As often as possible, children are scheduled for therapy sessions two to three times per week for either thirty or forty five minutes, depending on their individual needs. Each child's therapy plan follows a systematic hierarchy to expand their phonemic inventory and repertoire of mastered syllable shapes. This is done using real words as well as word approximations. Targets are picked based on phonemes, syllable shapes, parts of speech, and specific high frequency words that are important to the child (such as their pet's name, their favorite toy, etc.). Each session contains mass practice of target words. The levels of cueing and prompting vary depending on the child's position in the hierarchy in conjunction with the accuracy of their productions. Feedback is given in a frequent, timely, and specific manner. As the child increases the accuracy of his/her productions in less structured tasks, carryover is given to the family for home practice. When appropriate, children are introduced to either low tech or high tech AAC to enable them to communicate and expand their language abilities while they work on verbal speech.