My treatment approach involves increasing accuracy and consistency of speech movement sequences through use of multisensory cues and repetitive practice of functional word/syllable shapes while facilitating language development. I focus on identifying the child’s current speech and syllable shape inventory, and establish a plan to achieve varying motor speech sequences. I also examine the child’s current vowel inventory and form a plan to increase vowel accuracy and reduce vowel distortions and omissions in the given sequence. My approach then focuses on selecting functional vocabulary and increasing the child’s ability to produce the vowels, words/syllable shapes in increasingly complex sequenced movements through use of multisensory cues, repetitive practice, and modifying other aspects of language to establish consistent and accurate productions. Multisensory cues I use in therapy include tactile, verbal, kinesthetic, and written cues. Most recently, I have started incorporating P.R.O.M.P.T. into my sessions after taking the introduction course. As target utterances are acquired, I encourage children’s speech flexibility by producing target utterances in a variety of structures while increasing language formulation, including syntax, morphology, and grammar. For children who are not yet imitating simple syllable shapes, I encourage facilitation of vocalizations in play via imitating sounds, using signs, communication boards, devices, and other gestures. I also collaborate with other professionals to identify other factors that may be impacting the speech motor system, including occupational and physical therapists. I encourage family participation and work closely to establish at home practice activities to increase transfer of skills from treatment sessions to home life and other environments.