This course is a podcast episode.

You can listen to this course for free on most podcast players (Apple Podcasts, Stitcher, Google Podcasts, etc.). Once you have listened to the episode / course you can access the post-test and earn your certificate / ASHA CEUs using the links above.



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



About the Speakers

SLP/BCBA; SLP

Kate Grandbois (she/her) & Amy Wonkka (she/her

Kate and Amy are co-founders of SLP Nerdcast. Kate is a dually certified SLP / BCBA who works primarily as an "AAC Specialist." She owns a private practice with a focus on interdisciplinary collaboration, augmentative alternative communication intervention and assessment, and consultation. Amy is an SLP who also works as an "AAC Specialist" in a public school setting. Amy's primary interests are AAC, typical language development, motor speech, phonology, data collection, collaboration, coaching, and communication partner training and support.

Kelly Vess, MA, CCC-SLP

Kelly Vess is a pediatric speech-language pathologist and researcher with close to 20 years of experience. She is the author of the recently released book "Speech Sound Disorders: Comprehensive Evaluation and Treatment." Kelly is passionate about sharing powerful strategies that put research into Monday morning's practice.

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!