What types of cues did you see us use to get a clear “ch” sound?

1️⃣ the primary cue was a gestural cue - this helped to get a strong, long sound
2️⃣ we also included some verbal feedback about “round lips”

Just another reminder about the importance of layering your cues - and how every child will require different cues!

Find all the cues to elicit the “ch” sound in the Ch & J Sound Handbook 💪🏼

#articulationtherapy #articulation #speechdelay #speechdelaykids #schoolslp #speechsounds #adventuresinspeechpathology
“Ugggghhh… not those cards again” - we’ve all heard it before! Why not try Articulation Squares for something different?

✅ they fit x48 pictures on one page
✅ provide a visual cue to help the child say their sound clearly
✅ and you can use them with SO MANY activities

Check out Articulation Squares at Adventures in Speech Pathology

#adventuresinspeechpathology #speechsounddisorders #speechsounds #articulation #articulationtherapy #speechdelay
Parents can forget, or might not be able to attend your speech therapy session.

My top tip is to record you explaining what you say! It makes sure everyone is on the same page 👏🏼

#speechsounds #speechsounddisorders #speechdelay #speechpath #speechdelaykids #adventuresinspeechpathology
Day 2 of our Bjorem Cruise 👏🏼 

1️⃣ Navigating the ship was an experience in itself
2️⃣ Loved all the videos about CAS from @bjoremspeech 
3️⃣ I got to explore Nassau, Bahamas and swim in that water (and get dysregulated with loud music and hangry 😝) with my travel buddy @freetobeme.speech 
4️⃣ Bumped in to the phenomenal @speakingofsamantics team (Sam and Scott) on the boat
5️⃣ Games night was HILARIOUS! Our field cracks me up @mrsspeechiep 
6️⃣ it was just nice to “dress up” and explore the ship!

#bjoremcruise #speechpathology #adventuresinspeechpathology
Why am I late with my Bjorem Speech Cruise recaps? Who’s got time to splice these together when you’re laughing, connecting, and gathering 100ish talkative SLPs together?!

Special mention to our keynote speaker, the incredible @phuonglienpalafox, my SLP besties @rocktherspeech, @freetobeme.speech and @mrsspeechiep - and the entire @bjoremspeech team who made this possible.

Our sponsors delivered on the goodies bags👏🏼👏🏼👏🏼 @speakingofsamantics @meaviatoys @daileyeducationalservices 

#adventuresinspeechpathology #bjoremcruise #speechpathology
I love our sponsored shirts printed by @emilybspeech on the Bjorem Cruise 👏🏼 shoutout to @fundamental.therapy for our lanyards… how cool is my belt hack?! 

@bjoremspeech  #speech #speechtherapist #slpath #articulation #schoolslp
Whooo 👏🏼👏🏼👏🏼 made it on board and officially checked in for the 2025 Bjorem Speech Cruise @bjoremspeech 

So excited to to connect and present with all the SLPs on board! Follow my stories for all the behind the scenes!

#bjoremspeech #adventuresinspeechpathology #speechpathologist #speechpathology
I was sleep deprived, time zone confused and a little overwhelmed at presenting in front of REAL LIFE SLPs for the first time in my career.

I love that the 2024 Bjorem Cruise 🚢 and Jen from @bjoremspeech offered me an opportunity and the right song to just make me feel like I could do this!

Can’t wait for next week!! I’ll be presenting about something I’m passionate about: getting high practice trials in speech therapy for working with SSDs.

#speechsounddisorders #bjoremspeech #speechsounds #ebpslp
Learn how to teach and elicit the ‘sh’ sound with these verbal instructions  and carefully chosen words to encourage round lips👌🏼

#adventuresinspeechpathology #speechsounddisorders #speechdelay #articulationtherapy #speechdelaykids #speechpath
I could keep coming up with more mini ideas… should I make a round two version?

Minis from @speechtreeco 

#speechsounds #schoolslp #articulationtherapy #adventuresinspeechpathology #speechpath #slp2be
You don’t HAVE TO ELICIT A SOUND IN ISOLATION FIRST 😅

Yep, feel that relief! You can carefully screen for possible facilitative contexts, and see if certain vowels or consonants can encourage (or facilitate) a clearer sound!

#adventuresinspeechpathology #speechsounds #speechsounddisorders #speechdelay #articulation
I’ve updated my vocabulary (part of being a Know Better, Do Better SLP).

The last one (swapping “correct” for “clear”) is a personal choice after reflecting on my own child’s speech journey.

What words have you changed?

#articulation #speechsounddisorders #speechsounds #speechdelay #schoolslp #adventuresinspeechpathology
If you child deletes the second consonant sound in a cluster, you may need to work on that smaller word chunk (e.g., “lice”), and THEN try adding the /s/ at the start to make the cluster.

#speechsounddisorders #speechsounds #speechdelay #adventuresinspeechpathology

Complexity Approach in Speech Therapy

When I trained to become a speech-language pathologist, the Complexity Approach was never even mentioned in my speech sound disorders course.

So when I learned about the theory and the principles, namely that we target complex structures (think 3-element clusters), often later developing or non-stimulable sounds… I’ll be honest, I had my doubts.

But here’s the thing: there is strong and continually growing evidence on the effectiveness of using the complexity approach to treat children with phonological impairments.

So even if it “feels” counterintuitive to practice something really hard, the evidence shows that carefully selecting AND prioritizing complex targets (e.g., “fl” or “str”) can facilitate or trigger a greater system-wide change in both complex AND less complex sounds and structures.

In simple speech therapy terms: sounds and structures you have not targeted or worked on can “come through on their own” because we have triggered this change!

Tips from my therapy room

  1. I generally target one or two complex clusters in a block of therapy (approx. ten weeks). I have seen significant changes and increases in intelligibility in clusters that I did not teach “appear” on their own. This means less time in therapy for these children!!
  2. I generally choose this approach for children with more resilience and perseverance. Remember, not all children are ready to tackle something that is hard! Signs that this approach may not be best suited for your child include: refusal to copy words or participate in therapy, saying, “this is too hard” or “I can’t do it” over a number of sessions, withdrawing from consecutive sessions.
  3. You will still likely have to provide many cues (e.g., placement cues, metaphors etc.) at the start of therapy to help the child learn a new, complex consonant cluster.  
  4. It is important to reassess the child’s speech after your block of therapy to determine whether the consonant cluster you chose triggered the changes we predicted. I personally use a consonant cluster probe for this task.
  5. Remember that other phonological interventions might be better suited to your student (e.g., minimal pairs, multiple oppositions, cycles approach) and that you should have a “backup plan” if this approach is not suited to your student.

Learn more

If you want to learn HOW to select your treatment targets for this approach, I would suggest the following open access article:

Storkel, H. L (2018) The Complexity Approach to Phonological Treatment: How to Select Treatment Targets. Language, Speech & Hearing Services in Schools, 49, 463-481. https://pubs.asha.org/doi/10.1044/2017_LSHSS-17-0082

Once you feel confident and are ready to implement the complexity approach in your therapy sessions, Adventures in Speech Pathology has a Complexity Approach resource containing:

  • > Target selection chart sheet
  • > Speech sonority chart
  • > Therapy steps to help you feel more confident
  • > Consonant Cluster Probe + record form to support your assessment
  • > Flashcards covering 10 clusters (3-element: skr, spr, str, spl and skw and 2-element: fl, fr, sl, shr and thr)
  • > Printable homework sheets for all sounds

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