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Episode Summary

Effective and efficient speech sound therapy is like poker. Find out how in this week’s episode, entirely about the meat and potatoes of pediatric speech therapy-intervention for speech sound disorders. If you are working with kids who have complex speech sound delays or disorders, don’t miss this chat with Kelly Vess and find out just how to add some serious oomf to your speech sound therapy secret sauce. Kelly is a research-to-practice SLP and author who has dedicated her career to helping preschoolers with speech sound disorders gain stronger speech skills, faster. In this hearty episode, Kelly walks us through the process of selecting appropriate treatment targets and enthusiastically outlines the complexity approach to speech sound intervention. If you want to make the most out of your 30-60 minutes a week (or less!) with your speech sound students, tune in to learn how to take fireworks over a chisel to the rock of speech sound intervention and help your kiddos get to mastery faster.  

Course Accommodations

The transcript for this course is provided below. You can also email us at ceu@slpnerdcast.com

Learning Outcomes and Course Description

This course reviews strategies for selecting cluster treatment targets and how multi-modal cueing can be used for accurate productions.  This course also reviewed how to make informed clinical judgments in selecting treatment targets.

After this course participants will be able to:

1) Select cluster treatment targets based on multiple phonological processes present to improve efficiency of treatment 

2) Assess how stimulable treatment targets are to accurate production provided multi-modal cueing 

3) Make informed clinical judgements in selecting treatment targets based on phonological processes (patterns), variability of production, stimulability for accuracy, and developmental complexity

Speaker Disclosures

Kelly Vess financial disclosures: Kelly is the author of, "Speech Sound Disorders: Comprehensive Evaluation and Treatment," for which she receives royalties. 

Kelly Vess non-financial disclosures: Kelly is a member of ASHA Special Interest Group 1: Language Learning and Education.

Kate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast.

Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG. 

Amy Wonkka financial disclosures: Amy is an employee of a public school system and co-founder for SLP Nerdcast.
Amy Wonkka non-financial disclosures: Amy is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children.

Time Ordered Agenda

15 minutes: Introduction, Disclaimers and Disclosures

15 minutes:  Review of how to select cluster treatment targets to improve efficiency of treatment

15 minutes:  Review of how stimulable treatment targets are to accurate production provided multi-modal cueing.

10 minutes:  Review of how to make informed clinical judgements in selecting treatment targets based on a variety of motor speech variables

5 minutes: Summary and Closing

References and Resources

Baker, E., Williams, A. L., Mcleod, S., & McCauley, R. (2018). Elements of phonological interventions for children with speech sound disorders: The development of a taxonomy. American Journal of Speech-Language Pathology, 27(3), 906-935. doi:10.1044/2018_ajslp-17-0127

Brumbaugh, K. M., & Smit, A. B. (2013). Treating children ages 3–6 who have speech sound disorder: A survey. Language, Speech, and Hearing Services in Schools, 44(3), 306–319. https://doi.org/10.1044/0161-1461(2013/12-0029)

Case, J., & Grigos, M. I. (2020). A framework of motoric complexity: An investigation in children with typical and impaired speech development. Journal of Speech, Language, and Hearing Research, 63(10), 3326–3348. https://doi.org/10.1044/2020_jslhr-20-00020

Gierut, J. A. (2007). Phonological complexity and language learnability. American Journal of Speech-Language Pathology, 16(1), 6–17. https://doi.org/10.1044/1058-0360(2007/003) 

Storkel, H. L. (2018a). Implementing evidence-based practice: Selecting treatment words to boost phonological learning. Language, Speech, and Hearing Services in Schools, 49(3), 482-496. doi:10.1044/2017_lshss-17-0080

Storkel, H. L. (2018b). The complexity approach to phonological treatment: How to select treatment targets. Language, Speech, and Hearing Services in Schools, 49(3), 463-481. doi:10.1044/2017_lshss-17-0082

Thompson, H. & Cummings, A. (2012, Noveember). Phonological complexity: Using three-element clusters in speech sound disorder treatment. Poster presented at the American Speech, Language, and Hearing Association (ASHA) National Convention. Atlanta, GA.

Vess, K. Burgess, R., Corless, E., Discenna, T. (2016, November). Selecting complex consonant cluster targets: Are certain sound combinations more efficacious than others? Poster session presented at Annual American Speech, Language and Hearing Association, Philadelphia, PA.

Vess, K., Hansen, L., Mae-Smith, M., Ridella, M., & Steinberg, E. (2015, November). Evidence-based intervention strategies to effectively treat preschoolers with speech sound disorders. Poster session presented at Annual American Speech, Language and Hearing Association, Denver, CO.

Vess, K., Coppiellie, Ingraham, B., Reidt, M. (2017, November). Targeting /ɹ/ consonant clusters: Does generalization occur across phonetic contexts? Poster session presented at Annual American Speech, Language and Hearing Association, Los Angeles, CA.

Vess, K., Liovas, M., Mocny, A., Vuletic, D. (2018, November). Applying the complexity approach to effectively treat severe speech impairment in preschoolers with ASD. Poster session presented at Annual American Speech, Language and Hearing Association, Boston, MA.

Disclaimer

The contents of this episode are not meant to replace clinical advice. SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated. We are NOT PhDs, but we do research our material. We do our best to provide a thorough review and fair representation of each topic that we tackle. That being said, it is always likely that there is an article we’ve missed, or another perspective that isn’t shared. If you have something to add to the conversation, please email us! Wed love to hear from you!

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