Next steps for phonology client

by JoAnn Hill
(Lethbridge, Alberta, Canada)

Hi,
I work with a boy, who is 5 years old. I have worked with him for the past 3 years. He has a profound phonological delay. I have worked on a variety of targets with him and just this year, we have made some significant progress.

During structured task, he is now able to spontaneously say specific target words in a repetive phrase. He is able to say his target words in this phrase "why are you a ........". His target words are /w/ initial and /t/ final (e.g. wait, white) and /m/ initial /t/ final (e.g. meat, mitt). These are the only targets in which he is able to produce all sounds correctly.

I'm wondering how to move him into more spontaneous conversation, as he is 100% with this repetitive phrase.

I'm also going to add in /f/ initial and /t/ and /d/ final words (e.g. food, fit, feet, etc), as these are all sounds that he can produce.

I'm really struggling with the carryover piece and how to help him use more spontaneous language with his target words and/or generalize these sounds into other words.

I appreciate any help that you can provide!!

JoAnn