Speech Therapy At Home: A Minimalist Approach

I've experimented with several approaches to home therapy. We've done 30 minutes sessions five times a week in addition to the therapy services Ava was receiving elsewhere. That was intense and a schedule that was hard to maintain even when the children were only in daycare two mornings a week.

We tried doing a 15-20 minute therapy session nightly after dinner. That was working well at least 3 days a week until summertime hit and our schedule was less regular. Then sessions dropped to once a week and then we got distracted all together.

When fall approached, Ava was switching from daycare two mornings a week to preschool five mornings a week. She was also starting her speech group again twice a week for 45 minutes after the summer break. I decided to postpone home sessions until we settled into our school-year schedule.

Things are finally calming down. Ava has transitioned well to preschool. She's doing fine in her speech group twice a week. Her speech group is wonderful. They have a group for preschool-aged speech-only children. The therapists use a cycles approach working on each sound for a week or two before moving on to another sound. After moving through all the targeted sounds they begin the cycle again. Ava has a somewhat unique spectrum of speech sounds she has vs. has not acquired though. She has (with the exception of /sk/) pretty much mastered the /s/-blends. /s/-blends are typically a sound most preschool children need to address, so the group spends quite a few consecutive sessions on /s/-blends Ava already knows. Therefore, I am feeling the need to supplement at home again.

I don't want to overwhelm her though. Already her schedule is at least three times as busy as it has ever been. So I'm taking a minimalist approach to home therapy right now. I've taken a card deck upstairs to her bedroom. Usually we do final /k/, but right now her speech group is working on /sk/ so I'm switching to /sk/ this week (extensive /s/-blend sets are currently available in the Testy Shop).

I keep the deck on her bedside table and we practice the deck before nap and again before bed. It takes no more than 5-7 minutes to do a speed drill consisting of at least 50 productions. I can tell she's fatiguing near the end of the 59 card final /k/ deck (coming soon in the Testy Shop) because she's at 90% accuracy for the first 20 and down to more like 30% accuracy by the final 20).

I like this approach. It meets the two essential criteria for getting it done in our house.

• It is quick.
• It is built into our routines (before bed and nap) in a hard to forget way.
• As a bonus, it is heavily focused on child productions which is essential for progress with motor-speech problems.

Isolation "Race to the Top" Game: Simple DIY

Race to the Top Game - Simple Isolation Practice

Preparation

Take a piece of paper, marker, die, and some stickers. Download and print my sample below if you happen to want to practice /t/ and /k/. (I have a child who substitutes /t/ for /k/ and so practicing those two sounds together is a great exercise.) Otherwise, use the paper and marker to make your own game sheet with whatever sounds you need to practice. Write one sound on three stickers and the other sound on three more stickers and stick onto a die. Put the die into a small container with a lid to allow kids to shake without chasing it all over the room.

Play

Have the child shake the die. Mark whichever letter comes up after the child makes the sound. If you have a young child, have them color the letter or place a sticker on it. An older child can trace the letter. Then roll again. Whichever "tower" is completed first "wins" the game.

Variations

• Have the child make the sound 3-5 times in succession before marking that sound off in the tower.
• Have the child think of a word that starts with the sound.
• Have the child think of a word that ends with the sound.
• Provide the child with an initial or final word and have them use it in a phrase or sentence.

(Inspired by this post.)

Review: VAST iPhone / iPad Therapy Apps by Speak in Motion

Speak in Motion provided me with complementary copies of the VAST Songs 1 - Intro app and the VAST Autism 1 - Core app for review.

The VAST Song 1 - Intro app and the VAST Autism 1 - Core app are very different from the typical speech therapy apps. They do not focus on specific sounds. Their target audience is functioning at a nonverbal or minimally verbal level. These are the apps you're going to want to reach for when you have a student who is not responding to traditional speech therapy methods. Specific populations that come to mind are children with Autism, children with severe Childhood Apraxia of Speech, and children with TBI affecting speech.

VAST Autism 1 - Core iPhone / iPad App

The VAST Autism app is focused on practicing functional spoken scripts at syllable, simple word, multi-syllable word, phrase, and sentence levels. Once you choose the level appropriate for the child you are working with, you choose the specific script you want the child to learn. Then the child begins by simply watching and listening to a close-up video of an adult speaking that script slowly and clearly (yet with fairly natural intonation).

The videos stimulate both auditory and visual pathways in the brain. They also allow for simultaneous production which is known to stimulate speech production. The slightly slower production paired with relatively natural intonation also helps facilitate success. The app includes good choices of stimuli. For example, the syllable level includes: mama, papa, moo moo, boo boo, baa baa, beep beep, peep peep, da da, pop pop, la la, Weeee, and Ooooo. These are nice, simple reduplicated syllables using simple consonants and vowels. The levels progess logically from simple reduplicated syllables, to one-syllable words, multi-syllable words, phrases, and then sentences. As the productions get more complex, the stimuli choices focus on functional scripts. For example, some of the sentence level stimuli are: " I need to use the bathroom.", "I am thirsty.", "I am hungry.", and "I need a break.".

Bottom Line

This is an app that consists entirely of carefully chosen stimulus videos. It is accessibly priced at $4.99. If you work with students who are minimally verbal and are not yet responding to therapy targeting specific phonemes this app might be very useful for you. If you do not have any non-verbal or minimally verbal children on your caseload you would probably find little use for this app.

VAST Songs 1 - Intro iPhone / iPad App

The VAST Songs app is a set of videos that show a close-up of either a male of female singer singing one of 10 songs. These videos are useful during therapy because they provide both auditory and visual stimuli and they also stimulate the pathways in the brain involved in music. Research has shown that the rhythm and melody involved in music can often help stimulate speech production. Alternately, they could be used during carryover practice in more traditional articulation therapy (Yankee Doodle for /k/, for example.)

Bottom Line

This is an app that consists entirely of carefully chosen stimulus videos. It is accessibly priced at $4.99. If you work with students who are minimally verbal and are not yet responding to therapy targeting specific phonemes this app might be very useful for you. It might also provide a creative way of working on specific phoneme carryover with other young clients. If you are not working with severely speech delayed children, you might be better off finding a different app for your needs.

Yummy recipe - Easy Hamburger Broccoli Alfredo

My husband and I made the best low-carb dinner Friday night while my parents kindly kept both children overnight. It was so good, we ate leftovers for lunch the next day and then we made a double batch last night so we could have it again with leftovers for lunches for the week.

Ingredients:
1 lb ground beef
16 oz roughly chopped brocolli
one medium onion-chopped up
8 oz cream cheese
heavy cream (I don't have an exact amount here - approx 1/4 cup?)
Parmesan cheese (I don't have an exact amount here either - approx 1/2 cup?)

Directions:

Chop your onion and toss it in a pan with the ground beef. Cook until ground beef is done. Do not drain.

In the meantime, lightly steam the broccoli (we did it in the microwave). Then add to the ground beef/onion mixture.

Soften your block of cream cheese in the microwave. Mix with some heavy cream using a whisk until the mixture is light and fluffy. Then begin adding parmesan until the mixture is thick and slightly grainy with parmesan. (I have used milk instead of cream cheese to make this "alfredo" sauce in the past and it comes out fine.)

Add the alfredo sauce to the beef and broccoli mix and simmer on medium heat for 5-10 minutes.

Let it all sit for 5-10 minutes and the sauce will thicken as it cools.

We just served it in a bowl and ate it with a spoon and it was extremely yummy!

Here's a picture of our double-batch ready to go in the fridge to feed us for the week.

(and no, neither child will eat it, but I refuse to let it dim my enthusiasm)

The Weekly Review: Week 81

SLP Resource of the Week

SpeechLanguage-Resources.com has an excellent set of guidelines on eliciting /s/, /sh/, /k/, /l/, and /f/. Scroll down to the bottom of the page to find the links.

Ava this Week

Ava is in the midst of a huge developmental growth spurt. She's taking 2 hour naps daily. Shoes that were loose six weeks ago are snug now. She's understanding concepts and communicating on a whole new level. She's also feeling needy. She will come to me as I am busy with some task and sweetly ask, "Mama, when you are done with your work can you please come play _____ with me?" She's learned that I have much more difficulty resisting specific activity suggestions. If she just asks me to play, I can often say no. If she names the specific activity she wants to play (build a marble run, play with squinkies, color with her) I have much more trouble resisting. They can be so sweet when they're little and all they want is some of your time and attention.

Weekly Michael

As we were walking to school last week we stopped to examine a patch of clover. I showed the children how each clover has three leaves. I told them that very rarely, a four-leaf clover grows and people search for them because they are supposed to be good luck. I said it happens so rarely that I had never found one in my entire life.

One afternoon this week I had sent the children into the backyard to play. Michael came running inside calling that he had found something for me. He was trembling with excitement and anticipation and was obviously incredibly proud of himself. "Mama, I brought you a six-leaf clover!" he declared. I figured he had pulled up two that were tangled, but as he brought it over to me I could only see one stem. I took a close look. He had carefully torn each leaf of the three leaf clover in half. He explained that he was going to make me a four-leaf clover, but decided a six-leaf clover would be even better. It was so sweet and creative.

Weekly Weight Loss

I am off the antibiotics and have started probiotics. I am down 1.3 pounds from last week. Essentially, that is a net stall for the last two weeks. I went low-carb five weeks ago. I lost about 9 pounds in the first three weeks and then gained and lost a pound in the two weeks after that (the antibiotic two-weeks). I am sincerely hoping that I will return to losing a little weight for all this effort and willpower over the next week. Time will tell I suppose.

Weekly Speech Resource Kit Update

The survey is complete and /k/ was the clear winner. I have started the /k/ Resource kit. I've finished the initial /k/ section and I'm most of the way through the final /k/ section. I still have to do the medial and mixed /k/ sections and work on the intro and appendix resources. I'm hoping to have the kit up by the beginning of November. I'm going to try to stick with a schedule of adding one new kit a month to the store.

Speech Card Set Activity: Quick DIY Speech Sort

Here's another quick speech activity that takes only a few minutes to prepare. You'll need some kind of sorting tray (I used a veggies & dip platter.) and small squares of colored paper. If you want to work on a sound in isolation, just write the letter on the squares using a marker. If you want to work on words from cards sets, download a card set (free cards, premium sets), print, and cut out the pictures. Then tape them onto the colored squares of paper. Put your colored stimuli in the center and the kids say the sounds/words as they take them out of the middle and sort them by color into the sections of the tray.

Speech Card Set Activity: Speech for Beads

Preparation
Grab a muffin tin or empty egg carton. Gather enough pipe cleaners or pieces of yarn for everyone in your group and a bunch of craft beads. Download a card set (free cards, premium sets), print, and cut out the pictures. Drop one picture and a few beads in the bottom of each cup in the muffin tin/egg carton.

Activity
In order to choose a bead from the cup, the child must say the speech word at the assigned level (word, x3, phrase, sentence, etc.). The children take turns saying the words and choosing beads to string onto their bracelet/keychain/etc. After you get through all 12 words once or twice, put new pictures in the bottom of the tin. At the end of the therapy session, they get to take their creation with them.

Variations
The muffin tin could be filled with pom-poms that are to be glued onto paper. Alternately, the game could be to add things (pom-poms, beads, counting bears, squinkies) into the tins using tweezers until the pictures are "hidden". Children will enjoy just about any variation on this theme. Cheerios or froot loops are always popular as well with the youngest children.

Simple DIY Speech Warm-up Teacher Will Thank You For

Grab a piece of cardstock, a sharpie, a few jumbo craft sticks, and some tape. In about five minutes you'll have a speech warm-up that classroom teachers will thank you for.

Fold the cardstock to make a sleeve for the craft stick and tape together. For your initial sound warm-ups, position the sleeve to the left and write your initial phoneme on the end of the sleeve that you'll insert the stick into. Then write several word endings on the stick. As the child moves the stick back and forth they'll create several target words to practice and at the same time they're getting some phonics practice in as well.

For the final phonemes, position the sleeve to the right. Feel free to use the back of the same stick you just used for an initial phoneme. Write a word ending that ends with your target sound on the edge of the sleeve closest to the end in which the stick is placed. Then write several initial sounds that work with that ending to make a word. Now the child is practicing several words that end with your target sound and practicing word families at the same time.

It took me less than five minutes to make these. You could easily make a small set of these for each group you work with by taking just a few minutes before your session. Alternately, make them as a group project and send them home for practice. Children would have a lot of fun making these if you gave them several colors of papers and pens to choose from when making them.

Free Mini-Set of Opposites Picture Cards

Ava has discovered opposites and is taking great delight in being quizzed on opposites and quizzing others in return. She inspired me to search through all of my speech cards to find a few opposites and make her a mini opposites card set.

To download click on the image to open it full size. Then right click on the image, choose "save as" and save the page to your computer.

Permissions

I give permission to copy, print, or distribute this card set provided that:

1. Each copy makes clear that I am the document's author.
2. No copies are altered without my express consent.
3. No one makes a profit from these copies.
4. Electronic copies contain a live link back to my original and print copies not for merely personal use contain the URL of my original.

Homeschooling on the Go

Although both of my children are currently enrolled in preschool five mornings a week, I have been flirting with the idea of homeschooling for quite some time. Last spring, after a lot of research, I purchased a math program and a reading program to try with the children over the summer. I wanted to get a taste of what homeschooling might be like in our home.

Ava had just turned three and it was just a little too soon. We were having fun, but it felt early and a little too much work for children so young. So I put it aside for a while. When I realized that Michael and I would be spending 50 minutes in a waiting room twice a week this fall while Ava is in her speech group I decided to pull the materials back out.

For the first six weeks I've been winging it preparing for each lesson during the hour before I had to leave the house to pick up the children. Last week I got organized. Everything fits into a small bag along with Ava's speech binder. I keep the bag hanging in the coat closet in between uses and grab it on my way out the door.

Inside the bag I keep Ava's speech binder and Michael's Homeschooling binder. There's also our abacus, the books we are working on, and our pencil bag of accessories. Inside the binder I have a math section which includes the reinforcement chart I made and the next several RightStart Math lesson plans. A handwriting section contains the first several pages I copied from our HWT workbook. The reading section contains the free worksheets you can download from the Usborne Very First Reading website. I also keep the flashcards I made from their free downloadable word bank in the accessories case. All of the math manipulatives are also kept in the pencil bag. In one bag I have everything I need to do a math, reading, and handwriting lesson on the go.

Michael and I really have a lot of fun during our 45 minute homeschooling lessons. I have to say, so far I'm still leaning towards homeschooling next fall, but I won't be making a final decision until the end of the school year (or possibly the end of next summer).

Mistreated

I have not shared this before, but I have a phobia. The free dictionary defines a phobia as "A persistent, abnormal, and irrational fear of a specific thing or situation that compels one to avoid it, despite the awareness and reassurance that it is not dangerous." In my case, I have a needle phobia. I've had this phobia for as long as I can remember. This phobia played a huge part in my decision to choose natural childbirth - twice.

I manage it though. When I need bloodwork or a shot, I don't say no. I try to prepare the nurse ahead of time. I explain, through tears, that I am going to get upset. I will need to sit in a corner. I am going to try to pull away several times. I won't faint. "The key part," I tell them, "is that I won't try to pull away once the needle is in. I'm too petrified by then." I have to tell them that last part or they freak out. The entire experience is humiliating every time. But I do it because I refuse to let this phobia make important health decisions for me.

Last week I was sick and my doctor wanted to run some bloodwork. The extremely nice nurse I had been working with throughout my visit freaked out and left me in the midst of a panic attack to go get someone else to draw my blood. I'm pretty sure that is the first time I've actually scared someone off. She came back in with another nurse that she introduced simply as the office expert in blood draws.

I wasn't completely listening at that point. I really just wanted to get it done, but I nodded assent. This woman came over to me and told me, "Now, if you're going to behave like a child I'm going to treat you like a child and hold you down." Somewhere in the back of my not entirely rational mind I was pretty pissed, but I certainly wasn't able to articulate anything at that moment. She made the other nurse hold my arm down at the wrist and elbow while she used her body to restrain my torso. Then they drew my blood.

Being restrained pretty much against my will at a time I wasn't able to even articulate a protest contributed further to my sense of panic. To be honest, I felt somewhat violated and was left with a lingering sense of extreme dislike for that nurse. I gathered my things and left as soon as possible.

My husband wanted to call the office and lodge a complaint. My mother suggested I write a letter to the physician. I would feel bad about that. I don't hold grudges. I don't want a negative letter to be put in her permanent file or anything. Nevertheless, the incident lingers in my mind and I've been trying to put my finger on what exactly it was that I couldn't let go.

Then I figured it out. She said, "If you're going to behave like a child, I'm going to treat you like a child..." That is not how you treat a child. And it is certainly not how you treat an adult. No person deserves to be treated that way. If anyone had tried to handle my child in that manner I wouldn't have permitted it and I probably would have complained to someone in charge. Why won't I apply that same logic to myself?

The Weekly Review: Week 80

SLP Resource of the Week

We Give Books is a website that has dozens of fiction and non-fiction books for children 0-10 years of age available for free online. Sign up for a free account and then sort books by age-range, subject, or author and a bookshelf full of amazing titles appears before you. Many of the nonfiction books are DK Publishing. Other familiar titles are classics by Jan Brett, the Skippyjon Jones series, and the Llama Llama series.

Ava this Week

It sounds like a little thing, but Ava finally let me buy her a leotard for gymnastics. She absolutely refused to put one on before now. Then, this week, she saunters over to the leotard display they have in the waiting area and asks why I hadn't gotten her one? I asked her, rather suspiciously, if she'd actually wear it if I bought her one. She assured me she would, so we picked out her favorite and I bought it. She wore it for the next 24 hours before I peeled it off her and told her it was just for gymnastics from now on.

Weekly Michael

Michael and I have been homeschooling while Ava is in speech. So, twice a week for 45 minutes we do a RightStart Math Lesson and work with our Usborne Very First Readers. We have the best time. The child takes in math like breathing. Reading takes a little more effort, but for 4 1/2 he's pretty darned good.

Weekly Weight Loss

This week I'm up a pound. I have to say that compared to the 3.5 pounds a week I've been losing on the low-carb diet I was very disappointed. I was hungry all the time and craving carbs for the first time in weeks. I had started to slowly increase my veggie intake and even add a slice of apple or two here or there and I thought that was the problem at first.

Then I realized the weight gain, cravings, and water retention began at almost exactly the same time I began a 10 day course of antibiotics. I did a little research online and found that water retention, cravings, and other unpleasant side effects often accompany antibiotics due to all the good bacteria in the gut being wiped out along with the bad germs. Too bad I wasn't prepared with a really good probiotic a week ago.

I took a closer look at my data and realized that although the scale has gone up by a pound, my fat mass (as measured by my fancy scale) had gone down 1.2 pounds which seems to confirm that the gain I'm seeing on the scale is water weight. We'll see if things turn around next week after I finally finish off these antibiotics.

Weekly All Consuming Obsession

Not working! Other than daily blog posts I took a complete break from working on the speech resource kits this week. I needed a break after the big push I made getting the first two products ready to go and getting the store and back end stuff set up. I took the opportunity to survey you all to see what phoneme you'd like to see in the store next and I'm glad I did. I wouldn't have guessed /k/, but that has the lead by quite a bit. This week I watched some fall tv on Hulu and read several books. I'd better not count up quite how many books I've read this week, but they were a great change of pace. I'll start working on the /k/ resource kit next week. I'm hoping to have it up by next month, but until I get into it, I can't be sure how quickly the project will come together.

Initial J: Free Speech Therapy Articulation Picture Cards

If you like this free card set, you might want to check out the premium speech therapy kits now available in the Testy Shop. Kits include expanded card sets, illustrated minimal pairs, homework sheets and more in a single download.

Initial /ʤ/ Card Set

(/ʤ/ is the phonetic symbol for the sound typically spelled with the letter "J".)

To download click on the image to open it full size. Then right click on the image, choose "save as" and save the page to your computer.

I recommend you print on cardstock and laminate for durability.

Description

This articulation picture card set is designed to be more comprehensive than the typical sets you might find elsewhere. The target audience for this set is young children or children with more severe speech delays that need intensive practice with initial /ʤ/ at a one-syllable level. No blends or vocalic /r/ sounds are included in this set. The set pairs the initial /ʤ/ with as many different vowel sounds as possible to maximize co-articulation variety.

Key Features

• This set includes 12 therapy cards with the target word and picture on the front, and the difficulty level and a carrier phrase on the back.
• The words are all CV or CVC in syllable shape.
• The words are easily understood by or easily taught to young children.
• Combines the target sound with a variety of vowel sounds.
• Words are sorted by difficulty level for an easy progression from easy to hard.

Permissions

I give permission to copy, print, or distribute this card set provided that:

1. Each copy makes clear that I am the document's author.
2. No copies are altered without my express consent.
3. No one makes a profit from these copies.
4. Electronic copies contain a live link back to my original and print copies not for merely personal use contain the URL of my original.

Looking for Feedback

I would love to hear back from anyone who uses this card set. Let me know if you find errors or there is anything you would change. Comment on this page, or send me an email at testyyettrying(at)gmail(dot)com.

Where can I find more?

More sets are on my Free Speech Therapy Articulation Cards page. Other card sets include /p, b, t, d, m, n, h, f, v, k, g, w, j, s, z, l, th, ch, sh, ʤ, s-blends, and l-blends/ and more sets are being added regularly.

What kinds of activities can I do with this cardset?

1. 10 Card Set Game and Activity Ideas
   
2. Simple Speech Card Puzzles
   
3. Speech Card Stories
   
4. Speech Card Caterpillar
   
5. Speech Card Game: What's Hiding?
   
6. Speech Card Game: Speech Switcheroo (An Uno-Style Game)
   
7. Speech Card Set Activity: Magnetic Speech Cards
   
8. Speech Card Game: Speech Fours
   
9. Speech Card Game: Old Maid
   
10. Speech Card Set Activity: Bang!
    
11. Speech Card Set Activity: What's Hiding Behind Door Number...?
    
12. Speech Card Set Activity: Customizing a Homework Sheet
    
13. Speech Card Set Activity: Making a Simple Sentence Flipbook
    
14. Speech Game: Find-It
    
15. Speech Card Set Activity: Speech Art Collage
    
16. Speech Card Set Activity: Speech Crowns
    

Gratitude and a Request for Information

A Huge Thank You

Six blog readers generously donated their time to look over the rough draft of the /s/ therapy kit (which is now available in the Testy Shop). They were a huge help. They found a few typos, but more importantly they made countless suggestions that I was able to use to make the product better. The resource book grew from 67 to 81 pages as a direct result of their helpful suggestions. I wanted to say thank you to each and every one of those volunteers.

I also need to thank my family members who also volunteered to spend extra time watching my children while I frantically worked to meet my self imposed deadline for finishing up the kits and making them available to you all. Finally, I wanted to thank my husband for helping me code the storefront page. I would have been able to do it myself, but it would have taken me twice as long and it wouldn't have been as elegantly done.

Suggestions?

I have not yet started on the next phoneme kit. Instead of deciding completely independently, I thought I would put up a survey and ask all of you which phoneme you'd like to see available in the store next. The survey lets you choose between /k/, /f/, and /l/-blends. If something else is at the top of your list, just mention it in the comments to this post. You'll find the survey in the sidebar. At the end of the week I'll tally up the results and those results will strongly factor in my decision.

Talk to Me

If you're one of the people who has already purchased a set or two, thank you! Also I would love to hear your thoughts. Please send me an email at testyyettrying(at)gmail(dot)com and tell me what you think of the product, how you are using it, or anything else you'd like to share. Also, if you like it, please recommend it to other SLPs or parents as appropriate.

Speech Therapy Kit: S-blends Card Sets and Resources

/s/-blends $21.95

• Check out additional resources in the store!
• Automatic discounts of 20-30% apply when buying 2 or more sets.

Need to teach a child to make S-Blends?

• Tired of buying card sets and resource books that don't work for your students?
• Need the convenience of printing resources from your own computer?
• Want to find a wide variety of therapy resources in a single, instantly downloadable, source?

Motor-Speech Articulation Method:
/s/-Blends Card Sets and Resources

This comprehensive eResource has been designed from the ground up to take a motor-speech approach to speech therapy. Target words are simple in syllable shape and avoid consonant blends and vocalic /r/ sounds. They are sortable by increasing difficulty of phonemic complexity. Begin with the easiest cards and work your way up to harder ones. Every set includes phonemic variety in order to practice with different coarticulation effects and maximize carryover and generalization.

All therapy cards are illustrated in color. The resource is written to be accessible to both speech therapists and parents working with children at home. This eResource is ideal for targeting /s/-Blend productions when working with children with Childhood Apraxia of Speech, Phonological Disorders, Simple Articulation Disorders, Hearing-Impairment, and any other population that needs work to remediate speech.

Printable Resources Included:

Initial /sk/ Resources	Initial /sl/ Resources
Vowel CCV syllable practice sheet 14 one-syllable picture cards sortable by vowel, difficulty, position, and phonological process 17 sets of minimal pairs pivot phrase worksheet 3 homework sheets story booklet 14 simple speech puzzles	Vowel CCV syllable practice sheet 14 one-syllable picture cards sortable by vowel, difficulty, position, and phonological process 9 sets of minimal pairs pivot phrase worksheet 3 homework sheets story booklet 28 speech dominos

Initial /sm/ Resources	Initial /sn/ Resources
Vowel CCV syllable practice sheet 14 one-syllable picture cards sortable by vowel, difficulty, position, and phonological process 9 sets of minimal pairs pivot phrase worksheet 3 homework sheets story booklet Speech Race Game	Vowel CCV syllable practice sheet 14 one-syllable picture cards sortable by vowel, difficulty, position, and phonological process 13 sets of minimal pairs pivot phrase worksheet 3 homework sheets story booklet Speech Train Activity

Initial /sp/ Resources	Initial /st/ Resources
Vowel CCV syllable practice sheet 26 one-syllable picture cards sortable by vowel, difficulty, position, and phonological process 18 sets of minimal pairs pivot phrase worksheet 3 homework sheets story booklet Speech Fishing Activity	Vowel CCV syllable practice sheet 29 one-syllable picture cards sortable by vowel, difficulty, position, and phonological process 18 sets of minimal pairs pivot phrase worksheet 3 homework sheets story booklet I Spy With My Little Eye Speech Activity

Initial /sw/ Resources	Mixed /s/-Blends Resources
Vowel CCV syllable practice sheet 14 one-syllable picture cards sortable by vowel, difficulty, position, and phonological process 13 sets of minimal pairs pivot phrase worksheet 3 homework sheets story booklet Speech Maze Activity	14 /s/-Blend Scene cards with multiple /s/-blends per scene 18 sets of minimal pairs pivot phrase worksheet 3 homework sheets story booklet Speech Sort Activity

Additional Resources Included:

• Games and Activity Suggestions
• Sample Therapy Sequence from Isolation to Generalization
• Overview of Speech Disorders
• Word Lists and Gestural Prompt
• Consonant and Vowel Charts
• Modifiable Therapy Variables Chart
• Multisensory Cues Chart
• Glossary of Terms

Sample Pages

/s/-blends $21.95

• Check out additional resources in the store!
• Automatic discounts of 20-30% apply when buying 2 or more sets.