The Other Fluency Disorder: Evaluation of Cluttering

presented by Claire Barbao, MA, CCC-SLP

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Financial: Claire Barbao receives compensation from MedBridge for this course. She is also an employee of the University of Virginia and owner of Kindly Speech, LLC.

Nonfinancial: Claire Barbao has no competing nonfinancial interests or relationships with regard to the content presented in this course.

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Video Runtime: 43 Minutes; Learning Assessment Time: 31 Minutes

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, MA, CCC-SLP

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, and working in the public school system. Claire currently supervises graduate students in…

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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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