Keeping in mind that progress is greatly affected by the child's willingness to participate and that high production frequency is critical, I very quickly establish a stimulus- response rhythm. In order to do this I need to decide what motivates the child with regard to primary reinforcement (turning circles on a page into smiley faces, stickers, swiping iPad for next stimulus, high fives, etc.) as well as the energy level of my response. This is the foundation of the therapeutic relationship and is necessary for establishing the child's positive attitude toward speech therapy.

Tools which I most typically use include variations of these treatment approaches:
-Multi-Sensory Approach (sound names, placement manner cues)
-Visual Touch Cues
-DTTC
-Kaufman Kit protocol