Articulation Homework Practice Surface

Sometimes it can be difficult to know exactly what you should be working on with your children with childhood apraxia of speech.  In this podcast episode, I break down speech sound learning in different levels.  Then, I give practical therapy activities that can be used for each level.  Click the play button below to listen to the entire episode.  Or, scroll down to see the notes below.


Free Therapy Levels Chart:

To get started, download the free PDF of the Skill Set Charts for Childhood Apraxia of Speech.  This will break down a nice order to help you determine what speech skill to work on next with a child with CAS:

Click Here to Download the CAS Levels PDF

Show Notes:

Level 1: Imitating Actions

Start Here For…

  • Children who are unable to imitate speech sounds
  • Children who are not tuned in enough to work on anything during sessions
  • Children who have emotional issues and are not willing to work with you on their speech during sessions

Therapy Activities

  • Do a reinforcer probe and offer those preferred reinforcers if the child imitates a basic action like clapping hands, stomping feet, raising hands, etc.
  • Take pictures that represent the actions you want the child to do and print them on cards.  Have the child draw one card from a bag and do that action.
  • Make a movie on your phone where the child is your shadow and imitates what you do (do it in reverse as well).

Level 2: Functional Sounds, Sound Effects, Vocalizations

Start Here For…

  • Children who are able to imitate actions but unable to imitate or produce sound combinations (like CV, VC)
  • Children who need a little confidence boost before working on sound combinations (this could be mixed in)

Therapy Activities

  • Play with vehicles and make engine sounds (or sirens).
  • Feed puppets or stuffed animals and have them make exaggerated “mmmm” noises.
  • Have the child request pieces to an animal puzzle by making that animal’s noise (reduce complex noises down to one sound, like “eee” for monkey).

Level 3: Sound Combinations (CV, VC)

Start Here For…

  • Children who are able to imitate or produce some sounds but are not yet spontaneously combining 2 sounds, like consonant- vowel or vowel-consonant
  • Children who are doing some sound combinations on their own but can’t say very many (or enough to communicate much)

Therapy Activities

  • Get some sort of a riding toy like a bike or a swing and stop the child until he says “go” again.
  • Throw small objects up onto a higher surface (like a table), each time, have the child say “up” to indicate he wants another thing to throw up.
  • Put coins in a piggy bank and have the child say “in” to get each coin to indicate he wants to put it in.

Level 4: Repeated Strings of CV or VC

Start Here For…

  • Children who are able to combine a vowel and consonant together but are not yet producing longer utterances
  • Children who are doing some CV, VC, and CVCV combinations on their own but can’t say very many (or enough to communicate much)

Therapy Activities

  • Sequence words that the child can do together to work on articulatory transitions (the same word repeatedly or alternating two words together).
  • String together several of a word that the child can say and then add a word that the child can’t say to the end that only varies by one sound (bow, bow, bow, boy).

Level 5: Add a Structure, Add a Sound

Start Here For…

  • Children who are able to say some limited structures (like CV, VC, and CVCV) but struggles to say longer or more complex words
  • Children who are able to use some sounds in CV, VC, and CVCV structures but not very many

Therapy Activities

  • Increase vowels by sequencing pictures together that start with the same consonant and change the vowel, like “boy, bee, bay, bow, bow”, etc. Lay the cards in a row and have the student say the sequence.
  • Increase consonants by using the same vowel and changing the consonant, like “me, tea, key, pea, we, see”.
  • Increase structures by taking a known word and adding a sound like, “key…keep, pea…peep, we…weep”.

Level 6: Sound Accuracy in Phrases and Sentences

Start Here For…

  • Children who are able to produce single words of many structures with good speech sound accuracy but intelligibility decreases in phrases and sentences

Therapy Activities

  • Create worksheets similar to the previous section where you provide the pictures and they glue them on, but this time, build sentences, like “see..(next line)..I see…I see cat…I see the cat”.
  • Use one carrier phrase and fill it with different words that the child has mastered, like “I see bat, I see cat, I see hat, I see mat”.  Use flip books if you have them or make your own.

Level 7: Sound Accuracy in Connected Speech

Start Here For…

  • Children who are able to produce sounds correctly in simple sentences and phrases but intelligibility decreases in connected speech

Therapy Activities (work on speaking clearly in tasks with increasing complexity, don’t move on until the previous level is clear)

  1. Have the child describe pictures using full sentences (“the girl is walking her dog in the park”).
  2. Have the child complete automatic speech tasks like saying the pledge of allegiance or the months of the year.
  3. Have the child answer open-ended questions like “tell me about your last birthday party”.
  4. Have the child read a short paragraph.
  5. Have a conversation with the child about a specific topic with the expectation that you will be listening for his speech sounds.
  6. Listen for correct speech sounds in conversational speech and correct using feedback as needed.

Click Here to Download the CAS Levels PDF

Need More Help with CAS?

Do you need more help with your clients with childhood apraxia of speech?  Get answers to all of your questions about childhood apraxia of speech and more by joining The Speech Therapy Solution, Carrie Clark’s premium membership program.  You’ll get access to all of Carrie’s training videos and printable therapy materials, plus a monthly webinar and an exclusive Facebook group!  Join today!

Click Here to Become a Member!

Easter Activities for Speech Therapy at Home!

by Courtenay M.

Easter Egg Games for Speech Therapy at Home!

Easter is an excellent time of year to work on speech therapy at home with your kids. The colors of the trees, smell of fresh blooming flowers, chirping of the birds are all excellent ways to engage your child’s senses. But how about using an Easter Egg as an inexpensive speech therapy tool? Yes, both a real egg and a colorful, plastic Easter egg! These eggs can provide an opportunity for you to work on socialization, articulation and language skills with your child in a variety of ways, and have fun together as a family.

Speech Therapy at Home Using an Easter Egg

“Where” is the Easter Egg? Even the traditional egg hunt can be turned into a speech therapy activity and provide an opportunity for you to work on articulation and language skills with your child.  Hide the eggs in your yard, or around the house. Ask your child to work on “where” questions in attempting to locate each egg. Place the eggs in strategic locations, under, in, next to and beside items in your yard or house. Ask your child “where” a certain egg is located and prompt him to use the preposition in his response.

“What’s inside” the Easter Egg? Begin by stuffing objects of all sizes into the plastic eggs. When your child is not looking, place different items inside the eggs such as a penny, a rubber band, toothpicks, etc. Think about things that will elicit different sound and weight when picked up and shaken. Ask your child Yes or No questions to see if he can figure out what is inside. Take turns – let him stuff the eggs in the next round and ask you to guess!

“Describe” the Easter Egg. Dying and painting hard boiled eggs is an Easter tradition AND an excellent way to practice using descriptive language. Using traditional Easter egg coloring kits or just plain markers, try to use concepts of “same” and “different” in addition to descriptive words that describe each egg. Decorations such as polka dots, solid colors, stripes, alphabet letter all work well. In addition to describing the color and pattern of the egg, try to encourage your child to use descriptive words for different textures and sizes. Try using Mod Podge to gently glue leaves, flower petals, feathers, blades of grass, to the outside surface of the egg. Use as many items as you can to demonstrate various textures such as soft, bumpy, smooth, etc.

Word Hunt – Practice simple words and sounds by stuffing each egg with basic words that your child can practice saying aloud. Make it a game, for example, if he finds all the Spring-themed words (i.e, spring, bunny, flower, sun, grass), he will win a prize. If your child is struggling with a particular sound, feel free to use only words with those letters.

The bottom line with Easter egg games is to make each game and activity enjoyable! Easter is a perfect time to spend together as a family, and your kiddos will never know that they are practicing and enhancing their language skills at the same time. If you need a few ideas to pass along to the Easter Bunny, be sure to read our list of best Board Games for speech therapy!

Happy Easter.

Arts and CraftsAt Home IdeasGames and ActivitiesLanguage Development
Tagged: at home speech therapy, language development, parents' corner, speech and language development, speech therapy, speech therapy activities, speech therapy at home

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