Richard was greeted in the hallway with a smooth transition to his room. Richard appeared happy upon greeting. The speech therapy session started with auditory discrimination with /s/ sounds in all positions. Richard discriminated with 100% accuracy. The sound /s/ was targeted in therapy today. Richard required moderate visual and verbal cues to elicit /s/ in isolation accurately. He independently produces a lateral "lisp" (the air escapes laterally). A verbal/visual cue of placing his thumb to his chin to prompt the airflow forward rather than laterally was effective in producing /s/ accurately. He was stimulable for /s/ in isolation with independent tactile cues. The /s/ sound in all positions was targeted today. 20 presentations of each position were targeted this session with the following accuracy and prompt hierarchy:
I: independent, VC: verbal cue, VisCue: Visual cue, IC: incorrect production despite cues

/s/ in initial position at the word level given model -
I=55%, VC=25%, VisCue 20%

/s/ in medial position at the word level given model -
I=55%, VC= 30%, VisCue=5%, IC10%

/s/ in final position at the word level given model-
I=55%, VC=25%, VisCue=5%, IC=15%

Richard required breaks between each targeted position however he did appear to benefit from them. Richard required minimal verbal redirection. He appeared to benefit from a cleared desk space without distraction. Richard responded well to verbal and visual cues to elicit /s/ at the word level. Well done, Richard!

A copy of the activities made to ensure continuity of care between therapists and teachers.