After the evaluation, therapy goals are created with the family. Suggested or typical goals include words/phrases that are important to the family. Additional goals include increasing the client's consonant and vowel repertoires using a variety of syllable shapes (CV, CVCV, CCVC, CCVCC, CV1CV2, etc.). Articulation targets are not generic and instead include words the client needs to produce at home or in school/daycare environments. AAC is considered if there is no functional communication. For toddlers or preschool age children, gestures paired with vocalizations are targeted and encouraged to facilitate functional communication. Phonological awareness goals are included to improve awareness of sounds in words and as a prerequisite to literacy skills. Auditory discrimination tasks are practiced, and multisensory cuing takes place throughout the course of treatment. Goals are constantly re-evaluated to determine if changes/modifications need to be made.