My overall treatment approach is 'team based'. I include the client and family/caregiver, and communicate with other involved providers (OT/PT, Teachers, etc). My treatment approach is motor-based and multi-sensory. I like to look at a child's whole communication framework which includes the physical-sensory aspects, the cognitive-linguistic aspects, and the social-emotional aspects. In order to be an effective communicator, all three aspects must be addressed and integrated into a balance and across many settings. After assessing the speech subsystems (which I observe/analyze in my assessment) I will choose a targeted lexicon (vocabulary) to work on with he child. If I need to provide tactile-kinesthetic input to help with speech motor learning I do that. Most importantly, no matter what treatment approach is chosen, it's important to work from a speech motor learning perspective--I work on choosing stimuli, then organize the practice with mass practice, give feedback, have distributed practice in therapy activities, give feedback and provide opportunities for successful carryover to outside environments. I like to involve parents and give suggestions that are both functional and interactive.