I follow ASHA guidelines as well as the PROMPT technique for treatment intervention for children with CAS. Following the above mentioned evaluation procedure, I then establish the syllable level to target and a range of words (within play activities) that I will target within a therapy session. My therapy sessions are primarily naturalistic and child directed. Clinician directed therapy sessions will occur as necessary (e.g. when attention and/or behavior issues may co-occur resulting in more structured therapy techniques). Therapy targets are based on what is most functional in the child's activities of daily living (e.g. what words are most common/necessary and used in school, home, environment, etc.). This helps motivate the children to use their words to communicate their wants and needs in a variety of functional settings and ultimately leads to increased motivation to communicate! My treatment can change depending on the child and their needs. I also include AAC communication in conjunction with signs and verbal communication, as I have seen wonderful benefits of these multiple modalities of interventions being paired together to increase communication. Overall, the combination of both of these techniques helps give our kiddos a "voice" and a way to communicate all their thoughts to us!