Parents are involved in my therapy sessions via direct observation, participation or recorded sessions. Each child has an interactive speech book. This allows both the parent and myself to input information as needed. At times high frequency words are addressed even when they are not part of the specific target goal at that moment in time. For example, I had one child who was repeatedly trying to say "adorable". I stopped the session and wrote the word "a'. drew a door and then a bull. Both the parent and I practiced this in session and at home. Within two weeks the motor plan was solidified and we were able to move away from working on that word. Parent involvement is crucial, I train parents on how we are cueing, what to say if the cueing is not successful and how to move on to the next step. At the end of each session I ask if the parents have questions and really listen to provide appropriate and useful feedback.