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: 5.3 School-aged Children with Speech, Language & Communication Difficulties
Taylor-Goh, S., ed. (2005).
RCSLT Clinical Guidelines. Bicester, Speechmark Publishing Ltd.

AGREE Rating: Highly Recommended

Description:
This evidence-based guideline pertains to the assessment and management of school-aged children with speech, language, and communication difficulties. This guideline is intended for speech-language pathologists. 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.

Recommendations:

Social Communication Disorders
  • Assessment/Diagnosis/Screening

    • Assessment Areas

      • Cognition/Language & Speech

        • Assessment of the communication ability of school-age children with speech, language, and communication difficulties should include assessment of the use of social rules of communication" (Level C Evidence) (p. 26).

    • Assessment Instruments

      • Cognition/Language

        • "A wide range of assessment procedures are available and the Speech & Language Therapist should select from these, bearing in mind the child’s cognitive, physical and perceptual abilities. A combination of formal and informal procedures will be used to assess the impact of any difficulties on the child’s learning and socialisation" (Level C Evidence) (p. 27).

  • Treatment

    • Cognition/Language

      • General Findings

        • "Consideration will be given to developing communication skills and/or alternative strategies to support learning and socialisation within an appropriate context that is relevant to the child’s everyday experience" (Level C Evidence) (p. 27).

        • "Children with language impairments have difficulties interpreting non-verbal communication and verbal language in social contexts. The Speech & Language Therapist should provide strategies to facilitate the child’s understanding of social aspects of language" (Level B Evidence) (p. 30).

  • Service Delivery

    • Provider

      • "Children with language impairments have difficulties interpreting non-verbal communication and verbal language in social contexts. The Speech & Language Therapist should provide strategies to facilitate the child’s understanding of social aspects of language" (Level B Evidence) (p. 30).

Keywords:
Speech Disorders, Language Disorders

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