First and foremost, I work together with the parents to determine treatment plans. My first goal is to explain that we will be using a total communication approach to give the child a means to communicate while further developing verbal speech skills. Depending on the client, I may begin to teach simple signs, gestures, or use PECS as a way to establish functional communication. I analyze the child's current repertoire of sounds, syllable shapes, and functional needs. From there I develop a core functional vocabulary list within his/her abilities, and, depending on the severity of CAS, will choose a small number of initial target words/movement sequences (smaller numbers depending on level of severity) to practice within speech sessions and at home. During therapy sessions, I work on encouraging all attempts while providing feedback and prompts to help elicit correct productions using one continuous movement. I start with providing maximal prompting for targeted movement sequences and lessening prompting as appropriate. I work on getting as many trials of targeted words/sequences as possible within the session. I use PROMPT techniques within my treatment.