationships with regard to the content presented in this course.
In part 2 of a 3-part cluttering course, the elements of evaluation of cluttering are outlined and explained. To appropriately diagnose cluttering, one must have both knowledge and preparation for evaluating all factors of speech that may be affected by cluttering. Clinicians will be provided with examples of cluttered speech, an evaluation checklist, a case history, and examples of programs to utilize in assessment. A free screening tool that differentiates stuttering and cluttering will also be discussed. The goal of this course within the series is for the clinician to feel prepared and confident assessing an individual’s fluency for signs of cluttering.
Meet your instructor
Claire Barbao
Claire Barbao is a speech-language pathologist at the University of Virginia. The primary focus of her current clinical practice and instruction is fluency disorders, motor speech disorders, and adult rehabilitation. Her clinical experience includes inpatient and outpatient medical settings, private practice, telepractice,…
Chapters & learning objectives
1. What Are We Looking For?
This chapter further describes the characteristics of cluttering and the criteria to which an individual’s speech would signify cluttering. Specific examples will be provided to exemplify what we are listening for.
2. Making an Evaluation Plan
This chapter will provide clinicians with a comprehensive checklist for their evaluation, as well as case history questions. There are times when we may not know that the client coming through our door is here for cluttering, and it is important that a clinician feels ready with a plan if necessary.
3. Objective and Subjective Measures of Rate
Rate is a defining component of cluttering, but it is not always quantified by measurement. This chapter discusses the importance and the process of listening for rate both objectively and subjectively.
4. Using the Predictive Cluttering Inventory
This screening tool was developed as a differential diagnosis resource for stuttering and cluttering. Because these fluency disorders are similar and often co-occur, it is extremely helpful to have a specific layout to reference.
5. Other Factors of Speech to Consider
This chapter will discuss the variety of other components that have been reported by individuals who clutter. It is important that the clinician gain insight into this disorder from the client’s experience to feel confident about identifying these multiple symptoms.
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