My treatment approach for young children is to target sounds/words in play. I use tactile cues adopted from P.R.O.M.P.T (I am level 2 trained), and I use hand cues for sounds as well. I use melodic cues and movement cues. All cues do not work for all kids, so I must adapt to what cues work for them. With the young children, my main goal is to increase their confidence in speaking and help them understand it is fun to make sounds. Many kids with CAS are aware of their inabilities, and it is my job to help them be more confident. I alternate between playing on floor with toys, in the gym on the equipment (we have a full gym), and I also introduce the child to imitation of word shapes using Kaufman cards for confidence in production of sounds on demand (this is the most difficult). During therapy, augmentative communication is established for the child. I target AAC and sound production/word production simultaneously for the maximum benefit of the child to communicate basic wants and needs.