I use a family-centered approach to treatment, incorporating the PROMPT philosophy and techniques. Initial treatment targets are selected in general using a bottom-up approach and if there are any attractor states that influence function, those become the first priority in order to stabilize the entire speech system. Initial target syllable shapes and words are ideally personally relevant and targeted via mass-practice at a high frequency.
I am just beginning to get involved!
I prefer to involve parents in the entire process from evaluation through discharge. Parents are ALWAYS involved in goal setting to ensure that treatment is appropriate to their family needs. Overall treatment goals (and often specific words/phonemes) are generated based on family input and priorities. This makes the outcome more relevant for the child and can make a more immediate impact on functional communication.
I have used it to provide support for pacing, as a means to meet individual communication needs that exceeded current level of motor function.