For children who have moderate to severe CAS, I would specifically focus on using the DTTC (Dynamic Temporal and Tactile Cueing) approach. I was able to start training with Sue Caspari back in 2015 along with working as one of the four therapists in her 2016 Summer Intensive Program in Swarthmore, PA using the DTTC approach. The first step of assessment and making a treatment plan is to complete the DEMSS (Dynamic Evaluation of Motor Speech Skill) if possible, take a full case history and assess the child’s current phonetic inventory in order to determine a starting point. Then, with the family’s assistance, we select specific therapy targets to begin working on in treatment based on functionality and meaningfulness of words, speech sounds they can attain and new movement gestures they can produce with maximum cueing. We select a small group of targets and intensively practice these in blocked practice format while providing varied levels of visual, auditory and tactile cueing as needed until we can fade using the DTTC hierarchy. During this practice, we also are aware of the child’s prosody, intonation and stress patterns as well embedding these features into the practice at the same time. As a child becomes more independent and accurate with these productions, they move to random practice as we integrate new targets.