First I recommend multiple sessions per week in order to provide the intensity needed to learn motor patterns. The parents/caregivers are very involved in the treatment session. They sit in and observe as well as interact with the child so that they know how to promote carryover and practice at home. I also like to talk with them about encouraging their child's attempts at communication. I truly feel that much of treatment for children with CAS involves counseling and educating the parents on Apraxia. Establishing functional communication is the primary goal. That may involve using low or high tech AAC depending on the child's ability level. Initially I choose my treatment targets based on the child's sound inventory as well as any present syllable shapes. Then I look at what words with those sounds and/or syllable shapes may be meaningful to that child. I try to start at the more complex syllable shape (e.g. CVC vs CV) that is present. These words become our initial targets. The child is placed face to face with the clinician so they can attend to their mouth. I use verbal, visual and tactile cues for accuracy. During initial trials blocked practice is utilized with feedback on their performance. They are constantly cues to watch the clinician's mouth or their own mouth (mirror) for the feedback. As treatment progresses, trials become more randomized and feedback on results is utilized. This is dynamic and varies with the child's productions and mastery. Stimulability for new targets is measured by trailing new syllable shapes or new sounds within those shapes. As the child's speech changes, treatment will also change. For example, if after years of treatment a child's speech errors are more phonological in nature than motoric a linguistic treatment approach may be utilized instead of a motor planning approach.