I start at the level where the child is, with the targets that are motivating, frequent, and give the child most control over the environment ( names, preferred items, food, activities). I start with direct imitation; visual, tactile, and verbal cues, which I fade gradually as the child’s mastery increases. Repetition is important and I structure my sessions to achieve multiple repetitions of target syllables, words, phrases. I use toys, games, repetitive songs and books, and movement to achieve this. Depending on the level of the child, I give the specific feedback and instructions (“big mouth”, “your lips were together”, etc). I utilize PROMPT training, Kaufman Speech Praxis Kit, and Moving Across Syllables program for my English speaking clients. I rely on the same principles when I develop treatment plans and materials suited for by-lingual (Russian-speaking children)