I have a very simple and concise form to help determine therapy targets when working with children who have Apraxia of speech. This form is incredibly useful to me. It helps me track my clients’ progress as well as guides me through choosing therapy targets during each session. If you have read some of my other posts about Apraxia you will know that I like to focus therapy on specific movement patterns (two pure speech sounds with the movement in-between). It is my theory that once a child can produce all possible movement patterns – they will be an intelligible communicator!!!
This form is simply a combination of ALL of the possible movement patterns in the English language. So based on my theory – once a child can produce every target on this sheet – they will be an intelligible communicator.
This form allows you to easily view where each child is (in terms of their progress) and how much further they have to go. It gives you a starting and ending point – which is helpful to keep you from feeling overwhelmed and motivated to push forward.
This form will take you through the entire scope of therapy targets for children who have Apraxia in a few simple steps.
1. Informally assess the child’s ability to form each pure speech sound in isolation by producing each sound listed across the top of the document. Model each sound for the child and circle the sound if the child is able to imitate the sound correctly.
2. Informally assess the child’s ability to produce Vowel-Vowel movement patterns by completing the yellow portion of the form. Model each movement pattern highlighted in yellow and circle the movement pattern if the child is able to imitate it correctly.
3. Repeat step #2 for each section in the form: Consonant-Vowel (green), Vowel-Consonant (blue), Consonant-Consonant (purple). Make sure to circle each movement pattern the child is able to imitate correctly.
Choosing Therapy Targets:
Once you have informally assessed the child’s overall abilities you will have a good idea of where to start in therapy.
1. At the beginning of each session have the child quickly drill through each pure speech sound and movement pattern they were previously successful with (i.e. drill through each circled target at the beginning of each session).
2. Target a combination of known movement patterns next. For example: if your client can produce /ui/ and /it/ – try targeting them together to make /uit/ (or “wheat”). Or another example would be – if your client can produce /mɔ/ and /mi/ – try targeting them together to make /mɔmi/ (or “mommy”).
3. Target a new pure speech sound. This is the tricky part – getting the child to produce a sound they have not been able to produce before. Use other similar sounds (sounds in similar groupings- manner, place, voicing, etc,) that the child can produce to help mold/shape/form them into the new pure speech sound you are teaching.
4. Target new movement patterns. If you know the child can produce two pure sounds in isolation – but hasn’t been able to produce them together in a movement pattern – that is where you should start. This part of therapy just consists of slowing down the movement from one speech sound to another (see my other Apraxia posts for more help on how to do this) and allowing the child to practice and memorize the movement between the two sounds.
The overall goal of this form is simple. You can easily keep track of what the child can do and what they have not been able to do yet. Start each session reviewing those targets they have been able to do in the past – and follow a slow progression of introducing new targets. Work on combining known targets together to make more complex targets.
Good luck, and like always let me know if you have any questions.