Treatment for CAS always starts with results of assessment. Determining what sounds the child has mastered as well as what syllable shapes are firm. Based on this information a functional word list is generated based on mastered sounds and syllables and what sounds can be targeted or challenged in combination with the mastered targets. Once functional word list is developed, a small amount of target words are used initially and expanded on once mastery of each movement gesture is mastered. Typically target words/phrases are elicited through activities that yield very high reps without it seeming like a drill activity to the child. Activities are often very focused on the targets as opposed to the progression of a game in order to maintain attention to the task but also to maintain attention to the therapists face so that visual and gestural cues are easily accessed. In order to teach movements, DTTC, PROMPT, or a multi-sensory approach are used. This is dependent on the child on an individual basis and what they respond to best. Feedback for the child is very specific related to the movements.