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

Favorite ways to get 100 trials in speech

Getting 100 trials in a speech session can be that elusive goal, right? So why do we need to think about dose? What’s so important about aiming for a set number of trials?

You CAN be great in your teaching moments. You can be that ‘R’ boss, or the Queen of Lisps. But you need maximal dose to be effective.

Now I want to be clear here, that just because you aim for 100 trials in speech, DOES NOT mean that your job is done. For a great overall review of treatment intensity (as well as specific references to pediatric speech sound disorders), please read up on this blog post from The Informed SLP.

IDEAS for getting 100 trials

First of all, let me say that I like to mix ‘n’ match these ideas to keep engagement and motivation high. One activity might allow me to elicit 40 trials before we have to move on, so use your clinical knowledge about your own students.

The free app TxTools, by PediaStaff is my personal go-to for getting 100 trials in speech. It’s not only an app-based tally counter, but it generates percentage correct data for you too. I like to keep the app on my table to show my students that we are going to aim for 50 practices (and sometimes I’ll let them tap buttons).

Along similar lines, these metal clickers are amazing! I’ve seen some colorful ones, but I really wanted to invest in a clicker that looked sturdy and unbreakable (I’m linking the brand that I personally bought). Make sure to have a couple of spares as your students will want one of these!

I have found that keeping kids’ hands busy can be really motivating. This abacus from IKEA is so colorful, and with 10 beads and 10 rows, it makes it easy to get 100 trials in speech. My kids especially love being able to choose their color and flick those beads across. It’s so VISUAL too! They can see how much work they have done, and how much is left to finish. I’ve also made my own DIY abacuses using beads and pipe cleaners.

Filling up an empty jar with small objects (think pom poms, mini erasers and beads) is another simple task. If you don’t have the time (read: I DON’T have the time) to count out and section off your mini objects, just use the clicker or TxTools app to keep track of your number of trials. you can always say 3 practices, and put a pom-pom in vs. a 1:1 ratio.

Repurpose tongue depressors or craft sticks using stickers. I have a jar filled with these, and my students LOVE seeing what stickers they get (they are double-sided). They simply tap each sticker as they practice their speech targets, flip it over, and practice again.

This tape that is compatible with LEGO was such a hit! I made it go the length of the table, and students were given small LEGO pieces to stick on. Again, I like to use this with another type of counter, and I usually encourage multiple repetitions to earn a piece of LEGO. I’m linking the exact brand that I have and found that the four studs (as opposed to the two studs) were more effective.

You gotta love 100 charts for this exact purpose. I have a free set for my newsletter subscribers which have mini pictures set out as ten rows of ten pictures. I find that it’s easier to say, “let’s finish this line” and keep track of how many practices we’ve done. You can also find free 100 charts on Teachers Pay teachers from the Peachie Speechie and Ashley Rossi.

Simple things can actually work best. Give a child a dry erase marker and a whiteboard… then teach them how to tally their sounds! You can keep track of how many practice trials you have said, so it’s a great addition to your therapy room. This has been such a hit, that I made a minimal pairs resource all around counting tally marks.

I know that you probably use dice to get more practice trials, but have you seen the dice that go higher than 6? Yes, they exist, and yes, they are awesome. They’re usually called ‘polyhedral’ dice and have twenty sides, or twelve sides (with variations). These sets are great for groups where every child can have their own dice and roll big numbers! You can also get dice within dice for double the number of trials. Combine these dice with tallying, or 100 charts to speed practice up.

Do you know that simple jar idea? Well, adapt this for feeding mouths. Hop on Pinterest and you’ll find a range of ideas for turning tissue boxes into monsters or sticking googly eyes on mini trash bins bins. Use the same pom poms, beads, or mini-figures to put into the mouth. This is particularly fun for your preschool-aged students.

And finally, my last motivating way to get a lot of trials is to use a magnetic wand and magnetic chips. We lay down sets of five or ten, and then swipe them all up. My students love to do this over, and over again, so I find I can usually get between 30-50 trials in a session using these alone.

FYI: This blog post contains affiliate links to the resources that I use in my own therapy room.

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5 Comments

  • Hi Rebecca

    I’m a UK based SaLT and really enjoyed your MP’s presentation, thank you! I’ve started using the Boom resources and they’re going brilliantly. The combo of establishing the rule and targeting in and output is the perfect combo!

    I have an outstanding question that maybe you could answer please?

    I’m aware we ideally need to get 100 speech trials in during a session but if we are working on input prior to output using minimal pairs how many times do we present the contrasting sounds e.g. discriminating between voiced and voiceless in one session? at uni 11 years ago we were advised to use binomial charts and score 7/8 to ensure consistency over 3 tasks – clearly outdated now I think!

    Thanks in advance

    Sarah Jane

    Reply
    • Hi Sarah,

      I’m sorry but I’m not familiar with this method! When I put together the Minimal Pairs Handbook, some of the studies required 90% with at least 50 trials at that discrimination phase.

      Reply
  • Hi Rebecca,

    Another UK SLT here, love your instagram page and have learned so much from you. I have just started doing minimal pairs with a child, but was wondering how many productions out of a 100 do they need to hit before moving onto the next pattern?

    We are currently doing s/sh.

    Reply
    • Hi Ceylan,

      Are you taking a cyclical approach using minimal pairs? I usually target it sequentially until it has started to generalise to conversation. If you want to all of your options while using the minimal pairs approach, check out the Minimal Pairs Handbook (available in my shop) – it’s a comprehensive intervention guide for implementing minimal pairs 🙂

      Reply
  • Hi Rebecca,

    I am a student speech pathologist in Aus, and I am going around and around in circles trying to decide what is considered a ‘trial’ in minimal pairs therapy and I thought I should ask the minimal pairs goddess.

    Is it every time the client attempts to say the target word in the pair, whether it’s correct or incorrect?
    Or is it every time they point to or say any of the words in the pair?
    Or does it depend entirely on the goal of the session?

    Thank you 🙂

    Reply

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