My overall treatment approach includes tools and techniques that vary depending on the needs of the child and the family. While I always incorporate age appropriate play into my treatment, I recognize the need for the child to be able to focus on their speech productions in a deliberate way. My primary focus at the onset of therapy is to improve functional communication immediately, whether that be verbally or with AAC or gestures. I use a hands-on approach with PROMPT, or other tactile cues, when appropriate. I accept or encourage acceptable sound or word approximations in order to increase intelligibility. I incorporate a variety of multi sensory cues with the intention of fading those cues as quickly as possible to generalize motor learning. I am also very, very adamant that parents or caregivers are included in all therapy and follow through with home practice.