When targeting speech production, I often provide tactile cues following the PROMPT model, along with various visual, gestural, and verbal prompts. Additionally, I incorporate motor learning theory, DTTC, ReST, and some of the K-SLP approach when developing appropriate targets. I provide intensive and repetitive practice of motor speech targets throughout the session, but am careful to watch the child's motivation and emotional state as a whole and balance between blocked practice and random targets. I see it as teetering on the line of pushing them in new ways in order to make progress, while not pushing too hard to where they shut down and don't want to communicate. Following the session, I will provide the family with a list or workbook of specific targets practiced, strategies that were successful and/or showed potential, and discuss with them a frequency of which they should be practiced. I work diligently to keep the families involved in treatment by being present throughout sessions, keeping an open dialogue regarding home practice successes and areas of weakness, and providing consistent feedback regarding various prompting strategies/ techniques and targets. For children with more moderate to mild CAS, I take a similar approach with regard to their interests and shaping motor speech targets; however, I typically incorporate more blocked practice and incorporate a more structured approach to the session.