The National Center for Evidence-Based Practice
in Communication Disorders
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Summary of Clinical Practice Guideline

Royal College of Speech & Language Therapists; Department of Health (UK); National Institute for Clinical Excellence (NICE)

Royal College of Speech and Language Therapists 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. This guideline is intended for speech-language pathologists. Populations included, but were not limited to, stroke, traumatic brain injury, autism spectrum disorder, cerebral palsy, Parkinson’s disease and head and neck cancer. Each recommendation is graded:

  • A - requires at least one randomized controlled trial,

  • B - requires at least one well-conducted clinical study, or

  • C - requires evidence from expert committee reports.


Social Communication Disorders
  • Assessment/Diagnosis/Screening

    • Assessment Areas

      • Cognition/Language 

        • When the speech and language therapist takes a case history, several areas should be considered including communication interaction and other social factors (i.e., activities of daily living, current social circumstances, and play skills) (Level C Evidence) (pp. 13-14).

        • "Assessment of bilingual children should include observation in a variety of social settings...and should take a holistic view of the individual's social communication" (Level B Evidence) (p. 15).

Service Delivery Models

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