I start by using a limited set of target words that I choose with the family's help (usually 5-10 to start). I choose targets based on motor movement sequences that the child is more successful with to increase their level of success during sessions. These target words (in some case short phrases) are used in modified block practice with several repetitions of each word. As reinforcement is often needed with my preschool population I choose a quick reinforcer activity that does not require the child to look away from my face for a long period of time. I adjust my cues based on the child's success starting at simultaneous production with cues to look at my mouth, physical cues, modeling and verbal cues as needed. When the child achieves some success with relatively little cues I move to immediate repetition. I repeat the target with the child multiple times at various levels of gesture, touch and placement cues as needed and introduce varying prosody. As the child becomes more successful we move to delayed repetition and then spontaneous productions. If at any time the child experiences difficulty producing the target, I introduce more cues or reduce a level of repetition until the child again becomes successful. Therapy for a child with CAS needs to be successful and targeted at helping them make the most progress in the shortest time possible.