Treatment of CAS at Children’s Speech and Language Services would begin with an assessment that looks globally at the individual’s Physical-Sensory, Cognitive-Linguistic, and Social-Emotional domains, and evaluates what is under control, what is not under control and what is useable in the speech-motor system. Using a traditional articulation test along side the System Analysis Observation in conjunction with the Motor Speech Hierarchy, the priorities for treatment are determined. Appropriate phonemes (sounds) and sound combinations in words and functional phrases are selected that match with the individual’s level of speech-motor control. We encourage parent participation in our treatment and provide home instruction for activities that reinforce motor speech control across settings and with a variety of communication partners.