PROMPT is the technique utilized in my practice by all therapists. After the assessment is complete, three priorities are chosen from the Motor Speech Hierarchy to address each session. Motor phoneme links are selected to address the three priorities and Goals are written (long and short term). Sessions will start off with an organizing activity if the child requires this to settle into the session and improve attention. A motor phoneme warm up of massed practice will last about 5-7 minutes and will prepare the motor system for the movements that will be targeted within that session. Once completed, two or three cognitively appropriate activities that encourage turn taking and engagement will be selected. A lexicon will be created from the motor phoneme links selected and addressed during the activities. As PROMPT clinicians we provide the appropriate level of PROMPTs for each child and are continuously assessing throughout the session. Once the session is completed notes are formulated and any changes to goals will be made.

We also specialize in orofacial myofunctional therapy. We assess the orofacial complex in addition to breath, resting posture, chewing, swallowing and articulation to determine if additional referrals are needed. We also rule out issues that may be impacting speech and motor planning including tongue ties, mouth breathing and tongue resting position.