In my small private practice, parents bring their children to my home office. They either sit in during all sessions which I encourage or right outside of my treatment room if that is their preference. I leave time at the end of each session to talk about what we have worked on. Each child has a folder or notebook where I write simple homework for the parents at home. Typically I include a verbal lexicon of words/approximations/short phrases (depending where the child is at) that helps to improve the motor skills needed during verbal speech. I emphasis how important short, frequent practice is at home to make a difference. I give ideas of games or books to use at home during practice. We also make photo books of important people/toys/ words that they can use for practice so it keeps the work fun and functional. I encourage the parents to accept approximations, model them back to their child and also provide the true target. I counsel parents to avoid the "say this". I have parents send me voice recordings through the week to give them feedback. We also do videos of singing happy birthday etc. as its a nice way to parents to really see progress when they do the same song three months later.