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

Multiple Oppositions Cards for /h/ Substitutions | Speech Therapy

$10.00

Are you looking for an up-to-date and engaging way to treat children with a phoneme collapse to /h/ using the Multiple Oppositions Approach? Have you heard of Multiple Oppositions but need help figuring out where to start? 

Our Multiple Oppositions for /h/ Substitutions is the product to help you feel confident in the Multiple Oppositions approach to treatment for a child with a sound preference for /h/. We have thoughtfully selected real and nonword contrasts for /h/, for up to 40 consonant sounds and consonant clusters in color and black & white.    

The Multiple Oppositions for /h/ Substitutions is designed to provide you with a high-quality and evidence-supported tool to target this challenging speech profile with children on your caseload. Support for treatment target selection and implementation guidelines is included. Feel more comfortable with the Multiple Oppositions approach and cut down on preparation time.  

(9 customer reviews)

Description

Have you noticed that your student says /h/ for many different sounds? Maybe a question like “Do I go to school tomorrow?” sounds like, “Hoo I ho ho hool homorrow?”.

Perhaps you have heard about the Multiple Oppositions approach, but felt overwhelmed about where to find appropriate resources?

A phoneme collapse to or sound preference for /h/ is common in children with moderate to severe phonological speech disorders. We want to help you efficiently make system-wide changes for these children, so we developed this product with up to 8 set options for /h/ contrasted with 40 sounds, including consonant singletons and clusters. That is a LOT of options for treatment.

DOWNLOAD these multiple opposition cards if you need:
❶ — Learn about the multiple oppositions approach and have access to high-quality therapy support and tools.
❷ — Provide children on your caseload with another option to treat their phonological speech errors.
❸ — Understand how to personalize the multiple oppositions approach for each child’s sound system.
❹ — Access materials for multiple oppositions approach for a /h/ substitution, including planning steps, 40 contrast sounds in 8 different sets for treatment, and links to treatment paradigms so you know what to do in your sessions

What makes this resource unlike any other multiple oppositions resource that you have seen, is that you only print the pages that you need for your individual child. No need to think of rhyming contrasts for multiple sounds off the top of your head, we have done all the work for you!

DIGITAL FILE CONTENTS:
✅ — Color and Black & White Cards – over 80 pages of cards for 40 available contrasts, eight possible treatment sets to choose from
✅ — Evidence-based Rationales – discussion of who the approach is suitable for and intervention intensity, including links to references
✅ — Target Selection  – tools to help you analyze the /h/ substitution you are seeing and how to select targets for therapy
✅ — Creating a Treatment Set – how many target sounds to contrast and information on treatment sets, including nonwords and why we might use them in this approach
✅ — Free Materials  – links to phoneme collapse worksheets, a treatment paradigm that lays out the steps for therapy, and data collection sheets
✅ — Understanding the Cues  – information about the kinds of nonwords that have been included and how to assign meaning to them so they work as part of the multiple oppositions contrastive approach
Related Multiple Oppositions Resources:

  1. /d/ sound substitution
  2. /g/ sound substitution

IMPORTANT INFORMATION: This is a digital file and is licensed for one person to use. Printing and assembly of the product may be required. For more information about single-person use, please refer to our Terms of Use.

Do you need FREE 100 Trials for Speech no-prep worksheets? Sign up for my newsletter to get access to my Freebie Library of goodies that are aimed at your speech sound caseload.

ABOUT THE AUTHOR: Rebecca Reinking is an SLP who works privately with children who have speech sound disorders. She has a particular interest in phonological interventions and strives to connect and collaborate with speech scientists to bridge the gap between research and clinical practice.

9 reviews for Multiple Oppositions Cards for /h/ Substitutions | Speech Therapy

  1. klynneash (verified owner)

    Consonant collapse with /h/ is new to me this year. I have been in the field 5 years and have never seen it, but now I have 4 students on caseload with it. This resource is fantastic in helping the kids understand differences between sounds and how sounds change words/meanings. I also love how it can be used for minimal pairs for any sounds that may need extra attention. Great resource!

  2. Alecia Skidmore

    I love this resource! I have found it really helpful for homework activities and to model to parents. Thanks Adventures in Speech Pathology!

  3. Emily U.

    I’ve purchased so many of your products and this one did not disappoint. I am receiving more and more preschool students with a phoneme collapse to /h/ and needed ready made target words for supporting the multiple opposition approach. The visuals on this are great.

  4. Shannon N.

    My students love some of the silly words they get to practice within the multiple opposition approach (e.g., fleep, Skeep). I love the legend for the different types of nonsense words as well. The page navigation is really helpful when moving through the resource digitally!

  5. Jessica P.

    Great visuals and easy to prep and use the same day.

  6. Jill N.

    Having all of the words ready to go made planning the session so much easier and the pictures were so engaging for the child I was working with 🙂

  7. Stephanie M.

    I NEEDED this resource, there are hardly any multiple opposition materials so when I got a student on my caseload I was thrilled I could use this resource with them

  8. Sarah V.

    Love this resource so much! Rebecca makes some amazing materials and they never disappoint!

  9. Alexandra (verified owner)

    I have a student this year who presented with /h/ phoneme collapse and I was not sure where to start with multiple oppositions. This resource was VERY helpful!! Rebecca always makes amazing and relevant materials!

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