Tag an SLP who screams this loud EVERY TIME they play a pop up or jump game.

Fun fact: my colleagues literally hear me through the walls 😂

#speechpathology #speechpathologists #speechpath #schoolslp #preschoolslp #slp2be

732 45

Open post by adventuresinspeechpathology with ID 18003766139607740

Tag an SLP who screams this loud EVERY TIME they play a pop up or jump game.

Fun fact: my colleagues literally hear me through the walls 😂

#speechpathology #speechpathologists #speechpath #schoolslp #preschoolslp #slp2be

Who said you have to work on “r” in initial position FIRST?

By choosing where the child can say a clearer, more accurate “r”, we were able to start therapy successfully and accurately (and those other “r” positions are correcting on their own!!).

Have you ever had more success in “r” clusters?

#speechdelay #articulationtherapy #speechsounddisorders #schoolslp #preschoolslp #speechpath #slp #slp2b #adventuresinspeechpathology

483 16

Open post by adventuresinspeechpathology with ID 17863131402334285

Who said you have to work on “r” in initial position FIRST?

By choosing where the child can say a clearer, more accurate “r”, we were able to start therapy successfully and accurately (and those other “r” positions are correcting on their own!!).

Have you ever had more success in “r” clusters?

#speechdelay #articulationtherapy #speechsounddisorders #schoolslp #preschoolslp #speechpath #slp #slp2b #adventuresinspeechpathology

We usually tell parents of LATE TALKERS to pause, but I encourage parents of children with speech sound delays to pause too!!!

Yes, this child still needed a zebra cue, but often we have to build these steps to foster self-awareness so our kids can fix their speech.

🦓 Zebra cue from the Animal Speech Sound Cues - Adventures in Speech Pathology

#adventuresinspeechpathology #articulation #phonology #speechdelay #preschoolslp

504 8

Open post by adventuresinspeechpathology with ID 17973829157847434

We usually tell parents of LATE TALKERS to pause, but I encourage parents of children with speech sound delays to pause too!!!

Yes, this child still needed a zebra cue, but often we have to build these steps to foster self-awareness so our kids can fix their speech.

🦓 Zebra cue from the Animal Speech Sound Cues - Adventures in Speech Pathology

#adventuresinspeechpathology #articulation #phonology #speechdelay #preschoolslp

Shoutout to this mum who was better than me at demonstrating many of these 😂 I can’t tell you how LESS SCARY an oral motor exam is when everyone gets involved.

I’m using our @bjoremspeech Oral Motor Assessment cards.

#bjoremspeech #speechsounds #articulation #speechsounddisorders #speechdelay #speechpathologists

393 2

Open post by adventuresinspeechpathology with ID 18056533046228899

Shoutout to this mum who was better than me at demonstrating many of these 😂 I can’t tell you how LESS SCARY an oral motor exam is when everyone gets involved.

I’m using our @bjoremspeech Oral Motor Assessment cards.

#bjoremspeech #speechsounds #articulation #speechsounddisorders #speechdelay #speechpathologists

We love this punching 🥊 gesture to highlight how the air has to quickly explode out of our mouths for the “ch” sound!!!

How do you teach “ch” - what do you call it??

#speechsounddisorders #Adventuresinspeechpathology #preschool #preschoolslp #articulation #speechdelaykids #articulationtherapy

346 10

Open post by adventuresinspeechpathology with ID 18071002381899353

We love this punching 🥊 gesture to highlight how the air has to quickly explode out of our mouths for the “ch” sound!!!

How do you teach “ch” - what do you call it??

#speechsounddisorders #Adventuresinspeechpathology #preschool #preschoolslp #articulation #speechdelaykids #articulationtherapy

Want some MOTIVATION? Get a dinosaur who ONLY eats “back /k/“ sounds!!! Your preschoolers will be more engaged to fix and clarify whether they meant “tape” or “cape” if they can see the dinosaur eat the card 🦖

#speechdevelopment #adventuresinspeechpathology #articulation #speechsounds #phonology #preschoolers #preschool

326 17

Open post by adventuresinspeechpathology with ID 18066061511073444

Want some MOTIVATION? Get a dinosaur who ONLY eats “back /k/“ sounds!!! Your preschoolers will be more engaged to fix and clarify whether they meant “tape” or “cape” if they can see the dinosaur eat the card 🦖

#speechdevelopment #adventuresinspeechpathology #articulation #speechsounds #phonology #preschoolers #preschool

It’s REALLY time to decide if you’re joining 167 of your SLP colleagues to learn about which phonological intervention you should choose!

I’m pumped to change the course of your career, all while instilling passion and confidence treating phonological impairments 🤗

On Thursday, June 12th, we’ll be in Adelaide, SA. For those who missed out on Melbourne, this will be your chance 👏🏼

#adventuresinspeechpathology #ebpslp #speechsounds

82 2

Open post by adventuresinspeechpathology with ID 17867244231381308

It’s REALLY time to decide if you’re joining 167 of your SLP colleagues to learn about which phonological intervention you should choose!

I’m pumped to change the course of your career, all while instilling passion and confidence treating phonological impairments 🤗

On Thursday, June 12th, we’ll be in Adelaide, SA. For those who missed out on Melbourne, this will be your chance 👏🏼

#adventuresinspeechpathology #ebpslp #speechsounds

Is there anyone who follows my account who I’ll be seeing next month?? June will be busy (hoping I won’t lose my voice!!)

Let me know which event you’re coming to, and please tag an SLP who might want to meet and or learn from me 🤗

#adventuresinspeechpathology #speechpath #ebpslp #speechsounddisorders

60 8

Open post by adventuresinspeechpathology with ID 18068460992505658

Is there anyone who follows my account who I’ll be seeing next month?? June will be busy (hoping I won’t lose my voice!!)

Let me know which event you’re coming to, and please tag an SLP who might want to meet and or learn from me 🤗

#adventuresinspeechpathology #speechpath #ebpslp #speechsounddisorders

I always have Speech Sound Mouth Cues on my therapy table 👏🏼 The really helped a child who has difficulty saying “ch”, more clearly.

#articulation #speechdelay #articulationtherapy #speechpath #speechdelaykids #adventuresinspeechpathology

392 1

Open post by adventuresinspeechpathology with ID 18046837958142821

I always have Speech Sound Mouth Cues on my therapy table 👏🏼 The really helped a child who has difficulty saying “ch”, more clearly.

#articulation #speechdelay #articulationtherapy #speechpath #speechdelaykids #adventuresinspeechpathology

Which is your fave?
Have you seen all the cues we have in our Minimal Pairs Toolkit? We use these child-friendly visuals to help explain phonological patterns like:
👉🏼 tail sounds
👉🏼 front and back sounds
👉🏼 long and short sounds
👉🏼 snake in the cage sounds

With over 1000 ratings, you’ll love feeling prepared for any pattern that walks in your door!

#speechsounds #speechsounddisorders #speechpath #speechdelay #schoolslp #preschoolslp

577 28

Open post by adventuresinspeechpathology with ID 17852677866396844

Which is your fave?
Have you seen all the cues we have in our Minimal Pairs Toolkit? We use these child-friendly visuals to help explain phonological patterns like:
👉🏼 tail sounds
👉🏼 front and back sounds
👉🏼 long and short sounds
👉🏼 snake in the cage sounds

With over 1000 ratings, you’ll love feeling prepared for any pattern that walks in your door!

#speechsounds #speechsounddisorders #speechpath #speechdelay #schoolslp #preschoolslp

We sell 3 posters in our AISP shop, and they look beautiful and are helpful to have on the wall in your speech therapy room!

#adventuresinspeechpathology #speechsounddisorders #speechdelay #articulation #speechpath #schoolslp

149 6

Open post by adventuresinspeechpathology with ID 17895912537196123

We sell 3 posters in our AISP shop, and they look beautiful and are helpful to have on the wall in your speech therapy room!

#adventuresinspeechpathology #speechsounddisorders #speechdelay #articulation #speechpath #schoolslp

As much as possible, I try NOT TO MODEL THE WORD during an assessment so that the child isn’t directly imitating me (which can influence my results).

Are there are other tips you recommend?

#speechsounddisorders #speechsounds #speechdelay #speechpath #speechdelaykids #slp2b #slpgradstudent #slp2be

796 91

Open post by adventuresinspeechpathology with ID 17918511146983361

As much as possible, I try NOT TO MODEL THE WORD during an assessment so that the child isn’t directly imitating me (which can influence my results).

Are there are other tips you recommend?

#speechsounddisorders #speechsounds #speechdelay #speechpath #speechdelaykids #slp2b #slpgradstudent #slp2be

Hey, hi, g’day!! I’m Rebecca and I’ve been a speech pathologist for 17 years.

I was thinking recently about “career statements” and what makes me passionate about this job. And put really simply:

I love to work with preschool-aged children to help them be 100% clear and intelligible by the time they start formal schooling.

Do you have a “why” 👇🏼

#speechdelay #speechdevelopment #speechpathologist #adventuresinspeechpathology

646 8

Open post by adventuresinspeechpathology with ID 18357042175179776

Hey, hi, g’day!! I’m Rebecca and I’ve been a speech pathologist for 17 years.

I was thinking recently about “career statements” and what makes me passionate about this job. And put really simply:

I love to work with preschool-aged children to help them be 100% clear and intelligible by the time they start formal schooling.

Do you have a “why” 👇🏼

#speechdelay #speechdevelopment #speechpathologist #adventuresinspeechpathology

I’d love to know if there are other differing or similar opinions?

Start the conversation 👇🏼

#speechsounds #speechsounddisorders #speechdelay #schoolslp #speechpath #slp2b #adventuresinspeechpathology

538 36

Open post by adventuresinspeechpathology with ID 18113195326475358

I’d love to know if there are other differing or similar opinions?

Start the conversation 👇🏼

#speechsounds #speechsounddisorders #speechdelay #schoolslp #speechpath #slp2b #adventuresinspeechpathology

Prove me wrong!!! Because (unless you read it in our Ch & J Handbook), I bet you have never tried this before to elicit the “ch” sound!!!

Also - tag an SLP who needs to know this 👏🏼

#articulation #articulationtherapy #speechdelay #speechpath #speechdelaykids #speechsounds #speechsounddisorders #adventuresinspeechpathology

2167 56

Open post by adventuresinspeechpathology with ID 18002970335770794

Prove me wrong!!! Because (unless you read it in our Ch & J Handbook), I bet you have never tried this before to elicit the “ch” sound!!!

Also - tag an SLP who needs to know this 👏🏼

#articulation #articulationtherapy #speechdelay #speechpath #speechdelaykids #speechsounds #speechsounddisorders #adventuresinspeechpathology

SWIPE THESE PICS - and read what your SLP colleagues said about our full-day, face-to-face professional development, “Which Phonological Intervention Should I Choose?”

So to all those Aussie SLPs who want things to “click” in the area of SSDs, we’d love to empower you to feel more confident!!!!

Check our bio for links to tickets 🎟️

#ebpslp #phonology #speechsounddisorders #speechsounds #speechpathology #aussieslp #adventuresinspeechpathology

99 5

Open post by adventuresinspeechpathology with ID 18120706108453859

SWIPE THESE PICS - and read what your SLP colleagues said about our full-day, face-to-face professional development, “Which Phonological Intervention Should I Choose?”

So to all those Aussie SLPs who want things to “click” in the area of SSDs, we’d love to empower you to feel more confident!!!!

Check our bio for links to tickets 🎟️

#ebpslp #phonology #speechsounddisorders #speechsounds #speechpathology #aussieslp #adventuresinspeechpathology

The three things I’m always considering are:

1. Has the child made EVEN MORE progress with their speech, even though they’ve had a break?
2. Has the child lost some of their accuracy from when I last saw them (this is okay - it just means we might have to do more home practice during breaks)
3. With my new information and fresh ears and eyes, should I continue with the same goals and therapy approaches, or do we need to change things up?

Honestly, I think every SLP should consider re-assessing their students after a school term/block of therapy to evaluate goals and intervention 👏🏼 what are your thoughts?

#privatepracticeslp #schoolslp #preschoolslp #speechpath #adventuresinspeechpathology

318 12

Open post by adventuresinspeechpathology with ID 17934271371011065

The three things I’m always considering are:

1. Has the child made EVEN MORE progress with their speech, even though they’ve had a break?
2. Has the child lost some of their accuracy from when I last saw them (this is okay - it just means we might have to do more home practice during breaks)
3. With my new information and fresh ears and eyes, should I continue with the same goals and therapy approaches, or do we need to change things up?

Honestly, I think every SLP should consider re-assessing their students after a school term/block of therapy to evaluate goals and intervention 👏🏼 what are your thoughts?

#privatepracticeslp #schoolslp #preschoolslp #speechpath #adventuresinspeechpathology

Get everyone on the same page with these parent and teacher-friendly descriptions on common phonological patterns 👏🏼

You’ll love the examples, age of elimination, and pictures that help others make sense of their child’s speech.

#speechlanguagepathology #phonology #speechsounddisorders #schoolslp #adventuresinspeechpathology

106 0

Open post by adventuresinspeechpathology with ID 18065369905967343

Get everyone on the same page with these parent and teacher-friendly descriptions on common phonological patterns 👏🏼

You’ll love the examples, age of elimination, and pictures that help others make sense of their child’s speech.

#speechlanguagepathology #phonology #speechsounddisorders #schoolslp #adventuresinspeechpathology

It’s about time that non-rhotic “r” speaking countries had some “r” materials that work with OUR accents 👏🏼👏🏼👏🏼👏🏼

We’re looking to expand our best-selling Facilitative Contexts packets with a non-rhotic “r” version! Comment “list” so I can send a DM on how to apply.

Connecting and collaborating with SLPs around the world is so important to us (especially as I have studied and worked in 4 countries myself!!!).

#adventuresinspeechpathology #speechsounds #articulation #speechdelay #speechpath

374 85

Open post by adventuresinspeechpathology with ID 17942738369992956

It’s about time that non-rhotic “r” speaking countries had some “r” materials that work with OUR accents 👏🏼👏🏼👏🏼👏🏼

We’re looking to expand our best-selling Facilitative Contexts packets with a non-rhotic “r” version! Comment “list” so I can send a DM on how to apply.

Connecting and collaborating with SLPs around the world is so important to us (especially as I have studied and worked in 4 countries myself!!!).

#adventuresinspeechpathology #speechsounds #articulation #speechdelay #speechpath

What are yours??? Do we have any that are the same?

#articulation #articulationtherapy #speechsounds #speechsounddisorders #speechpathologists #adventuresinspeechpathology

959 16

Open post by adventuresinspeechpathology with ID 17917546251088112

What are yours??? Do we have any that are the same?

#articulation #articulationtherapy #speechsounds #speechsounddisorders #speechpathologists #adventuresinspeechpathology

Free Resources for the Multiple Oppositions approach

If you are anything like me, you have probably asked yourself, “am I actually doing this right?” when you’re in the middle of treating a child.

So when Dr. Lynn Williams agreed to answer some questions about the Multiple Oppositions approach on Instagram Live, I was kind of shocked. And then I was amazed that she was so willing to give her time and share years of research to answer the questions that SLP’s really wanted to know.

The feedback during and after the Live was something that neither of us anticipated. We read how you listened to the chat twice, felt like you could have earned CEUs, took notes, and were mindblown at what you had heard.

The sixty-minute conversation primarily focused on the Multiple Oppositions therapy approach for children with phonological disorders. But we also touched on the number of practice trials, what to do when your child isn’t stimulable, charts to use for analysis, and an app that you can use to help you choose targets.

With Lynn’s help, I’ve compiled a list of articles, apps, textbooks, and charts that we mentioned during our discussion.

Videos

WATCH the discussion between Dr. Lynn Williams and Rebecca Reinking on YouTube.

LEARN about analyzing phoneme collapses and ideas for target selection in this five-minute video (filmed by Rebecca Reinking). Please note that since I did not have access to the worksheets that Lynn provided (below), but they would really support your decision-making if you used this approach in the future.

Free Resources

Lynn has very generously shared charts, analysis, and data collection sheets. Please respect Lynn’s materials and know that this is her copyrighted work, which she has permitted me to share on this site.

This treatment framework can be useful for determining how a child advances with word-based contrastive approaches, including Minimal Pairs intervention, Multiple Oppositions, Maximal Oppositions, or Treatment of the Empty Set. I would highly recommend printing and laminating this chart so that you can refer to it during treatment.

Consonant Phoneme Collapse Worksheet – for initial position. This worksheet is useful in helping you analyze a child’s speech sound collapse. Download a sample version to see how you would complete it.

Consonant Phoneme Collapse Worksheet – for final position. This worksheet is useful in helping you analyze a child’s speech sound collapse.

Vowel Phoneme Collapse Worksheet.

Multiple oppositions data sheet (to use when implementing the multiple oppositions approach. Download a sample version to see how you would complete it.

Contrasts data sheet (to use with minimal pairs, maximal oppositions, empty set). Download a sample version to see how you would complete it.

Place-Manner-Voice error pattern analysis chart. Please note that this chart is different from the Place-Manner-Voice chart that was shown in the video.

Free resources for the Multiple Oppositions approach

Journal Articles

Allen, M. M. (2013). Intervention efficacy and intensity for children with speech sound disorder. Journal of Speech, Language, and Hearing Research, 56, 865-77.

Baker, E., Williams, A., 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.

Sugden, E., Baker, E., Williams, A., Munro, N., Trivette, C. (2020). Evaluation of Parent- and Speech-Language Pathologist Delivered Multiple Oppositions Intervention for Children With Phonological Impairment: A Multiple-Baseline Design Study. American Journal of Speech-Language Pathology, 29(1), 111-126.

Williams, A. L. (2000a). Multiple oppositions: Case studies of variables in phonological intervention. American Journal of Speech-Language Pathology, 9, 289–299.

Williams, A. L. (2000b). Multiple oppositions: Theoretical foundations for an alternative contrastive intervention approach. American Journal of Speech-Language Pathology, 9(4), 282–288.

Williams, A. L. (2012). Intensity in phonological intervention: Is there a prescribed amount? International Journal of Speech Language Pathology, 14(5), 456–461.

Apps

• The Sound Contrasts in Phonology (SCIP app) developed by Dr. Lynn Williams and EBS Healthcare.

• Articulation Assessment Toolkit developed by Smarty Ears.

Books

• Williams, A. L. (2010). Multiple oppositions intervention. In A. L. Williams, S. McLeod, & R. J. McCauley (Eds.), Interventions for speech sound disorders in children (pp. 73–94). Baltimore, MD: Brookes.

* please note that the updated second edition will be available later in 2020.

Pages: 12

13 Comments

Kelly Dwyer May 31, 2020

Thank you both so very much! I’m SO appreciative of the information – I just bought the SCIP app and have learned a lot just reading the manual! I feel much more confident using these approaches after reading your blog and reading the journal articles.

Reply
- Rebecca Reinking June 05, 2020
  
  That’s wonderful to hear! You can make so much progress when you choose an approach that best matches your child’s difficulties.
  
  Reply
Emily October 25, 2020

Is it still considered a phoneme collapse (and thus make sense to use multiple oppositions) if it’s only happening in certain positions of the word? For example, he can produce certain sounds in medial and/or final, but for initial substitutes an /h/.

Reply
- Rebecca Reinking November 24, 2020
  
  Hi Emily,
  This is a great question for Dr. Lynn Williams to answer. I’d recommend you get in touch with her.
  
  Reply
Susan James June 24, 2021

Thank you for the presentation, it was so informative.

I will definitely look into acquiring the app.

Reply
- Rebecca Reinking June 25, 2021
  
  Thanks, Susan, I definitely learned a lot as well!
  
  Reply
Jennifer June 25, 2021

this is amazing! I have practiced for over 20 years and have never heard of this (or don’t remember it from the super sonic train we call graduate school!!). Thank you for reposting this and the video with Dr. Williams! It was so informative and applicable! I will put this into use TODAY!

Reply
- Rebecca Reinking June 25, 2021
  
  It’s a wonderful approach to know, especially when a child has a phoneme collapse!
  
  Reply
Sara Watters August 23, 2022

Thanks so much for this valuable information! I have a student who is substituting “g” for a variety of sounds in medial position, and “k” for a variety of sounds in medial and initial position. Is it possible to do multiple oppositions with medial position?

Reply
Jennie August 31, 2023

This is great information! do you have a blog on implementation for the multiple oppositions approach? Or can you recommend a resource that I can checkout to learn more about implementation?

Reply
- Rebecca Reinking September 23, 2023
  
  The Interventions for Speech Sound Disorders in Children 2nd Ed has an entire chapter on Multiple Oppositions
  
  Reply
Ashley November 03, 2023

for the SPAC data sheet, I am confused as to what you put in the adult column? The sounds the child doesn’t have? It is confusing to me that the same sound is handwritten next to the adult sound. Is there a blog of video that explains this? I looked and looked and could not find one!

Reply
- Rebecca Reinking November 09, 2023
  
  Hi there, there is also an example of a completed chart that Dr Lynn Williams provided to help SLPs understand how to fill it in.
  
  Reply