Treatment involves careful target selection based on the child's current repertoire of sounds and syllable shapes as well as stimulable sounds/shapes. I employ multimodal cues, including visual, verbal, tactile-kinesthetic methods, depending on what can be most easily faded and that best benefits the child. I begin with massed and blocked practice with knowledge of performance feedback and shaping, and transition as quickly as possible to randomized practice with knowledge of results feedback, working with parents to encourage appropriate home practice for generalization as welll as to select the most relevant/motivating targets. I recommend frequent sessions and collaborate with school/other clinicians to synchronize the treatment.