When providing treatment for a child with moderate to severe CAS, it is very important to determine the child's interests first so that the activities are motivating, interesting, fun, and functional for the child. I choose a small number of speech targets to work on and we pick words that are functional, meaningful, and important to the child and his or her family. It is important to meet the child where he or she is at and begin treatment with the sounds they can say and the syllable shapes they can do and build from there. It is important to follow the principles of motor learning and it is very important to make sure we are engaging in activities that provide opportunities to practice our target words over and over. I like to use multi-sensory cueing (pictures, gestures, touch cues) to help the child when learning something new but we are always working toward fading the cueing so that he or she can produce the words without help. I pay attention to the feedback I am giving to make sure we start with letting the child know what to do to increase success and we move to a place where I can help the child figure out if the word or phrase was correct or not without my help. Just as with cueing, I gradually fade my feedback too. We always use a play-based approach to ensure we are engaging in fun, motivating, and meaningful activities - it is important that the children are having fun while learning!