My overall treatment approach varies child to child; however, there are basic therapeutic principles I adhere to when treating children with CAS. They are based on motor learning principles, evidence-based practice research, ASHA's Technical Report on CAS, and clinical experience; the following are the key therapeutic components:

- Use of verbal, tactile, gestural and visual cues to focus on placement and manner of sound productions, beginning with syllables and with a focus on oral-motor movement.

- Highlighting and prolonging targeted sounds when modeling with fading as soon as possible

-shorter, frequent practice sessions

-Focus on phoneme sequencing, not just sound production, moving to multisyllabic words and the phase level as soon as possible

-Use meaningful target words

-Use of choral practice (simultaneous production)

- tapping/clapping out syllables

-prompting hierarchy of practice: (first child listens, then produces simultaneously with therapist, then produces after the therapist’s production, given a delay, etcetera)

-Repeated mass practice (practicing fewer targets numerous times) to build muscle memory when teaching new movement patterns

-use distributive practice when habituating skills (practicing numerous targets fewer times, across various learning environments)

-Facilitate word approximation when necessary then gradually shape to adult model

-Address prosody/suprasegmentals

-Provide optimal reinforcement, fading as child improves

AAC low tech and/or high tech options considered

Materials may include flip books, personal photographs, toys, games, music, packaged CAS practice cards/books, iPad applications, amplification tools, tape recorders, books, and anything I can get my hands on which motivates and encourages the child to communicate and expand utterances!