I implement the Kaufman Speech to Language Protocol (K-SLP) methods of which I am the author. This is an evidence based treatment approach that entails the principles of motor learning as well as general principles of behavior analysis which are similar to those discussed in motor learning principles.
First the behaviors to either establish, improve upon or eliminate are assessed. In this case, what motor plans are faulty? What vowels, consonants and syllable shapes are not present within their repertoire. I determine what would be highly motivating to the child for reinforcement. I start with blocked practice on syllable shapes, common nouns, requesting words, favorites and high frequency words of which to target. I determine what they are stimulable to produce that they are not producing spontaneously and target those phonemes within syllables. I determine what multisensory cues are needed (visual, auditory, tactile) and how easily they can be faded. I move to different word lists and move ahead on word combinations supporting the child with cues and fading them ensuring there are many responses during the mass practice necessary during the acquisition stage, and move to random practice as the child progresses. I start with pictures and objects that represent the words that are necessary for functional communication and move to toys and the natural environment during each session. I assist with the appropriate prosody once the child masters the combination of consonants and vowels within each target.
I coach the parents on home practice.