Treatment is planned based on assessment results. The child's inventory of sounds and syllable shapes plus their ecological use of these skills in communication inform initial treatment targets. Generally, sounds and syllables already in the child's system will be consolidated and expanded to choose word targets, and suggest achievable approximations for high incidence, motivating, important communicative targets eg. family names, desired toys/activities, social expressions etc. Emerging sounds are targeted in simple syllable shapes, and desired (stimulable) sound targets NOT in the system are targeted with maximum support. A support hierarchy is established from maximum-minimum to achieve accurate targets eg. cues (all syllable components) + simultaneous production + slowed rate to cues + mimed production + slowed rate all the way to spontaneous production with silent cues at syllable boundaries. The methods for presenting activities are based on principles of motor learning including: awareness of target, repetition, mass and distributed practice. The target vocabulary initially is limited, modified as necessary (i.e. successive approximations), multiple repetitions + supports. Activities are age-appropriate, engaging, socially and pragmatically useful for communication and support development of communication and play.