Prior to initiation of therapy, evaluation results, initial goals (which will be fluid based on ongoing assessment and initial movement sequences) recommended (including targets and cueing hierarchy) and therapy day procedures would be reviewed and questions and suggestions for functional vocabulary addressed. Initial targets will be chosen based on what is in the child's current repertoire and the documented level of cueing from the assessment. The therapy room consists of mirrors, low tech AAC as needed, appropriate seating, and age-appropriate reinforcers. A sound/syllable inventory will be taken, and, along with the functional vocabulary (including core vocabulary utilized home) and child's interests, and, based on this, systematic instruction provided (initially with consistency of characteristics such as prosody, pitch, rate and set of chosen targets (based on their inventory considering single syllables, varied syllable shapes and syllable sequences) at the appropriate level of cueing) will be completed with numerous repetitions (activities will be play-based and highly reinforcing for younger kiddos), as needed. Feedback is frequent and paced on acknowledgment of attempts. The final portion of the session is spent determining next session's targets (if they or the cueing level to change) with parental education and practice. I also utilize a communication folder that has pictures of techniques utilized, specific practice for home, and an area for documentation of time/frequency, comment/questions.