Multiple Oppositions Cards for /h/ Substitutions | Speech Therapy


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.  

(1 customer review)


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!

✅ — 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.

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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.

1 review 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!

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