Parents are involved from the start, providing feedback on the family history and child's current abilities/difficulties. This helps to establish a foundation for therapy goals, which I also involve parents in developing. I then like to alter the involvement in therapy sessions depending on the child and their temperament. Some children attend and succeed with their parent being right in the therapy room and participating in the session itself. While other children benefit from having the parent out of the room so that they can attend and, as their clinician, I can achieve as many repetitions and success as possible, so that I can provide carry over. In this case, I often use video feedback (I will video tape different strategies for parents to have access to), written carry over, and allow the parent to listen in on the session (while the child cannot see them but the parent can still hear). Throughout the therapy process, I always ask parents if there are specific situations at home that they can use assistance with communication in, if the 'functional word list' has changed, and what times of the day do they feel they are best able to do carry over.