My overall treatment approach with children with CAS focuses on speech movement through speech motor based therapy. Ideally, I would like to see clients with apraxia 4 times per week but in reality I see most children 2 times per week for 30 minute sessions in our outpatient facility. After assessment, I base my goals on their speech sound inventory and syllable shapes. During treatment, I use a variety of CAS treatment approaches to include the Kaufman Speech to Language Protocol Treatment Kit and Workout Book, Dynamic Temporal & Tactile Cueing, and PROMPT. For a child with a limited vowel and consonant repertoire of /b, m, d, a/ and is stimulable for CVCV word shapes, I would use mass practice to begin working with functional CVCV words such as "mama, papa" using the approaches mentioned above and provide appropriate, specific feedback. As children achieve success, we work on building their consonant and vowel repertoire in increasingly difficult word shapes, i.e., VC, CV, VCV, CVCV (repetitive, variegated), in words, phrases, sentences, and conversation in addition to the stress and prosody of their speech. It is important to me to include as many functional words, i.e, "hi, no, mine, mad" and the best approximation of their name to increase their ability to interact socially.