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Marisha

Multiple Meaning Words: The SLP CLEAR Method Explained

November 25, 2025 by Marisha Leave a Comment

Teaching multiple meaning words doesn’t have to be a planning nightmare. By using a structured, context-driven approach like The CLEAR Method™, school-based SLPs can help students build flexible language skills while drastically reducing prep time. This method focuses on explicitly teaching students how to figure out meaning using context clues, visual organizers, and parts of speech—giving you a repeatable framework to use in any session.

Is the CLEAR Method™ for Teaching Multiple Meaning Words Right for You?

This approach works best for SLPs who:

  • Are currently spending hours planning and prepping materials each week
  • Want to maintain high-quality, evidence-based therapy
  • Need materials that support consistent repetition and generalization
  • Value time with family/life outside of work

If you’re already using a comprehensive therapy resource or prefer creating everything yourself, this may not be for you.

But if you’re spending hours planning sessions and want that time back, without compromising quality, keep reading.

Using structured, planning-first methods like these can lead to dramatic time savings and better student outcomes.

Just like the time Courtney saved with her 40 student caseload:

slp software case study multiple meaning words

“It’s been a one -stop shop for me. I’ve been able to gather my materials, collect my data live, and then have a graph to show how the students are making progress or what goals I didn’t target in a previous session.”

– Coutney Tomberlain, SLP at Cobb County School District (20 yrs experience)

These results didn’t come from working harder.
They came from using repeatable methods and ready-made supports instead of rebuilding lessons from scratch.

And that’s exactly what the CLEAR method for multiple meaning words is designed to help you do.

Multiple Meaning Words Skill Pack

Ready-to-use materials that follow the CLEAR Method™ so you can teach multiple meaning words with confidence — without spending hours on prep.

  • CLEAR Method™ framework with step-by-step teaching guide
  • Pre-written sentences for context-first instruction
  • Parts of speech supports including student-friendly reference cards
  • Visual organizers to anchor meanings and reduce cognitive load
  • Leveled practice activities (K-4+) with built-in repetition across contexts

Everything you need to assess, teach, and generalize multiple meaning words — all in one place.

👉 Join to Download Multiple Meaning Words Skill Pack

Multiple Meaning Words Skill Pack preview

Why multiple meaning words matter for kids

Multiple meaning words are words that have more than one meaning, depending on how they’re used. Research indicates that approximately 50% of English words have multiple meanings! (Nagy & Anderson, 1984)

For example:

  • bat (an animal vs. sports equipment)
  • change (coins vs. doing something differently)

Many students — especially those with language impairments — have difficulty:

  • using context clues
  • thinking flexibly about word meanings
  • shifting from one meaning to another

This directly impacts:

  • vocabulary development
  • reading comprehension
  • overall language understanding

That’s why how we teach multiple meaning words matters just as much as what words we choose.

What Are Multiple Meaning Words?

Multiple meaning words are words that have more than one meaning, depending on how they’re used in a sentence or situation.

The key is this:
👉 The word itself doesn’t change, the context does.

Examples of Multiple Meaning Words in Sentences:

  • Bat
    • The bat flew out of the cave.
    • She hit the ball with a bat.
  • Change
    • I have change in my pocket.
    • It’s time to change your shoes.

For many students, especially those with language impairments, this flexibility doesn’t come naturally.

Instead, they may:

  • lock onto the first meaning they learned
  • ignore context clues
  • guess based on pictures or prior knowledge
  • struggle when the same word shows up in a new way

This is why multiple meaning words often become a bottleneck for:

  • vocabulary growth
  • reading comprehension
  • understanding grade-level texts

👉 Want Ready-to-Use Multiple Meaning Words Examples Like These?

The Multiple Meaning Words Skill Pack includes pre-written sentences, visuals, and organizers so students can practice identifying meanings in context — without you creating everything from scratch.

➡️ Start a Free Trial to Access the Skill Pack

Multiple Meaning Words visual organizer example

Why Multiple Meaning Words Are Tricky for Kids

On the surface, multiple meaning words seem straightforward.

But for students, they require several skills working together at once:

  • understanding sentence meaning
  • using context clues
  • knowing parts of speech
  • thinking flexibly about language

If one of those pieces breaks down, students often:

  • choose the wrong meaning
  • get confused when meanings shift
  • struggle to explain why a meaning makes sense

types of multiple meaning words

That’s why simply giving students a list of multiple meaning words or a worksheet often isn’t enough.

They don’t need more words.
They need a clear way to think through meaning.

A Better Way: Teach the Process, Not Just the Words

Instead of asking students to memorize definitions, effective instruction teaches them how to figure out meaning.

That’s where the CLEAR Method™ comes in.

It gives students a repeatable process they can use whenever they encounter a word with more than one meaning — in therapy, in the classroom, and while reading independently.

In the next section, we’ll break down the CLEAR Method™ step by step, starting with the most important piece: context.

The CLEAR Method™ for Teaching Multiple Meaning Words

Over time, we’ve found that the most effective multiple meaning word instruction follows one clear pattern.

We call it the CLEAR Method™.

It’s a simple, practical process that helps students:

  • figure out the correct meaning
  • explain why it makes sense
  • and apply that thinking across new contexts

CLEAR stands for:

  • C — Context First
  • L — Label the Part of Speech
  • E — Explain the Meaning
  • A — Anchor With Visuals
  • R — Repeat Across Contexts

Instead of memorizing definitions, students learn a process for understanding meaning,which is what actually supports comprehension.

Let’s start with the most important step.

👉 Want Instant Access to Examples Like These?

The Multiple Meaning Words Skill Pack includes:

  • Pre-written sentences for context
  • Student-friendly parts of speech guides
  • Visual supports that make meaning clearer

➡️ Start a Free Trial to Access This Skill Pack

Multiple Meaning Words visual support example

C — Context First

Context is the foundation of multiple meaning word instruction.

If students try to decide what a word means without context, they’re usually guessing.

That’s why the CLEAR Method™ always starts with a sentence or situation, not the word by itself.

What this looks like in practice

Instead of asking:

“What does the word bat mean?”

Start with:

  • The bat flew out of the cave.
  • He grabbed the bat before stepping up to the plate.

Then guide students to ask:

  • “What’s happening in this sentence?”
  • “What clues help us figure out the meaning?”

This shifts students from guessing to analyzing.

Why context-first instruction matters

When students consistently start with context, they:

  • rely less on memorized definitions
  • pay attention to surrounding words
  • become more flexible with meaning

Research shows that context clues significantly aid vocabulary learning and support students’ ability to derive word meanings independently (Baumann et al., 2003).

This directly supports:

  • reading comprehension
  • understanding unfamiliar vocabulary
  • independent problem-solving in texts

In the next section, we’ll look at how identifying the part of speech helps students narrow meaning quickly — especially when words can function in more than one way.

L — Label the Part of Speech

Once students understand the context, the next step is helping them narrow the meaning.

That’s where parts of speech come in.

Many multiple meaning words change meaning based on how they’re used in a sentence — not just the situation.

Helping students ask:

  • “Is this a thing (noun)?”
  • “Is it an action (verb)?”
  • “Is it describing something?”

can immediately eliminate the wrong meaning.

Simple sentence frames that build flexibility

Sentence frames make this step concrete and student-friendly.

👉 Want this step ready-to-go?

Resources like this student-friendly reference card come included in the skill pack, along with sentence frames and organizers that guide students through the process without you creating them yourself.

➡️ Start a free trial to access the Skill Pack

Multiple Meaning Words parts of speech reference card

For example:

  • Noun frame: I have a ___.
  • Verb frame: I am ___.

Using the word change:

  • I have change. → coins or money
  • I am changing. → doing something differently

These quick tests help students:

  • think more flexibly about word meanings
  • generate definitions more independently
  • explain why a meaning makes sense

Why this step matters

Labeling the part of speech:

  • reduces random guessing
  • builds metalinguistic awareness
  • supports students who struggle with abstract language

It also gives students a strategy they can reuse when they encounter unfamiliar words in reading.

👉 Want this step ready-to-go?

The Multiple Meaning Words Skill Pack includes student-friendly parts-of-speech supports and organizers that guide students through this process, without you creating sentence frames or visuals yourself.

➡️ Start a free trial to access the Skill Pack

Multiple Meaning Words parts of speech reference card

E — Explain the Meaning (In Student-Friendly Language)

Once students have identified the correct meaning, the next step is making sure they truly understand it — not just recognize it.

That’s where student-friendly explanations come in.

Instead of repeating dictionary definitions, encourage students to:

  • explain the meaning in their own words
  • describe what’s happening in the sentence
  • talk through how they figured it out

This is where deeper language learning happens.

Using think-alouds to build metalinguistic awareness

Think-alouds are especially powerful with multiple meaning words.

Metalinguistic instruction (teaching students to reflect on and talk about language) has been shown to improve vocabulary and comprehension outcomes (Biemiller & Boote, 2006).

For students with language impairments, this type of awareness is particularly critical for reading comprehension (Zipke, 2007).”

Simple prompts like:

  • “How did you know which meaning it was?”
  • “What clues helped you?”
  • “Could this word mean something else here?”

help students reflect on their thinking — not just their answer.

Over time, students start to internalize these questions and apply them independently while reading or listening.

Why explaining meaning matters

When students explain meanings out loud, they:

  • strengthen vocabulary knowledge
  • build metalinguistic awareness
  • improve expressive language
  • become more confident explaining their thinking

This step is also incredibly effective in group therapy, because students benefit from hearing how others reason through meaning.

Next up is the step that helps everything stick: anchoring meanings with visuals.

A — Anchor With Visuals

Multiple meaning words are abstract by nature.

That’s why visual supports are such a powerful part of the CLEAR Method™.

When students can see the difference between meanings, they’re more likely to:

  • understand the word
  • remember it later
  • retrieve the correct meaning in new situations

How visuals support multiple meaning word instruction

Visuals help students:

  • break down abstract language
  • compare meanings side by side
  • reduce cognitive load

Effective visuals might include:

  • simple pictures for each meaning
  • graphic organizers that show multiple definitions
  • space to draw or sketch what each meaning looks like

Research on robust vocabulary instruction emphasizes the importance of explicit support for definitions, part of speech, example sentences, and imagery (Beck, McKeown & Kucan, 2013).

For example, a graphic organizer might ask students to:

  • write the word
  • identify the part of speech
  • explain each meaning
  • draw a picture for each one

multiple-meaning-words-anchor-with-visuals multiple meaning words anchor with visuals

This anchors understanding and supports long-term retention.

Why anchoring with visuals matters

Students who struggle with language often need more than verbal explanation.

Visual supports:

  • give students another way to process information
  • support students with working memory challenges
  • make abstract concepts more concrete

Strong vocabulary instruction includes the use of multiple modalities to reinforce memory and comprehension (Snow, 2010)

This is especially helpful for:

  • younger students
  • students with language impairments
  • English learners

👉 Want Instant Access to the Multiple Meaning Words Anchor Chart?

The Multiple Meaning Words Skill Pack includes ready-made graphic organizers and visual supports aligned to each step of the CLEAR Method™ so you don’t have to design or adapt materials yourself.

➡️ Start a free trial to access the Skill Pack

Multiple Meaning Words anchor chart example

We’re almost there. The final step is where generalization happens and where most instruction breaks down without the right materials.

R — Repeat Across Contexts (This Is Where Generalization Happens)

Most students don’t struggle with multiple meaning words because they never learned them.

They struggle because they only saw the word once.

Generalization doesn’t happen after a single sentence or activity.
It happens when students see the same word used again and again in different ways.

That’s why Repeat Across Contexts is a core part of the CLEAR Method™.

What repetition should look like (without busywork)

Effective repetition means practicing the same word across:

  • different sentences
  • different contexts
  • short passages or texts
  • student-generated examples

A simple progression might look like:

  1. Two clear sentences with different meanings
  2. A short paragraph or story using the word
  3. A new context (book, article, or classroom example)
  4. Student-created sentences or explanations

Each repetition reinforces flexibility, not memorization.

Why this step is often skipped (and why that’s a problem)

Repeat Across Contexts is the step that:

  • takes the most planning
  • requires the most materials
  • is hardest to sustain week after week

Without it, students may:

  • understand the word during therapy
  • struggle to apply it in reading
  • revert to guessing in new contexts

This is where even strong instruction can break down.

At this point, you’ve seen how the CLEAR Method™ works from start to finish.

Next, we’ll tie it all together with:

  • practical examples
  • grade-level considerations
  • and the strongest AI-Builder–style CTA on the page.

SLP Multiple Meaning Words Examples: Putting the CLEAR Method™ Into Practice

The CLEAR Method™ works across grade levels because the process stays the same — only the complexity of the words and contexts changes.

Below are examples of how multiple meaning word instruction can look from kindergarten through 4th grade, using the same CLEAR steps each time.

Multiple Meaning Words for Kindergarten

At this level, the goal is helping students understand that one word can have more than one meaning.

Focus on:

  • very concrete words
  • clear visuals
  • short, simple sentences

Example words:

Word Meaning 1 Meaning 2
bat an animal baseball bat
park a place to play to stop a car

Use CLEAR by:

  • starting with simple sentences (Context First)
  • naming the meaning out loud
  • anchoring each meaning with pictures

Multiple Meaning Words for 1st Grade

First-grade students are ready to compare meanings more intentionally — especially with support.

Focus on:

  • concrete + slightly abstract meanings
  • sentence-level context

Example words:

Word Meaning 1 Meaning 2
ring jewelry make a sound
light something you turn on not heavy

Use CLEAR by:

  • identifying what’s happening in each sentence
  • labeling whether the word is a noun or describing word
  • anchoring meanings with pictures or drawings

Multiple Meaning Words for 2nd Grade

In second grade, students benefit from learning how parts of speech help narrow meaning.

Focus on:

  • noun vs. verb meanings
  • explaining meanings in their own words

Example words:

Word Meaning 1 Meaning 2
change coins to do something differently
watch something you wear to look at

Use CLEAR by:

  • testing meanings with sentence frames
  • encouraging students to explain why a meaning fits

repeating words across different sentences

👉 Want sentence frames and ready-made examples that support flexible thinking?

Start a free trial to access the Multiple Meaning Words Skill Pack.

Start Your Free Trial →

Multiple Meaning Words for 3rd Grade

Third grade is where multiple meaning words start to affect reading comprehension more directly.

Focus on:

  • sentence-level ambiguity
  • short passages
  • context clues

Example words:

Word Meaning 1 Meaning 2
point a sharp end an idea
scale to climb a tool for measuring

Use CLEAR by:

  • analyzing context before guessing
  • explaining how clues lead to the correct meaning
  • repeating words across passages and discussions

👉 Want passages, visuals, and activities that build repetition without extra prep?

Start a free trial to access the Multiple Meaning Words Skill Pack.

Start Your Free Trial →

Multiple Meaning Words for 4th Grade

By fourth grade, many multiple meaning words become more abstract and academic.

Focus on:

  • abstract meanings
  • academic vocabulary
  • generalization across texts

Example words:

Word Meaning 1 Meaning 2
draft a rough version air movement
table furniture data chart

Use CLEAR by:

  • breaking down context in longer texts
  • labeling part of speech to narrow meaning
  • repeating words across subjects and settings

Why This Works Across Grades

What changes from kindergarten to fourth grade isn’t the method — it’s:

  • the type of words
  • the complexity of context
  • the level of explanation expected

The CLEAR Method™ gives students a consistent way to think about meaning, while the Skill Pack gives you the materials to apply it without rebuilding lessons every week.

“This consistency aligns with research on effective vocabulary instruction, which emphasizes the importance of systematic, repeated exposure across contexts (Baumann et al., 2003).”

👉 Want examples and activities already organized by level?

The Multiple Meaning Words Skill Pack includes leveled activities, visual supports, and practice materials that make it easy to apply the CLEAR Method™ across grades — without sorting or adapting everything yourself.

➡️ Start a free trial to access the Skill Pack

Multiple Meaning Words activities organized by grade level

Using the CLEAR Method™ Without Spending Hours Planning

At this point, you might be thinking:

“This makes sense — but setting all of this up takes time.”

And you’d be right.

To use the CLEAR Method™ consistently, you need:

  • carefully chosen multiple meaning words
  • multiple sentences and contexts for each word
  • visuals and graphic organizers
  • materials that support repetition and generalization

You can create all of that yourself…

…but most school-based SLPs end up:

  • planning at night
  • recreating the same lesson week after week
  • or skipping repetition because of time constraints

“This sounds great, but…”

“I’m not sure if pre-made materials will work for my students”

The Skill Pack includes leveled materials (K-4+) and flexible activities you can adapt. You’re not locked into one approach.

“I’ve tried therapy resources before and they weren’t evidence-based”

Every activity in the CLEAR Method™ Skill Pack is grounded in research (Baumann et al., 2003; Beck, McKeown & Kucan, 2013; Snow, 2010) and aligned to best practices.

“What if I don’t like it?”

Start with a free trial. Use the materials in your actual sessions. If it doesn’t save you time or improve your therapy, you haven’t lost anything.

That’s exactly why we built the Multiple Meaning Words Skill Pack inside SLP Now.

The Skill Pack = The CLEAR Method™ (Already Built for You)

The Multiple Meaning Words Skill Pack is the ready-to-use version of the CLEAR Method™.

Instead of planning from scratch, you can:

  • open a session
  • select a target word
  • use pre-written contexts and visuals
  • and guide students through each CLEAR step with confidence

Everything is designed to work together, so you’re not piecing resources together from multiple places.

👉 Want to try it in your next session?

You can access the Multiple Meaning Words Skill Pack with a free trial to SLP Now.

That means you can:

  • explore the materials
  • use them with your students
  • and see how CLEAR works in real therapy sessions

➡️ Start your free trial to access the Multiple Meaning Words Skill Pack

Final Thought

Multiple meaning words don’t have to feel confusing for you or your students.

With a simple framework and materials that support it, you can:

  • teach vocabulary more effectively
  • support reading comprehension
  • and protect your time and energy

The CLEAR Method™ gives you the structure.
The Skill Pack gives you the speed.

References

Baumann, J. F., Edwards, E. C., Boland, E., Olejnik, S., & Kame’enui, E. J. (2003). Vocabulary tricks: Effects of instruction in morphology and context on fifth-grade students’ ability to derive and infer word meanings. American Educational Research Journal.

Beck, I. L., McKeown, M. G., & Kucan, L. (2013). Bringing Words to Life: Robust Vocabulary Instruction (2nd ed.). Guilford Press.

Biemiller, A., & Boote, C. (2006). An effective method for building meaning vocabulary in primary grades. Journal of Educational Psychology.

Nagy, W., & Anderson, R. (1984). How many words are there in printed school English? Reading Research Quarterly.

Snow, C. (2010). Academic language and the challenge of reading for learning about science. Science.

Zipke, M. (2007). The role of metalinguistic awareness in reading comprehension for students with language impairments. Topics in Language Disorders.

Transcript

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Let's chat about strategies to target multiple meaning words, shall we? Before we dive into the practical strategies you can use in your next session, I want to lay some groundwork. When I started looking into the research almost a decade ago, I was surprised to learn that 50% of English words have multiple meanings.

Many of our students, especially those with language impairments, have difficulty inferring the meanings of those words. And that can really impact vocabulary development in general, but also comprehension, because if we are not able to analyze words and look at context to understand what they mean, then that can really impact our comprehension.

So we will dive into the strategies that we can use from introducing multiple meaning words to working towards generalization. The first thing I want to do is make sure students understand that words can have multiple meanings. We might just start off the discussion and say words can have multiple meanings, like one word can mean different things. The example I always start with is the animal that flies and the wooden stick used to hit a ball in baseball. That would be kind of my initial teaching so that we can wrap our heads around what we're working on.

Then the second step is having students practice identifying the meaning and looking at the context. In my initial teaching, we would've talked about like a bat the animal as well as the baseball bat. And I might give them some sentences. I like to have the pictures and start with really concrete examples and then we can get more complex.

But I first wanna make sure that they're really understanding the concept, so I might give them two sentences, like the bat flew into the cave, and we would look at that sentence and which bat is that talking about? And just having some specific examples and then using images to help.

Because we are building that imagery, that can be a way to get in some errorless learning and help students understand the context. For our third strategy, something we can do while completing that activity is to think out loud and help students build that meta linguistic awareness.

This is easier with concrete examples. we can ask questions like, how did you know which meaning it was, could it mean something else in that sentence, and kind of having some discussion around that.

And they could practice saying I knew it was the animal because bats live in caves, so that could be the example for the sentence we talked about. And if we're doing this as a group activity, this will be a beautiful language, rich activity. Even if not all of the students are working on multiple meaning words, they can be working on syntax, creating sentences, grammar, vocabulary, all of those things, in the context of these activities. So those are our first three strategies. The fourth strategy is to use a graphic organizer. We have lots of graphic organizers built into SLP Now, that help students kinda break down the meaning and give them robust vocabulary practice with these words.

We have blank graphic organizers in our skill pack for multiple meaning words. For our books and articles, we've identified multiple meaning words in the text. For each word, we give three sentences with the target word in it, and then the students find the word, work through the graphic organizer to identify the part of speech, the meaning, and draw a picture to help with imagery. That type of graphic organizer can be really helpful. One of the strategies that has helped my students the most is helping them understand how parts of speech work.

I have a graphic organizer that lists noun, verb, adjective, adverb, and it gives a student friendly definition of what a noun, verb, adjective, and adverb are. It also has some sentence frames that can help them understand what part of speech something is.

A noun is a person placer thing, and the sentence frames are, I have a blank and I see blank. I have a bat. I see a bat. For the example with bat, the animal and the wooden stick, those are both nouns so that strategy wouldn't help us differentiate the meaning.

We can use that to help students generate different definitions for words. They can use that as a strategy to help them understand what the word might mean. If we know it's a noun, that'll help narrow down how we are going to define that word.

And if we know it's a verb and an action. That'll help us narrow down the definition as well. We have a little cheat sheet that students can use. We can have them look at the context of the sentence and then put the word in their own sentence. For example, if we are looking at change, we can say, I have change.

And then that might spark, oh, change. That means like coins of money. And then if the verb is, I am changing, maybe they think, oh, that means putting on new clothes. And so that helps them generate definitions for this word. It helps them practice to think more flexibly because if you ask them what are two meanings for the word change?

They might only think of one and they have a hard time thinking flexibly of what else could change mean? I found that using those sentence frames can be really helpful and throughout the entire process we'll leverage the strategies of using visuals and graphic organizers and pictography or acting things out to help students build that picture in their heads.

Using the cheat sheet for parts of speech can help give them a framework to start thinking more flexibly about what words mean. So those are our strategies for today. If you want to check out the Multiple Meaning Words Skill Pack or any of the activity sheets for picture books, articles, and science experiments, we have lots of activities based on these evidence backed strategies that you can use in your sessions without having to reinvent the wheel.

You can literally just click. Into something as students are walking in the door and be ready to go. I hope these strategies were super helpful and we'll see you in the next one.

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Filed Under: Podcast Tagged With: Language Therapy, Multiple Meaning Words, School-Based SLP, SLP Resources, Speech Therapy Activities, The CLEAR Method, Vocabulary Development

How to Teach Describing: Evidence-Based Strategies SLPs Can Use Tomorrow

November 18, 2025 by Marisha Leave a Comment

Teaching describing skills is foundational for our students’ success in writing, classroom discussions, and overall expressive language. If you’re managing a massive caseload and scrambling for effective ways to target these skills, the research points to two core, game-changing strategies: explicitly teaching attribute categories and using contrastive examples. By combining these evidence-based approaches with visual supports and vocabulary journals, we can give our students a predictable framework to access and share what they know—without working harder than we already are.

Why Teaching Describing Matters

We know the drill: progress reports are looming, mixed groups are chaotic, and we need strategies we can use tomorrow. Students who struggle with describing often lack the underlying vocabulary or the organizational structure to share their thoughts. When we explicitly teach them how to organize their ideas and select meaningful attributes, we give them a reliable structure to describe any object or concept. It’s all about working smarter, not harder.

Evidence-Backed Strategies for Describing

Strategy #1: Explicitly Teach Attribute Categories

Research shows that teaching students to use consistent attribute categories—such as category, function, parts, size, shape, color, and location—helps them build highly organized semantic networks. Once students internalize these categories, they have a mental filing system for any new vocabulary word.

How to Use This Strategy in Therapy:

  • Introduce each attribute category explicitly.
  • Model with real objects or storybook vocabulary.
  • Use visual anchors to support comprehension.
  • Provide multiple, varied practice opportunities across sessions.

SLP Now Tool to Support This Strategy: The Describing Helper provides visual supports for categories, colors, shapes, functions, locations, and more, giving students the exact scaffolding they need. Sign up for a free trial to download the Describing Helper for free today!

Strategy #2: Teach Through Contrastive Examples

Contrastive learning occurs when we pair examples with non-examples. When students compare items that differ in one or more attributes, it strengthens their understanding of what the concept actually is—and what it isn’t.

For example, if we are focusing on apples:
Is an apple a fruit? Yes.
Is a bee a fruit? No.

These simple comparisons promote deeper semantic processing and increase student accuracy in categorization.

How to Use This Strategy in Therapy:

  • Present pairs or small sets of contrasting items.
  • Ask yes/no questions about category membership.
  • Highlight the similarities and differences across attributes.
  • Embed this practice across your therapy units or storybook reading.

SLP Now Tool to Support This Strategy: Our Vocabulary Pages for Categories and Object Functions include exemplars, non-exemplars, and blank sections to add new examples over time. Sign up for a free trial to download the vocabulary pages for free today!

Tools to Implement These Evidence-Backed Strategies

Use Visuals to Scaffold Describing Skills

Many of our students need visual anchors when learning new vocabulary. Tools like the Expanding Expression Tool (EET) offer a fantastic tactile and visual way to teach attributes. Similarly, The Describing Helper inside SLP Now was designed to provide students with specific visual options for colors, shapes, and locations, making it easier for them to access the exact language they need.

Build Vocabulary With Journals for Long-Term Retention

Vocabulary journals deepen semantic knowledge over time, especially when tied to literacy-based therapy. Each Vocabulary Page includes:

  • A student-friendly definition.
  • Pictures of exemplars and non-exemplars.
  • Blank space to add new examples from books or real-life contexts.

As students revisit these same categories across different books, their semantic networks become incredibly rich and flexible.

Support Generalization With Sentence Frames

Once your students can successfully identify attributes, the next step is helping them communicate those descriptions in full, meaningful sentences. Sentence frames encourage generalization and align beautifully with classroom expectations.

Examples include:

  • “It is a type of…” (category)
  • “We find it…” (location)
  • “It is used for…” (function)

If you’re ready to implement these strategies and take the overwhelm out of your planning, Click here to access the Describing Skill Pack (for FREE)!

Explicit teaching, contrastive examples, vocabulary journals, and visual supports all work beautifully together to help students build describing skills that carry over into storytelling, academic tasks, and real-life communication. If you want to download The Describing Helper and access thousands of evidence-backed therapy materials to make your SLP life easier, sign up for the free trial!

References

Ebbels, S. (2014). Effectiveness of intervention for grammar in school-aged children with primary language impairments: A review of the evidence. Child Language Teaching and Therapy.

Nagy, W., & Townsend, D. (2012). Words as tools: Learning academic vocabulary as language acquisition. Reading Research Quarterly.

Ukrainetz, T. (2015). Contextualized Language Intervention: Scaffolding PreK–12 Students to Promote Academic Success.

Transcript

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Hey there and welcome back to the podcast. Today we are diving into strategies related to describing. And this is an area that I think we all do pretty well with. We have a strong foundation on how to target describing, but I'm excited to share a couple strategies and then dive into some tools that we can use to make it easier to implement those strategies.

So there's two core strategies that emerge in the research. One is explicitly teaching attribute categories, like size, shape, function, location, parts, category, all of those things. Teaching those categories give students a clear framework and helps them organize their ideas.

And then we also want to make sure that we're systematically teaching those and helping students build that framework. The second strategy is teaching through contrastive examples. When we show pairs of examples that differ in one or more attributes, like an apple and a pear.

They're both fruits, sweet, and have stemsbut have different colors, shapes, and tastesContrasting can be really helpful. In practice, one tool that we all know about is the Expanding Expression Tool.

It is a visual and tactile way to teach those attribute categories. You can make a little song about the attributes and it's a tactile thing. If they're looking at the apple, they can be like, okay, green group, and do that.

Definitely look at the resources from Expanding Expression Tool. They have a bunch of amazing resources and handbooks so I'm not teaching how to use that. I wanted to give a nod to that tool because it can be very helpful. Some other tools that we can use. I personally use the Expanding Expression Tool.It's really helpful to teach them like, what group is it in?

But sometimes they don't have that vocabulary of like, oh, these are all the groups that I can think of. And these are all of the colors and shapes. Sometimes we need a little bit more visual support. So I created, it's called a Describing Helper.

and it has a page for the different attributes that we might use when describing. So it has pages for the different attribute categories, and then it has pictures of a bunch of examples. On the colors page it shows different colors. On the shape page, it shows different shapes.

And then we have a bunch of locations and categories and all of that. I find that if we are doing a describing activity, it's really helpful to have those visual choices. even as a scaffolding tool, if we ask a student what category it's in, we can pull up the Describing Helper and be like, is it a fruit or a toy?

And have that be a way to scaffold. This can give us some practice with a contrastive examples If we're looking at the apple, we can say, is the apple a person? No. An apple is not a person. And so that gives us that contrast. Is an apple a place? No. That helps give us practice opportunities, with one simple visual. Another thing that's really helpful, 'cause sometimes teaching the attribute categories is really helpful, like size, shape, color, all of that. Sometimes our students are missing the vocabulary for those. I have a bunch of activities in my library to help teach categories, object functions, and basic concepts

Sometimes we need to break it down and maybe describing is a good longer term goal, but we really need to focus on building vocabulary in the subcategories, and the Describing Helper helps with that. we can also do it more systematically. For categories and object functions, I like to build vocabulary journals for students.

So we have vocabulary journal pages attached to all of the therapy plans in SLP Now, So let's say we're using Apple Trouble, 'cause I'm fixating on apples today. But if we're reading Apple Trouble, we can go to the Targets section in the Therapy Plan for Apple Trouble.

We'll go to the targets tab and see all of the categories and object functions identified in the story. You can click on that and download the vocabulary page. It's just a one pager and it has the title, so it would be like fruit.

First we come up with a definition of what a fruit is .It would have like 10 pictures of exemplars and non exemplars and we can go through. Is a bee a fruit?

A bee is not a fruit. We cross that one out. And then is a grape of fruit. Oh yeah, grape is a fruit and we can circle that. We get lots of repetition and lots of practice. The first section is a quick definition of what a category or what the fruit is. Then we have little pictures to go through what's an exemplar and a non exemplar.

And then the third section on the page is blank. And then we get to add exemplars from the books and the activities that we're doing. So as we're going through Apple Trouble, we can add the apple and the pear. I don't remember if there's any other fruits in that story. But then let's say the next month we read the book about the Hungry Bear and the Strawberry.

We can add a strawberry to the page and then let's say during lunch, they're eating like they have different fruits, then we can add that to their page.We can continue to build on that journal.

And so they'll always have that quick definition, the reminders of the exemplars and non exemplars, and then they get to continue adding their own. And as we're doing the virtual field trip, we continue to add examples and it'll build over units and units. And that just helps them build that vocabulary organize that information and get some really meaningful practice. So we talked about, in terms of the tools that we've covered so far, the Expanding Expression Tool. I'll include a link in the show notes, but if you Google it, you'll find all the resources around that.

In SLP Now we have a Describing Helper, which includes visual choices for different attribute categories. That just came from a need of my students. They knew they needed to give me a group but they needed some foundational support, so having that is a good starting point.

We also want to provide explicit instruction on the attributes within each attribute category. Because sometimes they don't have that vocabulary of like the colors and the shapes and the categories and the functions and all of that. And so we wanna make sure that we're doing some explicit practice there.

And then another thing that has been really helpful. This is in the Describing Helper as well. The first page has sentence frames that we can use to help students. They can give us a list of attributes, but we want them

to create sentences to describe something. That's what they're gonna have to do in the classroom when they're writing and having discussions. There are sentence frames for each of the attribute categories, to help them do that describing activity.

So that's what that looks like. An example for location, the sentence frame would be we find it and it could be like inside, at the store, whatever it might be. Those are the tools that I use to help me in my describing intervention and link to a quick review of some of the research, that helped me decide how I want to do that. So yeah, there's lots of tools that we can use to help us, whether it is EET, the Describing Helper, the categories and object functions vocabulary pages. These are evidence-based activities for basic concepts as well. We have those to help fill in that vocabulary.

Andit's based on the units that we have for those also embed the contrastive examples So if students are struggling with those, like the location words, the sizes, and all of that, the basic concepts, units can really help too. The last thing we talked about was sentence frames in helping students with generalization, so that they're not just listing, we're embedding it into real sentences. That's a quick recap of my strategies and the tools that we use. If you're interested in accessing the tools in SLP Now, I'll include a link in the show notes so you can check out all of the things. Thanks for joining me.

I hope this was helpful, and we'll see you in the next one.

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Filed Under: Podcast Tagged With: Evidence-Based Practice, Literacy-Based Therapy, SLP Resources, Speech Therapy Activities, Speech-Language Pathology, Teaching Describing, Vocabulary Intervention

Basic Concepts in Speech Therapy: 5 Research Backed Tips

November 10, 2025 by Marisha Leave a Comment

Why Basic Concepts Matter

These foundational concepts help students follow directions, understand stories, and access academic content—especially in math and reading.

In this post, I’m sharing five evidence-based strategies for targeting basic concepts that actually stick. We’ll walk through research, practical examples, and how to bring it all together using one of my favorite books, Zoe Gets Ready.

1. Keep Instruction Clear and Focused

When targeting basic concepts, clarity is everything.

Work on one concept at a time and make sure a student masters it before adding more. This helps reduce confusion and cognitive overload—especially for students with language delays.

💡 In Practice
If you’re working on under, stick with that target until the student can identify and use it consistently. Once mastered, move to the next concept.

📘 What the Research Says
Seifert & Schwartz (1991) found that preschoolers learned basic concepts best when clinicians used direct instruction combined with interactive and incidental teaching. This blend supports generalization and retention while keeping instruction focused.

Seifert, K. L., & Schwartz, S. E. (1991). An instructional approach to teaching basic concepts. Early Childhood Research Quarterly, 6(2), 143–158.

2. Embed Concepts in Meaningful Contexts

Once a student can identify a concept during structured tasks, bring it to life!

Embedding learning in context helps students apply and retain new concepts more effectively than drill alone.

💡 In Practice
→ During storybook reading: “She put the hat on her head.”
→ In play: “Put the shoes on the doll.”
→ During routines: “Put your folder in your backpack.”

📘 What the Research Says
Bracken (1982) emphasized that teaching basic concepts in natural, meaningful settings, like play and routines, improves both comprehension and generalization. Contextualized learning builds stronger conceptual frameworks than decontextualized drills.

Bracken, B. A. (1982). The importance of basic concepts for preschool children: An assessment of conceptual development. Journal of Psychoeducational Assessment, 1(1), 3–20.

3. Use Multiple Exemplars—Strategically

Using varied examples helps students generalize new concepts, but timing matters.

Start small to establish understanding, then increase variety gradually.

💡 In Practice
Begin with a few consistent items (e.g., “Put the apple on the plate,” “Put the cup on the table”).
Once students grasp the concept, vary the context, setting, and materials.

📘 What the Research Says
Nicholas et al. (2019) suggest that limiting variability early in instruction can improve conceptual learning for children with language delays. Gradual expansion of exemplars ensures solid understanding before introducing new forms.

Nicholas, E., Light, J., & Romski, M. (2019). Teaching basic concepts to young children with developmental delays: Effects of variability in exemplars. Journal of Speech, Language, and Hearing Research, 62(4), 1120–1133.

4. Pair Words with Gestures or Visuals

Pairing verbal labels with visuals or gestures helps anchor abstract ideas.
Gestures act as visual cues, supporting comprehension and memory.

💡 In Practice
→ On: one hand placed on top of the other
→ Under: one hand slides beneath a fist
→ Big: hands spread apart
→ Little: fingers pinched close together

📘 What the Research Says
Vogt & Kauschke (2017) found that iconic gestures (i.e., gestures that visually represent meaning) enhance children’s learning of new words and concepts. Using consistent gestures alongside verbal cues leads to stronger recall and faster understanding.

Vogt, S., & Kauschke, C. (2017). Observing iconic gestures enhances word learning in typically developing children and children with language impairment. Journal of Child Language, 44(6), 1458–1476.

5. Collaborate Whenever You Can

When SLPs work with classroom teachers, PE teachers, or paraprofessionals, students see and hear consistent models across environments, which boosts carryover.

💡 In Practice
→ In PE: Practice over, under, and through during obstacle courses.
→ In art: Discuss on top of or next to while creating collages.
→ In class: Coordinate with teachers to reinforce concepts in daily routines.

📘 What the Research Says
Lund et al. (2019) found that preschoolers learned more concepts when SLPs collaborated with PE teachers. The combination of movement, meaningful context, and language repetition supported stronger outcomes.

Lund, E., Douglas, S. N., & McNaughton, D. (2019). Collaboration between speech-language pathologists and physical educators: Effects on preschoolers’ concept learning. Language, Speech, and Hearing Services in Schools, 50(2), 214–228.

Bringing It All Together with Zoe Gets Ready

Now, let’s put it into practice using one of my favorite books, Zoe Gets Ready by Bethanie Murguia.

This story is perfect for targeting spatial and descriptive concepts (on, under, next to, big, small).

Here’s a quick literacy-based therapy flow:
– Direct Teaching: Use a structured activity for your target concept (e.g., “on”).
– Vocabulary Pracitce: Use dress-up play—“Put the tiara on the doll.”
– Model During Reading: Emphasize the target as you narrate the story.
– Comprehension Check: Ask, “Where are her shoes?” → On her feet.
– Parallel Story: Act out Zoe’s routine and have students use gestures as they retell.

This mix of explicit teaching + contextualized play supports both understanding and generalization.

Key Takeaways

→ Teach one concept at a time for clarity.
→ Embed practice in meaningful contexts.
→ Use multiple exemplars strategically.
→ Pair gestures and visuals with verbal models.
→ Collaborate across environments for consistency.

Each of these steps is grounded in research—and when combined, they make concept learning more natural, effective, and fun.

Ready to Save Time and Teach Smarter?

If you’d like ready-to-go materials for these strategies, check out the Basic Concepts Skill Pack and Literacy-Based Therapy Plans inside the SLP Now® Membership.

You’ll get structured lessons, play-based extensions, and built-in visuals—so you can spend less time planning and more time connecting with your students.

👉 Start your free trial today

References

Bracken, B. A. (1982). The importance of basic concepts for preschool children: An assessment of conceptual development. Journal of Psychoeducational Assessment, 1(1), 3–20.

Lund, E., Douglas, S. N., & McNaughton, D. (2019). Collaboration between speech-language pathologists and physical educators: Effects on preschoolers’ concept learning. Language, Speech, and Hearing Services in Schools, 50(2), 214–228.

Nicholas, E., Light, J., & Romski, M. (2019). Teaching basic concepts to young children with developmental delays: Effects of variability in exemplars. Journal of Speech, Language, and Hearing Research, 62(4), 1120–1133.

Seifert, K. L., & Schwartz, S. E. (1991). An instructional approach to teaching basic concepts. Early Childhood Research Quarterly, 6(2), 143–158.

Vogt, S., & Kauschke, C. (2017). Observing iconic gestures enhances word learning in typically developing children and children with language impairment. Journal of Child Language, 44(6), 1458–1476.*

Transcript

Transcript
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Hey there. Today we are chatting about strategies that we can use when targeting basic concepts. So these small but meaningful words like ""on under before"" are the foundation for understanding classroom directions, understanding stories. They're embedded in the curriculum, especially when it comes to math.

We are going to be reviewing some practical evidence-backed strategies that we can useand then we're going to tie it all together with a book, Zoe Gets Ready. So we'll talk about how we can embed this into our literacy based therapy units. First up we have a few strategies that we can use when breaking down concepts for students.

I'll share all the citations in the show notes, but one strategy involves keeping it clear in focus and working on one concept at a time,making sure that a student masters a concept before we add in more concepts. And this helps reduce confusion, especially for, students with language delays.

If we have vocabulary goals, it might make sense, to keep our instruction more focused for these students. There's a study by Seifert and Schwartz, 1991,and they inspired how I set up all of our basic concepts units in SLP Now. They talk about combining direct instruction, with interactive and incidental teaching.

And they did this with preschoolers and found that this direct instruction plus embedded practice, resulted in meaningful gains in preschoolers' understanding of basic concepts. We get really good results when we do that explicit teaching and then give students the opportunity to practice and see these concepts in action in meaningful contexts, like when reading a story or during play or during their routines.

and like I said, I'll share that research study in the show notes. It's a great practical read. All of the basic concepts unitsin SLP Now help implement the evidence back strategies for that direct instruction, and then when it comes to embedding concepts in meaningful context, we don't want to just drill. As we're reading stories, we can emphasize the concepts in the reading and through all of our literacy based therapy activities like our virtual field trip, for example.

And then if we're doing play-based activities, our early language books include tons of play-based activities, and we can practice our concepts and model and recast them during our play and routines as well. There's a lot of ways that we can embed those.

Then strategy three is interesting and nuanced depending on our student, but, we want to use multiple exemplars, but we want to be strategic with how we're doing that. We want to expose students to the concept. Let's say our focus for our next therapy session is on the basic concept.

We want to expose students to that concept in different contexts. whether it's play-based or during their daily routines. and with different items. So put the apple on the table, put the toy on the floor.However, Nicholas et al 2019, suggests limiting the variety of objects early on. And so this kind of goes along with that, starting with direct instruction. So maybe this is a way to kind of reconcile that research. So when we are doing our direct instruction, we wanna just have a few exemplars. Start really simple and then expand as students start to understand the concept, keeping it consistent at first. And the activities in SLP Now help you do that, so that's great. And then the fourth strategy is to pair verbal labels with iconic gestures or visuals. We can use gestures that look like what they mean. For the example with on, we can hold up our fist and put the other hand on the fist. That could be our iconic gesture for on, or put our hand under our fist for under.

Or like spreading our hands apart for big, or just sitting with a little pinch for little. We can use those gestures or icon cards to represent the concept. There is the Vogt & Kauschke, sorry if I butcher any of these names from 2017, is the study that talks about iconic gestures supporting concept learning.

We can use those gestures or other visuals to help support students. Keeping that gesture or icon consistent can help with understanding.

And our fifth strategy is to collaborate when you can.

A study by Lund et al in 2019 found that students learn more concepts when an SLP collaborated with the PE teacher. Pairing concept teaching with those movement activities might be part of what was happening. But it's also practicing those concepts in a meaningful activity.

So again, bringing us back to strategy number two, but that's another really good one. So those are our five strategies and now we'll take a quick minute to chat about what this could look like. The book that I picked to demonstrate how we can target basic concepts using literacy based therapy is Zoe Gets Ready.

And so let's say we're focusing on on, so we'll use that iconic gesture throughout. If the on is a totally new concept, we might want to start with that structured teaching activity. If you are a member of SLP Now, you can go to the therapy plans tab and type in Zoe Gets Ready ,and then go to the Targets tab and you'll see all of the basic concepts there. If you click on on, it'll launch the structured teaching activity for on, and this will give the student different exemplars, and it'll use the evidence backed strategies that were pulled from the Seifert and Schwartz article,and help you do that direct instruction.

So before we dive into the thematic unit, we can do that structured practice. Once we've gotten exposure to that target, we might wanna revisit that activity multiple times, depending on how helpful it is for the student. Once we do that, we can dive into the actual contextualized activities.

So what those can look like throughout the unit is pre-story knowledge activation. We might do a virtual field trip, like a YouTube video of different outfits.

And so that can be something that we can do for the virtual field trip, or we can look through the pictures of the book and talk about what we know about clothing and dress up. Throughout those activities, we can model and recast, examples like she's putting on the tiara and she's putting on the boots.

And then we can use our iconic gestures or our visual icon to emphasize that. We can do activities too. If you have a doll set with different clothing items, that can be a way to introduce the vocabulary that's going to be in the story.

We could also use that for phase four of the unit. For step two, when we're actually reading the book, we can model the concepts naturally and maybe just put a slight emphasis on them and talk about the things that are happening, like using, emphasizing the on as it's happening on the story pages.

Then for story comprehension, we can ask questions that embed that concept as well. So like, where are her shoes? And they can say on her feet if we're at that level, if that's appropriate. We can use visual supports and all of that as we're giving that exposure. Then for step four, this is where we can revisit the unit. We can do some more of those play-based activities. In the early language unit, we have tons of play-based activity suggestions, like the dress up activity Check out the unit for even more ideas. And then for step five, this is typically the parallel story, so we can act out the story as a comprehension type of activity. This is a great meaningful context to target whatever basic concepts we're focusing on throughout the unit. They can create their own version of the story, and act it out and then we can emphasize those concepts and yeah, that's super fun.

Our takeaways here. Teach one concept at a time. Embed those concepts in meaningful context, after direct instruction. Use multiple exemplars. Starting with just one exemplar in the beginning might work better for some of our students. Using iconic gestures or visuals. And then collaborate when we can, embedding these concepts in the classroom, in PE, during snack time, all of that. So that is a recap of our strategies for basic concepts. I'd love to hear how you are using these and check out the show notes for the research articles and all of that good stuff.

If you are not a member of SLP Now yet, you can sign up for a free trial to check out the therapy plan and all of the activities I mentioned. The link will be in the show notes, but just head to slpnow.com/trial. You can sign up for free, no strings attached.

And you can access the therapy plans, like I said, all of those basic concepts, activities, we'll hope to see you soon and we'll see you in the next episode too.

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Filed Under: Podcast Tagged With: Basic Concepts, Evidence-Based Practice, Language Delays, Literacy-Based Therapy, SLP Resources, Speech Therapy Strategies

5 Evidence-Based Strategies to Boost MLU (That You Can Use Tomorrow!)

November 4, 2025 by Marisha Leave a Comment

Why MLU Goals Matter

Mean Length of Utterance (MLU) is one of the most reliable and widely used measures for tracking expressive language development (Brown, 1973; Miller & Chapman, 1981). It helps SLPs identify where a student is, monitor progress, and plan therapy that supports steady, functional growth.

In this post (and the SLP Now Podcast episode), we’ll walk through five evidence-based strategies for boosting MLU in a way that’s fun, functional, and easy to monitor—plus an example from a Little Blue Truck therapy plan.

1️⃣ Identify Targets Using a Language Sample

Before starting intervention, collect a language sample to get an authentic picture of your student’s communication.

Language sampling provides:
– An accurate baseline for MLU (Brown, 1973; Miller & Chapman, 1981)
– Insight into which structures and parts of speech are missing
– Data for ongoing progress monitoring

Many SLPs find language sampling intimidating, but it doesn’t have to be!

💡 Try This: Use the Language Sample Freebie to automatically calculate MLU and extract metrics for reports. The spreadsheet even helps you organize utterances and visualize growth over time.

2️⃣ Embed Targets in Play, Books, Songs, and Routines

Once you know your student’s targets, embed them in natural contexts, like play, shared book reading, songs, and daily routines. Research consistently supports that language learning is strongest when embedded in meaningful, interactive experiences (Fey, 1986; Justice & Ezell, 2002).

Why it works:
– Encourages spontaneous use of new language
– Supports generalization across settings
– Keeps therapy fun and functional

Try this:
– Reenact story scenes (“Truck stuck!” “Push truck!”)
– Sing songs like The Wheels on the Bus
– Incorporate targets into daily routines (“Open door”)

✨ Explore SLP Now’s Play-Based Units for ready-made activities designed to build MLU through storybooks and play.

3️⃣ Model Just Above the Child’s Level

Modeling slightly longer utterances (about one morpheme above a child’s current level) is the core of MLU intervention.

This approach, supported by decades of research, helps children expand expressive language naturally (Brown, 1973; Fey, 1986; Camarata, Nelson, & Camarata, 1994).

Here are some potential strategies:

Expansions: Add grammatical elements while maintaining the child’s meaning.
Child: “Dog jump.” → SLP: “The dog is jumping!”

Extensions: Add related, new information.
Child: “The dog is jumping.” → SLP: “The brown dog is jumping!”

Recasts: Reformulate the child’s utterance using correct syntax.
Child: “Him run.” → SLP: “He is running!”

Focused Stimulation: Model the target without requiring imitation.

📏 The Rule of Thumb: Model just one step above what the student currently produces.

4️⃣ Use Sentence Frames and Visual Supports

For students who benefit from more structure, sentence frames and visuals can make language more accessible and concrete.

The SLP Now Sentence Pack includes:
– Movable icons for core parts of speech
– Sentence strips organized by MLU level
– Visual scaffolds for building utterances

Example:

Child: “Truck.”
SLP: (adds icon) “Truck stuck!”
Next: “Truck stuck in mud.”

Visual modeling helps students connect words with meaning, supports working memory, and facilitates sentence expansion—especially for early language learners or students with ASD (Kaiser & Roberts, 2013).

5️⃣ Use Contingent Responses and Time Delay

Last but not least: pause and wait.

Time delay and contingent responding encourage children to initiate and elaborate on their own utterances (Kaiser & Roberts, 2013).

How to implement:
– Utilize expectant pauses in play.
– Give processing time before asking another question.
– Use contingent comments (“You see the truck!”) to maintain interaction.

This small shift gives students processing space and often leads to longer, more complex utterances.

🛻 Therapy Plan in Action: Little Blue Truck

Here’s how all five strategies can fit into a single literacy-based therapy plan using Little Blue Truck (Schertle, 2008):

Before diving into the unit, we want to make sure we know where the student is at. Review the student’s language sample to determine what the “+1 Approach” might look like.

We can use expansions, extensions, recasts, and/or focused stimulation throughout all of the unit activities.

If a student needs additional support, we can use the Sentence Pack visuals and sentence frames to scaffold responses.

And we don’t wait to forget about wait time!

Here are a few quick examples of what the unit might include:
– Pre-Story Knowledge Activation: Take a virtual farm field trip.
– Shared Reading: Read the story.
– Comprehension: Ask WH-questions.
– Focused Skill Practice: Reenact the story using toys. (This is a fun context to target MLU, but also support early narrative skills!)
– Parallel Story: Help students create their own version of the story.

This aligns beautifully with Dr. Ukrainetz’s (2015) Literacy-Based Therapy Framework, which emphasizes meaningful language practice across reading, listening, and play.

✨ Final Takeaways

To help students grow their MLU naturally and confidently:
1️⃣ Start with a language sample to identify a baseline.
2️⃣ Embed targets in meaningful, play-based contexts.
3️⃣ Model one level above using expansions, extensions, and recasts.
4️⃣ Support with visuals and sentence frames.
5️⃣ Pause, wait, and respond contingently.

Each strategy builds on the next, supporting both language growth and engagement.

🔗 Resources Mentioned

Language Sample Freebie

Sentence Pack

🧠 References

Brown, R. (1973). A First Language: The Early Stages. Harvard University Press.

Camarata, S. M., Nelson, K. E., & Camarata, M. N. (1994). Comparison of conversational‐recasting and imitative procedures for training grammatical structures in children with specific language impairment. Journal of Speech and Hearing Research, 37(6), 1414–1423.

Fey, M. E. (1986). Language intervention with young children. Allyn & Bacon.

Justice, L. M., & Ezell, H. K. (2002). Use of storybook reading to increase print awareness in at-risk children. American Journal of Speech-Language Pathology, 11(1), 17–29.

Kaiser, A. P., & Roberts, M. Y. (2013). Parent-implemented enhanced milieu teaching with preschool children with intellectual disabilities. Journal of Speech, Language, and Hearing Research, 56(1), 295–309.

Miller, J. F., & Chapman, R. S. (1981). The relation between age and mean length of utterance in morphemes. Journal of Speech and Hearing Research, 24(2), 154–161.

Schertle, A. (2008). Little Blue Truck. Houghton Mifflin Harcourt.

Ukrainetz, T. A. (2015). School-age language intervention: Evidence-based practices. Pro-Ed.

Transcript

Transcript
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Today we're going to chat about five evidence based strategies that we can use to boost students' mean length of utterance or MLU, in a way that's fun, functional, and easy to keep track of. I'm really excited that we'll be sharing some strategies that you can use in your very next session.

And then we will tie it all together, and show you what it would actually look like in context when you're applying these strategies. Our first strategy is to identify the baseline, using a language sample. Language samples can be a really helpful way to calculate the student's current MLU, and also see what types of utterances they're using and tracking that progress over time.

Regular language sampling helps us ensure that we're modeling at the right level. I love language samples, but a lot of times when I mention them to SLPs, I get a little bit of an eye roll, because they feel really time consuming and difficult.

I put together a, spreadsheet, maybe a decade old at this point, but it still works really well. it helps you calculate. So you just use it to type in your transcript, and then you separate it out by utterances, and then it automatically calculates the MLU and it helps you grab some other metrics so you can write a really fancy report based on the data or include it in your evaluation area or progress monitoring. It makes it really easy to grab the data that we need,for easy progress monitoring. I'll add the link to the language sample sheet that I made in the show notes. It includes a video and walks you through how to set it up.

That is a really helpful starting point, because we'll use this data as we go through. Our second strategy is to make sure that we're embedding targets in meaningful contexts, like, play, books, songs, routines.

And I'll share some specific strategies, of what we actually do in those functional contexts, but if we are embedding our strategies in those types of activities, we are thinking about generalization from the start and setting our students up for success and making sure that the targets are very meaningful.So that brings us to strategy number three. Different research articles will share different strategies, but there's a lot of overlap between the strategies and, I just wanna share the names of the strategies and what they are, and you'll see that there's some overlap.

I'll wrap up with a general takeaway of what we can do with these strategies. Expansions are where we add grammar while keeping the child's meaning. If the child says, "dog jump," you can say "the dog jumped," or "the dog is jumping."

An extension is adding new information. If the child says "the dog is jumping," we can say "the brown dog is jumping."We can do an extension where we add new information, but that's still related.

And then focused stimulation is when we're providing models and recasts without requiring imitation. It's just strategically using, those strategies. a recast is when we restate the child's utterance, but maybe do a correction, which is really similar to an expansion.

There's also research talking about modeling one level above the child's MLU, which expansions and extensions kind of naturally do. If the student says "dog run," and then if we suddenly go, "the excited dog is running quickly."

We're expanding and adding the grammar and we're adding multiple new pieces of information. It's helpful to think about just going one level above the child's MLU and not having a whole, massive expansion.

So if the child says "truck stuck," we can say, "yeah, the truck is stuck." Or we can say "stuck in the mud." We get to use our clinical judgment to decide if that is appropriate because if they just say "truck stuck," but their MLU is five, then I think "The blue truck stuck in the mud" might be okay.

That's why we collect that MLU to know what might be appropriate for the student.

Strategy four is to use sentence frames. In SLP Now, we have a Sentence Pack. It's a booklet based on the modified Fitzgerald key. It has nouns verbs prepositions and all the components we use to build a sentence.

And it also includes sentence strips based on Brown's research of all the different utterance types. So you have tons of utterances that you can go with . We also have sentence frames with just like for one MLU, and two, and three, and four, and five. And so you can build sentences with any of the components.

If I notice that the student is only using nouns, or if there's a part of speech that's completely missing, I might strategically try to include that more and expand the utterances in that way. That's, a visual that I really like to use. We grab the icons to create sentences. It's really nice because the pieces are movable, It's a tactile experience too, and the students can build it and then you can point to it as you're modeling.

If the student just says truck, truck, truck, and we're trying to expand from one MLU to two MLU. We have like an icon for truck, and then we have one for stuck, and then we would just build the sentence using those icons. Once the truck is out, we can say truck out or truck in if it's in the mud.

Having those icons is really helpful. Verbal strategies help the majority of my students, but there are those who need something extra.

And including those visuals is something that has worked for a lot of the students. So that's how the Sentence Pack came to be. I also use it for different grammar goals. If they are dropping the auxiliary verbs or if they're having trouble understanding that pronouns replace a noun.

So there's lots of ways that I use that, but it's especially helpful for those MLU goals and for those students who need those extra visuals. And then the fifth strategy, which is just too provide contingent responses and time delay. So we really just wanna give our students space to respond and give them some processing time.

And we don't have to fill every second. It's okay if we have some silence in the session. If a student starts to say something, if they say truck, we can just pause a second and see if they say anything else first.

Or if we turn the page and give them some time to look before we really jump in and start talking at them. So that is just a reminder for myself because I sometimes go a little too fast. In terms of what this would look like actually applied. Let's say we're using the therapy plan an SLP Now for a Little Blue Truck, which is a super sweet story about a truck who gets stuck in the mud.

We like to use literacy based therapy units based on Dr. Ukrainetz's research. The first step is pre-story knowledge activation. We might do a virtual field trip of a farm, and we're gonna be doing a lot of talking during that activity. And we can target the MLU goals during that conversation.

As we're reading, we can model expansions and recasts. The third step is comprehension. We can ask simple WH questions and use those sentence starters in the sentence frames to support the student. And then, the fourth step is focused skill practice.

We often have mixed groups, so we're targeting multiple goals with students. We might have some play-based activities related to little Blue Track. We might be reenacting the story or whatnot. This is a early language unit, so it has play-based activity suggestions and all of that.

So that's how that would work. That's just a peek at how we might incorporate this in a literacy based therapy unit.

And then, a quick recap. We wanna start with a language sample. So we know the students' baseline and we can easily see like, oh, they're only using nouns.

Seeing it on paper helps us come up with a good plan.We want to make sure that we're embedding our practice in meaningful context, whether it's play stories, routines. And we want to model just above the child's level and use those verbal strategies. once I set up parents and teachers with that strategy of modeling one level above and then how to do that, it skyrockets from there. If our students need more support using the Sentence Pack and those sentence frames can be really helpful.

And then also just giving them time to respond using some of that wait time. So those are our strategies that will hopefully help you see meaningful growth in your students when it comes to communicating and building beautiful sentences. Head to the show notes to check out the Sentence Pack and the Therapy Plans. If you're new to SLP now, you can do it for free. if you're a member, type in Sentence Pack to find that download or go to the Therapy Plans to check out Little Blue Truck. I hope this was helpful and we'll see you real soon.

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Filed Under: Podcast Tagged With: Early Language Development, expressive language, Language Sample, Literacy-Based Therapy, Mean Length of Utterance, MLU, Speech Therapy Strategies

Making Syntax Simple: Strategies for Passive Voice and Clauses

October 27, 2025 by Marisha Leave a Comment

Why Syntax Matters (Even for Kindergarteners)

Syntax isn’t just for older students! Research shows that even five-year-olds produce subordinate and coordinate clauses.

A 2024 study by Owens, Pavelko, and Hahs-Vaughn analyzed conversational samples from 196 children ages 5 to 10 years, 11 months.

Five-year-olds used an average of 1.25 subordinate clauses and 2.05 coordinate clauses, and that number increased steadily with age.

If your students are only producing simple sentences, they may need support with syntax. Limited syntax can affect comprehension, writing, and overall language performance.

Owens (2016) found that about half of five-year-olds understand reversible passive sentences (e.g., “The dog was chased by the cat”), and by age 8, 90% can comprehend them.

This means that targeting syntax — even with kindergarteners — helps build comprehension and expressive language skills that impact reading and writing success.
👉 Prefer to listen? Check out the full podcast episode above for a quick blitz through all five strategies.

Step 1: Start With a Thorough Syntax Assessment

Syntax varies across contexts, so assessment should too. Guo & Schneider (2016) demonstrated that tense and grammaticality measures from narrative tasks can help differentiate students with and without language impairments. Nippold et al. (2005) also found that children use more complex syntax in expository tasks than in conversation.

Here’s how to assess syntax comprehensively:

– Collect multiple language samples (e.g., conversational, narrative, persuasive, and expository).
– Observe in the classroom to capture naturalistic syntax use.
– Review writing samples to see syntax in an academic context.
– Include structured assessments targeting comprehension and production.
– Gather teacher and parent input to identify functional impacts.

💡 SLP Now Tip: Use our Language Sample Analysis Tools to streamline your syntax assessments.

Step 2: Make Syntax Explicit, Then Contextualize It

Explicit teaching sets the stage for understanding.

According to Zipoli (2017), lessons should begin with a clear explanation of the sentence structure and its purpose, followed by modeling and guided practice.

Best practices for explicit syntax instruction:
– Use clear, concise, and consistent explanations.
– Provide multiple examples with visual and auditory cues (color coding, sentence frames, etc.).
– Gradually fade supports as students gain independence.

Once students understand the structure, transition to contextualized practice. As Ukrainetz (2015) emphasizes, students learn syntax best when it’s embedded in meaningful activities like narratives, classroom discussions, or writing tasks.

💡 Try This: Incorporate syntax instruction into your literacy-based therapy sessions using storybooks or nonfiction passages that naturally include target structures. SLP Now has skill packs and therapy plans to make this super easy to implement!

Step 3: Evidence-Based Syntax Intervention Strategies

Let’s look at a few proven techniques you can implement right away.

1. Focused Stimulation

Provide frequent models and recasts in natural conversation.

Student: “The boy ran.”
SLP: “Yes! The boy ran after the dog that escaped.”

This implicit modeling approach exposes students to variability, which strengthens learning (Plante et al., 2014).

2. Directed Questioning

Use scaffolded questions to build comprehension of complex structures, like the passive voice:

Sentence: “Diego was found by Rebecca.”
Ask: “Who was found?” “Who did the finding?”

Pair this with pictorial supports to make abstract syntax more concrete.

3. Visual Supports and Picture Sequencing

Visuals clarify sentence meaning. In SLP Now, you’ll find syntax visuals, icon cards, and structured activities for passive voice, relative clauses, and adverbial clauses.

Try using picture sequencing to teach adverbial clauses:

“Before I take the test, I will study.”
Students can arrange icons representing each clause to show temporal order.

4. Sentence Combining

Help students merge simple sentences into complex ones to develop flexibility:

“The dog barked. The mailman came.” → “The dog barked when the mailman came.”

Use conjunction cards or sentence starters to scaffold learning.

5. Sentence Decomposition

Break down complex sentences to promote comprehension:

“The dog that barked at the mailman ran away.” → “The dog barked at the mailman. The dog ran away.”

This strategy pairs well with sentence combining to support both understanding and production.

Step 4: Embed Syntax in Meaningful Contexts

Syntax intervention works best when it’s functional and engaging. Move beyond isolated drills and integrate targets into authentic communication: storytelling, retelling, explaining science experiments, or writing persuasive paragraphs.

SLP Now’s skill packs and literacy-based therapy units are designed for exactly this, giving you ready-made materials that embed syntax goals into real contexts. You can model and recast complex sentences, scaffold comprehension with visuals, and collect data effortlessly.

Bringing It All Together

Syntax development is a critical skill for every school-age student. By assessing across contexts, teaching explicitly, and applying evidence-based strategies, you can help students grow from simple sentence users to confident communicators.

If you’re ready to simplify syntax intervention, explore the SLP Now Membership for therapy materials, sentence-level visuals, and built-in supports for your literacy-based lessons.

References

Guo, L.-Y. & Schneider, P. (2016). Differentiating School-Aged Children With and Without Language Impairment Using Tense and Grammaticality Measures From a Narrative Task. Journal of Speech, Language, and Hearing Research.

Nippold, M. A., Hesketh, L. J., Duthie, J. K., & Mansfield, T. C. (2005). Conversational versus expository discourse: A study of syntactic development in children, adolescents, and adults. Journal of Speech, Language, and Hearing Research, 48(5), 1048–1064.

Owens, R. E., Jr., Pavelko, S. L., & Hahs-Vaughn, D. (2024). Growth of complex syntax: Coordinate and subordinate clause use in elementary school–aged children. Language, Speech, and Hearing Services in Schools.

Plante, E., Ogilvie, T., Vance, R., Aguilar, J. M., Dailey, N. S., Meyers, C., … Burton, R. (2014). Variability in the language input to children enhances learning in a treatment context. American Journal of Speech-Language Pathology.

Ukrainetz, T. A. (2006). Contextualized language intervention: Scaffolding preK-12 literacy achievement. Austin, TX: PRO-ED, Inc.

Ukrainetz, T. A. (2015). School-age language intervention: Evidence-based practices. Austin, TX: PRO-ED, Inc.

Zipoli, R. P. (2017). Unraveling difficult sentences: Strategies to support reading comprehension. Intervention in School and Clinic, 52, 218–227.

Transcript

Transcript
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Hello there, and I hope you are in the mood for some talk about syntax. Last week, we talked about compound sentences and I wanted to continue the conversation with more types of syntax, like passive voice and relative clauses. Before you hit pause because you're like, well, I work with kindergartners or I work with second grade,this is still a relevant thing to target with our students. There was a study by Owens et al in 2024. They reviewed conversational language samples for 196 children, ages five to 10 years, 11 months, They found that five year olds are using an average of 1.25 subordinate clauses and 2.05 coordinate clauses, so even five year olds are using complex syntax and the number continues to increase with age. So if we are seeing our students only use simple sentences, that is a sign that they may need support with syntax and we might want to look into it a little bit for further. It's easy to hear if they're using simple sentences, compound sentences, complex sentences, and all types of clauses.

If we're not seeing this in their communication, they may be struggling to comprehend that complex syntax as well. And that is an absolutely age appropriate skill for our school age students. Approximately half of five year olds are able to comprehend reversible passive sentences, and that's from Owen's 2016.

And 90% of children between the ages of seven and a half and eight are able to comprehend reversible passives. So very early on in the school age years, this is something that's typical and something that we might want to support if our students are struggling with it.

So hopefully you're still intrigued. I am going to be sharing strategies that we can use in our assessment and intervention when targeting these types of goals. The first strategy, and this has been a common theme, but we want to start with a thorough assessment. Collect language samples and consider multiple contexts because we use different types of syntax when generating narratives, retelling narratives, describing a picture, summarizing a text, explaining how to do something, trying to persuade someone.

So all of those types of samples will elicit different syntax. We want to consider different language samples. We will also want to observe in the classroom because the language that we're hearing in the classroom will be a little bit different. We can look at work samples and look at their writing.

And we can also collect parent and teacher report. And then we can also do a more structured assessment of the comprehension and production of syntax.

In terms of actual treatment strategies, I'm pulling a lot of these from Zipoli 2017. I'll share the citation in the show notes. Lessons should begin with clear explanations of the target sentence structure and give the purpose of the lesson so we can model comprehension and production of sentence structures. We'll want to use clear, concise, and consistent language as we're doing that.

When we're providing demonstrations, we'll give multiple examples and use visual and auditory cues to make the syntactic features more explicit. There's a lot we can do to support the teaching of that. One strategy is focused stimulation.

This is one that applies to all grammar goals and that I have found to be incredibly impactful. This is a little bit more implicit, but this is when we provide frequent models and recasts in a variety of activities. So, when we're modeling the passive voice or a relative clause, we highlight that naturally in conversation. When we recast, we might correct what the child says or modify it. If they produce a simple sentence in our literacy based therapy activity, I can recast the student's sentence and add in that relative class.

Using those models and recasts is what they call focused stimulation in the research and we can incorporate that in all of our therapy activities. That is a great way to implicitly target some of these skills.

Other strategies we might use for passive voice are using directed questions to enhance and scaffold comprehension. So if we have a sentence like Diego was found by Rebecca. We can say who was found and who did the finding, and ask some questions about that statement.

And we can use pictorial support as well and asking students to draw pictures to represent those sentences. The example I gave was with the passive, but we can also do this with a active voice. So instead of Diego was found by Rebecca, we can do Diego found Rebecca. And in SLP Now we have syntax activities attached to the majority of our literacy based units. We embed these strategies in the activities for passive voice, for example. So we have a sentence, with pictures and visual choices to help the students.

We have pictorial support as well, and we give you statements and questions so that you have support as you're implementing these types of strategies. For verbal clauses, which is another type of syntax we might want to target, we can use sentence starters.

This is an effective technique for helping students understand and write more elaborate sentences. If we give them a starter, they can fill in the sentence and create more. We also have picture sequencing. If we have pictures of the different items, for example, before I take the test, I will study. You can have a icon representing studying and taking the test, and you can do that practice using those adverbial clauses. In SLP Now we have icon cards for the conjunctions that you would use with the sentence starters.

We also have pictures to practice and support that understanding. We give you tools for sentence starters and picture sequencing. In terms of relative clauses, two more evidence backed strategies are to use sentence combining, which we talked about last week.

This is where we're combining two or more simple sentences. You can use simple sentences from whatever book or article you're reading and then use our conjunction cards to help students combine those. The other strategy we talked about last week is sentence decomposition, where you take a complex sentence and break it down into simpler sentences.

All you need is the book or article you're reading and identifying those simple, complex, and compound sentences. That is a quick blitz of some strategies we can use for our syntax goals. Check out the show notes for references and more detail about the resources if you want help implementing this.

I hope that this was a helpful review for you and we'll see you in the next one.

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Filed Under: Podcast Tagged With: Language Sample Analysis, Literacy-Based Therapy, Passive Voice, Relative Clauses, SLP Resources, Speech Therapy Strategies, Syntax Intervention

How to Teach Compound Sentences: 5 SLP Strategies

October 20, 2025 by Marisha Leave a Comment

In this week’s episode of the SLP Now Podcast, Marisha shares five practical, evidence-backed strategies to help students learn, practice, and generalize compound sentences. She also shares strategies to help make it easier for students to understand those abstract conjunctions!

👉 Prefer to listen? Check out the full podcast episode above for a quick blitz through all five strategies.

1️⃣ Start with clear visuals.

Give students an intro visual that defines a compound sentence and shows the FANBOYS conjunctions (for, and, nor, but, or, yet, so).

Then, build on that with:
– A “recipe card” showing sentence + comma + conjunction + sentence
– Symbol cards for conjunction meanings

These concrete visuals help students internalize the function of conjunctions, not just the form.

Visual and multimodal supports strengthen students’ metalinguistic awareness and retention (Cook, Mitchell, & Goldin-Meadow, 2008).

Click here to download the visuals for compound sentences.

2️⃣ Teach sentence combining explicitly.

Give students two short sentences and model joining them with a target conjunction.

Cued combining: Provide the sentences and the conjunction.

Open combining: Remove supports as students gain independence.

Sentence-combining instruction reliably improves syntactic maturity and writing quality when scaffolded and faded over time (Strong, 1986).

3️⃣ Use sentence expansion and reduction.

Encourage flexibility by asking students to expand simple sentences into compound ones or reduce compound sentences into shorter forms.

This back-and-forth manipulation builds syntactic control and comprehension.

Alternating expansion and reduction helps students generalize grammar goals across tasks (Fey et al., 1997).

4️⃣ Add movement for meaning.

Make conjunctions physical!

Assign one student per clause and another as the conjunction.

The “conjunction student” can hold or act out the joining symbol (like a plus sign for and).

Movement helps learners encode meaning through multiple modalities.

Gesture and embodied practice make abstract grammar concepts more memorable (Cook et al., 2008).

5️⃣ Plan for generalization.

Don’t let the skill stay in the speech room!

Collaborate with classroom teachers so students can:
– Use mini visual reminders at their desks
– Identify compound sentences in reading passages
– Apply conjunctions in writing assignments

Integrated service delivery—where SLPs and teachers align targets—leads to stronger transfer of language skills (Cirrin et al., 2010).

Why This Matters

Understanding compound sentences helps students:
– Combine ideas clearly
– Improve written cohesion
– Build complex syntax essential for reading comprehension (Scott & Balthazar, 2013)

And when students see and act out those conjunctions, abstract language becomes tangible.

Free Resource

Click here to download the Compound Sentences skill pack!

References

Cirrin, F. M., Schooling, T. L., Nelson, N. W., Diehl, S. F., Flynn, P. F., Staskowski, M., Torrey, T. Z., & Adamczyk, D. F. (2010). Evidence-based systematic review: Effects of different service-delivery models on communication outcomes for elementary school–age children. Language, Speech, and Hearing Services in Schools, 41(4), 252-270.

Cook, S. W., Mitchell, Z., & Goldin-Meadow, S. (2008). Gesturing makes learning last. Cognition, 106(2), 1047–1058.

Fey, M. E., Cleave, P. L., Long, S. H., & Hughes, D. L. (1993). Two approaches to the facilitation of grammar in children with language impairments: An experimental evaluation. Journal of Speech and Hearing Research, 36(1), 141–157.

Myhill, D. (2012). The ordeal of deliberate choice: Metalinguistic development in secondary writers. In V. W. Berninger (Ed.), Past, present, and future contributions of cognitive writing research to cognitive psychology (pp. 247–274). Psychology Press.

Scott, C. M., & Balthazar, C. H. (2013). The role of complex sentence knowledge in children with reading and writing difficulties. Perspectives on Language and Literacy, 39(3), 18–30.

Strong, W. (1986). Creative Approaches to Sentence Combining. NCTE/ERIC.

Transcript

Transcript
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Hello there. I hope you are having a fabulous week, and ready to dive into some practical evidence backed strategies that you can use when working on compound sentences with your students. So I have five tips for you today.

The first tip is to actually teach what a compound sentence is.

This is the first step with any of our skills but we wanna make sure that we provide our students with an initial explanation, but then also some visuals that they can use to understand what we're asking them to do. And then also to help with that generalization.

Some examples of visuals that I like to use. I have a intro little one pager that says what a compound sentence is, and it includes the conjunctions, the fanboy acronym.

That helps them know what a compound sentence is, and we're on the same page, I also have a little recipe card, that students can use when they are working on building sentences. It shows a visual of the sentence, the comma, the coordinating conjunction and the sentence, just a little graphic.

We have different versions of that. We have bigger sentence maps they can use with interactive cards and sentence starters to help them implement the strategies we're going to talk about. The visuals that I shared so far are just that introduction visual, different visuals to show the sentence structure.

I like to introduce specific conjunctions, because each conjunction has a different meaning. And, this can get really confusing for students. These conjunctions are a little bit more abstract, so I wanna make sure that I'm scaffolding that and helping them learn the different meanings of those conjunctions.

So we have little cards that include an icon to help them visualize the meaning of the conjunction. For "and" we would have a plus sign, for "but" we would have a lightning bolt. Each conjunction has a symbol that goes with it. And we have examples of sentences being used.

We also show the meaning of the conjunction. This is a really great way to introduce the conjunction. Like I said, the little icon cards and sheets for each conjunction with different examples, and it has all the visuals to help understand what that conjunction means.

That is strategy one. Having visuals to help break down complex concepts for students, especially the abstractness of the conjunctions. It really helps have some visuals for that. And then if you want access to these visuals, you can totally create your own. But if you want ready-made visuals, you can sign up for a free trial of SLP Now.

It's totally free. Just go to SLPnow.com/trial. And then you can create your free account. Go type in compound sentences on the materials page, and you'll have access to all of these visuals and other materials as well. Now let's move on to strategy number two, which is to teach sentence combining.

So we would start by giving students two independent classes or two simple sentences, and then model joining them with our target conjunctionI like to start with one conjunction, just so they get the hang of it, and then we might add in another one.

We do wanna give students opportunity to practice combining two simple sentences and getting a feel for how that works. There's different types of combining you can do.

You can do cued combining, where you give the students the two sentences and the, conjunction and they just have to literally put them together, or you can make it more complex where you just give them two sentences and they have to do that. Definitely check out the Strong article for more detail on the protocol for that.

On to strategy number three, we can also do sentence expansion and reduction. We can have students expand simple sentences, so we can give them one sentence and encourage them to make it into a compound sentence. Or we can identify compound sentences in our reading and break them down into the individual sentences.

And so that's just practicing breaking and putting sentences together, expanding them and reducing them is the technical term that, also has some evidence to support using that as a strategy.

Then strategy number four is to incorporate movement. If you have multiple students in your group, this is super fun.

in SLP Now our compound sentences skill pack has sentences or students can come up with their own. Let's say you have three students in the group. One of the students can act out the first sentence, and then the other student can act out the second sentence. And the third student can be the conjunction. They can choose the conjunction if you're giving them a field of conjunctions to choose from, or if you're just practicing with one, the student would hold that conjunction.

And maybe they can come up with a gesture. If it's "and" then maybe they just put their hands out and connect the idea between the two students.

So all three students are acting it out It really shows the meaning change and the power of conjunctions, and it gives that really meaningful practice, in that they're visualizing it, acting it out, their whole body is engaged in the activity.

The fifth strategy I want to leave you with is to collaborate with classroom teachers and think about generalization from the start.

Maybe you make a tiny version of the visual and put it on the student's desk or whatever the conjunction of the week is, you put that on the student's desk or binder and then they get extra exposure. You encourage them to use that in their writing or in classroom discussions.

So bringing the visuals into the classroom is an easy thing to do. You can also use text from the classroom as you're doing these activities, as inspiration for your sentence combining and sentence expansion and reduction activities.

So those were our five strategies starting with teaching and using visuals to break down the skill. Then we talked about strategy two sentence combining. Strategy three is sentence expansion and reduction. Strategy four was to incorporate movement and act out the sentences in conjunctions.

And then strategy five is to think about generalization. I'd love to hear which strategies you are using in your speech room. If you have any favorites, that I missed or if I shared your favorite or if there's a new one that you're trying, reach out to us on Instagram. We'd love to hear what you're up to.

That's a wrap. We'll continue this series and talk about more skills on the podcast going forward. I hope this was super helpful and that you have some new inspiration for how to target compound sentences with your students, or at least a boost of confidence, based on what you're doing already.

And then again, we have all of these visuals and practice activities and tools inside SLP Now. When you sign up for a free trial, you can download this skill pack and a few others completely free. I just want to help set you up for success and make your job as easy as possible.

Thanks for joining me, and we'll see you next time.

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Filed Under: Podcast Tagged With: Compound Sentences, Grammar Intervention, Reading Comprehension, Sentence Combining, SLP Resources, Speech Therapy Strategies, syntax

234: 5 Practical Strategies to Teach Following Directions (Backed by Research)

October 13, 2025 by Marisha Leave a Comment

Teaching students to follow directions effectively is a foundational skill for both academic success and functional communication. Whether students are navigating classroom routines, participating in group activities, or playing on the playground, their ability to understand and act on directions impacts every aspect of their day.

In this post, we’ll explore five practical, evidence-based strategies SLPs can use to support students in their ability to follow directions. These strategies are backed by research and designed to help you plan intentional, effective therapy sessions.

👉 Prefer to listen? Check out the full podcast episode above for a quick blitz through all five strategies.

1. Start with a Thorough Following Directions Assessment

Before targeting “following directions” directly, it’s essential to identify the root cause of the difficulty. Not all one-, two-, or three-step directions are created equal. A student may struggle due to:

– Vocabulary (e.g., temporal, quantitative, and spatial basic concepts like “before” or “under”; instructional verbs)
– Morphology (e.g., smaller vs. smallest)
– Syntax (e.g., relative clauses, temporal clauses, complex sentences)
– Executive function (working memory, attention, shifting, inhibition)
– Sensory regulation
– Attention and processing differences

A differential assessment can help pinpoint which of these factors are at play. For example, you might present several types of directions and observe whether students have more difficulty with vocabulary, syntax, or the number of steps involved.

Dynamic assessment is another useful tool. We can teach a strategy or provide cueing, and observe whether the student’s performance improves.

Classroom observations and teacher/parent input add valuable context about how these challenges appear across the school day.

📌 Pro Tip: Use SLP Now’s Following Directions Skill Pack to guide your assessment. It includes tools to break down directions by vocabulary, morphology, syntax, and executive function–helping you plan more targeted intervention.

NOTE: While following-directions assessments provide valuable information about a student’s performance, they should be viewed as a lens for uncovering underlying language difficulties. Rather than writing goals focused narrowly on the task of “following directions,” we should focus on targeting the foundational skills that make following directions possible—such as syntax, vocabulary, and morphology. As Wallach (2014) reminds us, effective intervention requires shifting away from isolated, task-specific goals toward addressing the underlying language systems that support academic success.

2. Incorporate Movement to Support Language Learning

Movement isn’t just a fun way to boost engagement. It’s a powerful way to anchor language in action, supporting comprehension, attention, and memory. Research shows that pairing linguistic input with meaningful physical activity can strengthen language learning for a variety of students.

In a classroom-based study, Kosmas, Ioannou, and Zaphiris (2018) implemented motion-based learning activities and found that students made significant gains in expressive vocabulary and short-term memory compared to traditional instruction. By embedding movement into language-rich contexts, students were able to engage more fully and retain new concepts more effectively.

Lund, Young, and Yarbrough (2019) explored co-treatment sessions between SLPs and adapted physical education teachers focused on teaching basic concepts to children with Down syndrome. When concept instruction was integrated into movement-rich physical activities, students made significantly greater gains in concept development than those who received SLP-only treatment. This demonstrates the power of multimodal, embodied approaches for building foundational skills that support direction-following.

Mellor and Morini (2023) found that physical exercise was associated with improved word learning in preschool-age children. This finding supports incorporating movement-based tasks—like gross motor games, obstacle courses, and action-based language activities—into therapy to facilitate vocabulary and concept acquisition.

Here are some fun, functional ways to incorporate movement:

– Obstacle Courses: Great for multi-step directions involving sequencing and concepts (e.g., “First jump over the line, then touch the door”).
– Scavenger Hunts: Combine receptive vocabulary with movement (“Find the object that is under the table”).
– Simon Says: Perfect for targeting basic concepts and syntax in a playful way.

Movement-based activities increase engagement and create natural opportunities for repetition.

3. Teach and Model Strategies Explicitly

Many students benefit from explicit instruction in strategies. Techniques such as rehearsal, visualization, drawing icons, asking for clarification, and self-monitoring (Stop–Think–Do–Check) give students a toolkit for decoding and acting on multi-step directions.

One of the strongest empirical supports comes from Gill, Klecan-Aker, Roberts, & Fredenburg (2003). They taught students with specific language impairment to use rehearsal and visualization strategies in following-directions tasks. Compared to traditional therapy, students using those strategies made greater gains immediately, and importantly, retained those gains over time.

In practice, you can model your own thinking aloud (e.g., “I’m going to repeat that direction to myself. I’ll make a movie for the direction in my head. If I get stuck, I’ll ask, ‘Can you say that again?’”).

You can scaffold students in these techniques using:

– Visual strategy cards
– Prompted rehearsal (You say it with them, then fade support.)
– Drawing simple icons to represent steps
– Scripts to ask for clarification

4. Share Strategies with Teachers to Increase Carryover

For students to master following directions, we need to extend practice beyond the therapy room. Collaborating with teachers is key to support students in the classroom and promote carryover into real-world settings.

Cirrin et al. (2010) conducted a systematic review examining the effects of different service delivery models on communication outcomes for elementary-aged children. They found evidence supporting classroom-based and collaborative models, showing that SLPs working alongside teachers in the classroom can lead to positive communication outcomes.

You might:

– Share visuals, checklists, or strategy posters with classroom teachers.
– Encourage teachers to chunk directions into smaller steps.
– Collaborate on prompting routines (e.g., reminding students to rehearse directions before starting).
– Align classroom accommodations (e.g., visual supports, repeated directions) with your therapy goals.

These indirect supports empower students to use their strategies across contexts, increasing the likelihood of generalization.

📚 Additional Resources

A Guide to Collaborating with Teachers

5. Plan for Generalization from the Start

Generalization shouldn’t be an afterthought. It should shape how we plan our intervention.

Even if a student can follow complex directions in the speech room, that skill must transfer to the classroom, playground, and beyond.

We can build generalization by:

– Embedding direction-following into functional, contextualized activities, like literacy-based lessons, crafts, or science experiments.
– Practicing classroom routines that students encounter daily.
– Coordinating with teachers and caregivers to reinforce strategies consistently.

When we plan for generalization from the start, we help students become more independent and successful communicators in their natural environments.

Dr. Ukrainetz’s book, Contextualized Language Intervention, is a great read if you’re wanting to learn more!

📦 Resource Spotlight: The Following Directions Skill Pack

Ready to put these strategies into action? The Following Directions Skill Pack includes:

– Differential assessment tools
– Strategy visuals for students and teachers
– Visuals to teach and scaffold following directions
– Ready-to-use therapy activities and data collection forms

References

Cirrin, F. M., Schooling, T. L., Nelson, N. W., Diehl, S. F., Flynn, P. F., Staskowski, M., Torrey, T. Z., & Adamczyk, D. F. (2010). Evidence-based systematic review: Effects of different service delivery models on communication outcomes for elementary school–age children. Language, Speech, and Hearing Services in Schools, 41(3), 233–264.

Gill, C. B., Klecan-Aker, J., Roberts, T., & Fredenburg, K. A. (2003). Following directions: Rehearsal and visualization strategies for children with specific language impairment. Child Language Teaching and Therapy, 19(1), 85–103.

Kosmas, P., Ioannou, A., & Zaphiris, P. (2018). Implementing embodied learning in the classroom: Effects on children’s memory and language skills. Educational Media International, 55(4), 324–339.

Lund, E., Young, A., & Yarbrough, R. (2019). The effects of co-treatment on concept development in children with Down syndrome. Communication Disorders Quarterly, 40(3), 165–174.

Mellor, L., & Morini, G. (2023). Examining the relation between exercise and word learning in preschool-age children. Journal of Speech, Language, and Hearing Research, 66(10), 4004–4015.

Ukrainetz, T. A. (2015). Contextualized language intervention: Scaffolding preK–12 literacy achievement. Thinking Publications.

Wallach, G. P. (2014). Improving clinical practice: A school-age and school-based perspective. Language, Speech, and Hearing Services in Schools.

✅ Takeaway

Start with solid assessment, give meaningful feedback, incorporate movement, teach explicit strategies, collaborate with teachers, and plan for generalization from the beginning. Implement one or two of these strategies this week!

Transcript

Transcript
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Hello there. I hope you are having a great day so far. I am really looking forward to diving into five strategies, backed by research, that we can use when targeting, following directions. I hope that you'll walk away with a boost of confidence and maybe a thing or two that you can try.

We all know how critical following directions are to being able to access their curriculum. Even if they're on the playground and their peers are teaching them to play a game, there's so many important, social, academic and safety benefits, to targeting this skill.

So we are going to dive into five strategies.

Strategy number one is to start with a thorough assessment. This is critical because we need to identify the underlying skills that a student is struggling with or that need support. It might be a vocabulary issue, or a syntax issue, or a working memory issue, or some other aspect of executive function.

We want to do a differential assessment to determine which of those apply. You can do this using a direct differential assessment. I have one in SLP Now that helps you break down if it is more of a vocabulary issue, a syntax issue. Not all one step directions are created equal, and the same applies to two and three step.

We're increasing the complexity when we're moving from one to two to three, but there is a lot of different syntax that can be in those, different types of vocabulary that students might struggle with. The research shows that all of those elements are important and play a role in how students are able to follow directions.

A differential assessment is really good at piecing apart whether it is vocabulary, syntax, working memory, et cetera, et cetera. But we can also do a dynamic assessment where we teach some strategies and see if that makes a difference or provide different types of cueing and see if that improves the student's, ability to follow the directions.

We can also do classroom observations, or collect parent teacher feedback and get some more context in terms of how this is showing up across the school day.

And strategy number two is to incorporate movement. Pairing language with movement based activities has been found to help the language learning process. Movement engages multiple cognitive systems, which can help boost comprehension, retention, and all of that.

So some examples of what this could look like. We could set up a little obstacle course in this speech room, where we could use that to work on multi-step directions. Or we can do scavenger hunts or Simon Says types of games. If we have students practicing directions with movement and engaging those multiple systems to help really work on that skill.

Strategy three is to teach and model strategies, and there are a lot of different strategies that we could use. In SLP Now, the skill pack for following directions include some little strategy cards that we can share with the student. We have some little cards for students to use to remind them of different strategies to help them follow directions. Some things we can do are rehearsing their direction, repeating it. Visualizing, as they're hearing their direction making a little movie in their head. Drawing quick icons like the example I gave earlier, touch your nose and then sit down. Maybe they just do a quick little nose picture and then an arrow to remind them to sit down. Especially if you're giving more directions, using that icon drawing can be helpful. Teaching them to ask for clarification. Those are just a couple examples of strategies that we can teach to students to support them with following directions. If we identify that it's a vocabulary issue or a syntax issue, we obviously wanna target those as well. but giving our students strategies can help if it is more of the working memory and executive function.

So those are just a few strategies. Again, the blog post will include more details on things that we can teach students to help them. And then strategy number four is to share strategies with teachers.

I have a visual in the Following Direction Skill Pack, that includes those strategies as well. This will help with generalization and support, like we might write accommodations for these students to help set them up for success in the classroom.

So teachers might incorporate visuals or checklists or chunking their directions. Instead of giving 10 directions at once, they practice giving two or three steps at a time Or modeling the strategies, reminding the students to use their strategies. So there's lots of things that we can do to support students indirectly by working with teachers.

And the fifth strategy is to plan for generalization from the start. What happens in the speech room should not stay in the speech room. It doesn't matter if a student can follow a 20 step direction in the speech room if it's not moving into the classroom. And so we wanna make sure that we're embedding directions in functional, contextualized activities and being intentional with how we're targeting these goals. It's something that we need to think about from the start. How can we target this goal in a way that will set students up for success? I like to use literacy based activities that are contextualized.

We can do crafts, science experiments, real life tasks, practice their classroom routines if there are common ones they struggle with. Thinking about the context they'll be using these skills in and strategies we can use to help them in the classroom, on the playground, whatnot. And then also coordinating with teachers and parents and other members of the team to make sure that we're all on the same page and all helping the student master the skill.

Hopefully one of these strategies sparked a new idea for you. Go ahead and jot down one that you'd like to try using and then check the show notes for a link to the blog post with all of the details. I mentioned the Following Direction Skill Pack. This is available in the SLP Now Materials Library. If you're a member, just type in following directions and you'll get to download that skill pack. If you are new to SLP Now you can sign up for a free trial and download this skill pack for free. Your free trial includes five downloads, so you can get a hundred dollars of free materials, no strings attached, no credit card requiredI just wanna make sure that you have access to awesome materials and that you're able to easily implement these evidence backed strategies and have high quality materials to help make your job a little bit easier.

That is a wrap on our six strategies for following directions. Thanks for joining me, and we'll see you soon.

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Filed Under: Podcast

WH Questions for Speech Therapy: Full List, Materials, Strategies

October 7, 2025 by Marisha Leave a Comment

🎧 What You’ll Learn in This Episode (How to Teach WH Questions)

Even if WH questions are already part of your therapy toolbox, this episode aims to fine-tune your approach with six strategies that streamline planning and maximize student progress. You’ll hear about:

– How to use leveled assessments to pinpoint a student’s starting point
– Explicit methods to teach WH words using visuals and clear definitions
– A scaffolded hierarchy for structuring instruction
– How to select targets
– Embedding WH practice into meaningful contexts to boost carryover
– The importance of repetition + varied practice for generalization

Why WH Questions Matter for Kids

I’m so excited to dive into one of the foundational skills we target in speech therapy — WH questions!

These little question words — who, what, where, when, why, and how — may seem simple, but they’re at the heart of communication. Whether we’re working on classroom comprehension, social interactions, or general language development, success with WH questions is essential for building strong receptive and expressive skills.It’s a skill that shows up everywhere: in reading comprehension, group discussions, and even playtime.

But as you’ve probably seen, answering WH questions isn’t always easy for our students. Children with language delays, autism, or other communication disorders often struggle to process the meaning behind each question type. Research by Parnell and colleagues (1986) found that students with language delays often produce appropriate but inaccurate responses. For example, a student might a “who” answer to a “who” question but name the wrong person. It’s a subtle but important distinction, and one that tells us we need to explicitly teach both appropriateness and accuracy.

That’s where structured intervention makes all the difference.

When we combine explicit instruction, visual supports, and meaningful practice, we can help students connect the question word to its purpose, and eventually use WH questions confidently in any context.

To make this easier for you, we created the WH Questions Skill Pack, a ready-to-go resource that includes:

  • Leveled assessments to identify each student’s starting point
  • Visual supports and cue cards for every WH question type
  • Structured practice activities to promote generalization

It’s everything you need to assess, teach, and track progress — all in one place.

WH Questions Skill Pack

  • Leveled assessments to identify each student’s starting point
  • Visual supports and cue cards for every WH question type
  • Structured practice activities to promote generalization

The WH Skill pack includes evidence-backed visuals, activities, and data sheets to teach every WH question type

👉 Join to Download WH Questions Skill Pack

WH Questions Skill Pack preview

What Are WH Questions? (and Why They’re Important for Kids)

Before we jump into specific strategies, let’s take a quick step back.

WH questions are the foundation of how kids learn to gather and express information. Each WH word serves a specific purpose:

  • Who → a person
  • What → a thing or action
  • Where → a place
  • When → a time
  • Why → a reason
  • How → a process or explanation

Complex WH Questions (and How They Differ from Early WH Questions)

As students develop stronger language and reasoning skills, WH questions naturally become more complex. Early in therapy, we might focus on straightforward questions like “What is this?” or “Who is eating?” that can be answered by labeling something visible. But as comprehension grows, students begin to tackle questions that require more inference, reasoning, or background knowledge — such as:

  • “Why did the boy wear a coat?”
  • “How do you know she’s sad?”

These types of complex WH questions ask students to go beyond what they see and instead make connections, draw conclusions, or explain cause and effect.

Research by Swanson (2001) shows that explicit instruction — clearly defining and modeling each WH word — helps students make faster progress with these more challenging question types. In practice, that means we can’t assume a student will automatically generalize skills from “what” to “why.” Each WH question type benefits from direct teaching, modeling, and plenty of repetition.

Functional WH Questions in Everyday Routines

Beyond structured practice, it’s important to use functional WH questions throughout the day. These are questions embedded naturally into a child’s environment and daily routines. For example:

  • During snack time: “Where’s your spoon?”
  • In the classroom: “Who is the line leader today?”
  • At home: “Why are we washing our hands?”

Embedding practice in real contexts helps students connect WH questions to authentic communication, not just drill work. This kind of contextualized learning supports better carryover and generalization, meaning the skill sticks outside of the therapy room.

By understanding how WH questions vary — from simple WH questions that focus on labeling and describing, to complex WH questions that require reasoning and background knowledge, and functional WH questions used in everyday routines — we can meet each student where they are and design activities that move from concrete understanding to abstract reasoning.

In the next section, we’ll look at how WH question development progresses by age and skill level, so you can confidently select the right targets for your students.

WH Questions by Age and Skill Level

As with most language skills, WH question comprehension develops gradually — from concrete labeling to abstract reasoning. Understanding these stages can help you pinpoint where each student is in their learning journey and plan intervention accordingly.

WH Questions for Preschoolers

Preschoolers are just beginning to connect language with the world around them, so WH questions at this stage should focus on concrete, visual concepts — typically what and where questions.

At this level, I like to use picture cards, storybooks, and play-based routines to teach WH questions in meaningful contexts. Research by Justice and colleagues (2002) shows that literacy-based intervention (using shared storybook reading and contextual prompts) helps preschoolers improve comprehension and vocabulary simultaneously.

Here are a few examples you can use in therapy:

  • “What is the girl doing?”
  • “Where is the dog sleeping?”
  • “What do we use to eat?”
  • “Where do we go to play?”

As you read or play, pause to model and reinforce the question word’s meaning. Visual supports, like cue cards or icons, can make a huge difference in helping students recognize the purpose of each WH question word.

📘 Related Reading:

How to Use Books in Therapy

Tips to Implement Literacy-Based Therapy for Students with SLI

WH Questions for Early Elementary Students

By the early elementary years (around kindergarten and first grade), most children begin to understand and respond to who, when, and why questions. However, these question types can still be tricky for students with language delays or comprehension challenges — especially when they appear in connected text or classroom discussions.

Research by Ukrainetz (2015) highlights the importance of contextualized intervention, embedding WH questions directly into meaningful routines and activities. Instead of isolated drills, try incorporating WH questions into story retells, science observations, or classroom routines, such as:

  • “Who helped the teacher clean up?”
  • “When do we eat lunch?”
  • “Why do we wear coats when it’s cold?”

These questions are more effective when practiced in context, giving students real-life opportunities to apply their growing comprehension skills while promoting generalization across settings.

WH Questions for Students with Autism

Students with autism often benefit from a structured, visual, and highly consistent approach when learning WH questions.

They may need explicit modeling, repeated practice, and visual supports to connect each question word to its meaning. For example, using a picture of a person for “who”, a place for “where”, or an object for “what” helps students understand what type of answer each WH question is asking for.

Here are a few ideas for building comprehension and confidence:

  • Use WH question visuals (icons or cue cards) to represent each question type.
  • Provide clear models and immediate feedback when students respond.
  • Practice across multiple contexts — stories, classroom routines, or play — to promote generalization.

The goal is to build functional understanding, helping students recognize WH questions as tools for communication and connection, not just as structured “drill” items.

💡 Try this: The WH Questions Skill Pack includes visual cue cards, leveled assessments, and structured practice sheets that make it easy to support students with autism using evidence-based methods.

WH Questions Skill Pack

  • Leveled assessments to identify each student’s starting point
  • Visual supports and cue cards for every WH question type
  • Structured practice activities to promote generalization

The WH Questions Skill Pack includes visual cue cards, leveled assessments, and data sheets designed for both structured and naturalistic practice.

👉 Join to Download WH Questions Skill Pack

WH Questions Skill Pack preview

WH Question Examples and Lists (Free Preview)

Now that we’ve covered how WH questions develop, let’s look at specific examples you can use in your therapy sessions.

Having a variety of questions ready makes it easier to differentiate by level — from simple, concrete questions to more abstract, inferential ones. These question lists can be used for data collection, sessions with mixed groups, or at-home practice with families.

Here’s a free preview from our WH Questions Skill Pack, which includes printable lists and visuals for each question type.

What Questions for Speech Therapy

(Focus: Labeling objects or actions)

Simple:

  • What is this? (Show a picture of a ball.)
  • What do we use to eat?
  • What animal says “moo”?

Complex:

  • What should you do when it rains?
  • What makes the story funny?
  • What can we do to help a friend?

Where Questions for Speech Therapy

(Focus: Identifying places or positions)

Simple:

  • Where is the cat?
  • Where do we put our shoes?
  • Where do we eat lunch?

Complex:

  • Where do you think the boy is going?
  • Where should we go if we feel sick?
  • Where do butterflies live?

Who Questions for Speech Therapy

(Focus: Identifying people or roles)

Simple:

  • Who is eating?
  • Who helps us learn at school?
  • Who is your best friend?

Complex:

  • Who do you ask for help if you’re hurt?
  • Who do you think will win the race?
  • Who is the main character in this story?

When Questions for Speech Therapy

(Focus: Identifying time, connects sequencing and routines)

Simple:

  • When do we eat breakfast?
  • When do you go to bed?
  • When do you brush your teeth?

Complex:

  • When do flowers grow?
  • When do you feel proud of yourself?
  • When is the best time to wear a coat?

Why Questions for Kids

(Focus: Understanding cause and effect, developing reasoning and inferencing)

Simple:

  • Why do we wear shoes?
  • Why do we wash our hands?
  • Why do we sleep at night?

Complex:

  • Why was the girl sad in the story?
  • Why do people help each other?
  • Why do we need to listen to directions?

How Questions Examples

(Focus: Explaining processes and feelings)

Simple:

  • How do you open a door?
  • How do you draw a circle?
  • How do you make a sandwich?

Complex:

  • How can you tell someone is surprised?
  • How do you know it’s winter?
  • How can we make someone feel better?

These examples illustrate the natural progression from simple to more complex questions, moving from labeling and describing to reasoning and inferring.

If you’d like a complete list of questions organized by difficulty and question type, plus matching visuals and leveled data sheets, you can grab the full resource below, 👇

👉 Download the Complete WH Questions List and Skill Pack Activities
Includes over 120 WH questions, visual cue cards, and printable tracking forms, all aligned with evidence-backed strategies for school-based SLPs.

Teaching WH Questions in Speech Therapy (6 Evidence-Based Strategies)

Over the years, I’ve found that effective WH question intervention follows six clear steps. Each one builds on the last to help students progress from identification to mastery, and every step is backed by research.

These strategies come straight from the framework I use in my own sessions (and inside the WH Questions Skill Pack): Assess → Teach → Scaffold → Focus → Embed → Repeat.

1. Assess — Find the Starting Point

Before teaching, we need to know exactly where each student is starting.

Students with language delays often give responses that are appropriate but inaccurate. For example, answering “who” with a person, but naming the wrong one. Research by Parnell and colleagues (1986) highlights this distinction and reminds us that accuracy comes after appropriateness.

I always begin with a leveled assessment that includes:

  • Simple picture-based questions (“Who is eating?”)
  • General knowledge questions (“Where do you sleep?”)
  • Comprehension questions about short passages

This helps pinpoint whether a student needs work at the picture, sentence, or story level. The WH Questions Skill Pack includes an assessment and probe set that makes this step quick and consistent.

🧩 Pro Tip: Once you identify the student’s level, use that same probe to monitor progress throughout intervention.

2. Teach — Use Explicit Instruction and Visuals

Once we know where to start, it’s time to teach the meaning of each WH word explicitly.

Research by Swanson (2001) supports explicit teaching as one of the most effective ways to improve comprehension. I like to introduce one question word at a time using:

  • Visual cue cards (with icons or simple images)
  • Student-friendly definitions (e.g., What = a thing or action; Who = a person)
  • Concrete examples (“What is she doing?” → running)

You can make your own visuals or grab the pre-made ones from the Skill Pack. Each card pairs an icon with examples and definitions, so students can see the difference between question types.

👉 Explore the WH Questions Skill Pack. It includes visuals for every WH word plus student definition cards.

3. Scaffold — Move From Simple to More Complex WH Questions

Once students grasp the basic meaning of each question word, we start to build complexity.

I move from:

  1. Questions about pictures or objects
  2. To general knowledge questions
  3. Then comprehension questions about stories
  4. Finally, conversation-level questions

This scaffolded hierarchy helps students bridge from concrete understanding to inferential thinking.
As Swanson (2001) emphasized, success with more complex WH questions depends on clear, sequenced instruction — not just repetition.

Example:

  • Simple: “What is this?” (show a picture)
  • Complex: “Why do we use an umbrella?” (requires reasoning)

4. Focus — Teach One WH Type at a Time

While it’s tempting to target multiple question types at once, research (including Parnell et al., 1986 and Isenberg, 2014) supports focusing on one question type until mastery.

For example:

  • Start with “what” and “who” questions, since these are more concrete.
  • Once students achieve 80% accuracy, move on to “where,” “when,” “why,” and “how.”

This approach reduces cognitive load and helps solidify comprehension.

🧩 Therapy Tip: If your student already understands “what,” use it to support a harder question type (e.g., contrast “Who is eating?” vs. “What is he eating?”).

5. Embed — Practice in Meaningful Contexts

After structured drill practice, it’s time to move into real-world application.

Research by Justice and colleagues (2002) and Ukrainetz (2015) shows that embedding WH question practice into literacy-based or contextualized intervention improves generalization.

Here are some ways to embed practice:

  • During shared storybook reading
  • In classroom routines (“Who is the line leader?” “Why are we washing our hands?”)
  • Through play-based or functional activities (“Where should the toy go?”)

Embedding WH questions in meaningful contexts turns abstract drills into functional communication.

📘 Related Resources:

  • Tips to Implement Literacy-Based Therapy for Students with SLI
  • How to Use Books in Therapy
  • How to Use a Pocket Chart for Easy Literacy-Based Therapy

6. Repeat — Provide High Repetition and Varied Practice

Finally, students need lots of practice in many contexts.

Repetition builds mastery, but varied repetition builds generalization.

This means asking questions across:

  • Different materials (pictures, books, real life)
  • Different partners (teacher, parent, peer)
  • Different environments (therapy room, classroom, home)

It’s kind of like basketball drills. Practicing “dribbling” (structured tasks) is important, but students only master the skill when they can “play the game” (use WH questions in natural conversation).

The WH Questions Skill Pack includes structured practice materials and story-based prompts that make this kind of repetition simple to plan and track.

Using the SLP Now WH Questions Skill Pack

If you’re ready to put these strategies into action, the WH Questions Skill Pack makes it easy to assess, teach, and track progress — all in one place.

WH Questions Skill Pack

  • Leveled assessments to identify each student’s starting point
  • Visual supports and cue cards for every WH question type
  • Structured practice activities to promote generalization

It’s everything you need to assess, teach, and track progress — all in one place.

👉 Join to Download WH Questions Skill Pack

WH Questions Skill Pack preview

I originally created these materials while managing a triple-digit caseload, trying to make therapy both effective and doable. The goal was simple: give SLPs everything they need to target WH questions with research-backed structure and minimal prep time.

Here’s what’s included:

🧩 1. Leveled Assessments

Quickly identify each student’s starting point with assessments that move from simple to complex WH questions, from picture-based prompts to story-level comprehension. You’ll also find progress probes that make it easy to measure growth across sessions.

Perfect for goal writing and data collection.

🎨 2. Visuals and Cue Cards

Visual supports are one of the most powerful tools for students with language delays or autism. The pack includes WH question visuals for each question type, including icons, definitions, and examples.

These visuals are especially helpful in ABA-style sessions, where students benefit from consistency and repetition. They also work beautifully in small groups or whole-class lessons.

👉 Try pairing the cue cards with real-life photos, storybooks, or interactive classroom questions for quick generalization practice.

📘 3. Structured Practice Activities

Each WH type comes with guided activities designed to align with the six-step teaching framework:

  • Start with explicit instruction
  • Move through scaffolded levels
  • Practice within meaningful contexts

Activities include picture cards, short passages, and conversation prompts, so you can easily target receptive and expressive WH questions at any level.

📊 4. Data Sheets and Goal-Tracking Tools

You’ll find editable tracking sheets that make it easy to monitor both appropriateness and accuracy, a distinction emphasized by Parnell et al. (1986). These templates help you visualize progress and report growth efficiently, without extra paperwork.

🌟 Why SLPs Love It

  • Saves hours of prep each week
  • Works for any age or setting (preschool through secondary)
  • Built on evidence-based strategies from Swanson (2001), Justice et al. (2002), and Ukrainetz (2015)
  • Includes everything you need to start (o additional materials required!)

👉 Access the WH Questions Skill Pack Now →
Get evidence-based visuals, leveled assessments, and structured activities designed to make WH question instruction simple, effective, and fun.

Setting Goals and Tracking Progress

Once you’ve assessed your students and started using evidence-based strategies, the next step is setting clear, measurable goals and tracking progress along the way.

I like to think of this process as closing the loop. We start by assessing where the student is (their baseline), then we teach, scaffold,embed the skill, and finally, we measure growth to show what’s working.

🧠 Writing SMART IEP Goals for WH Questions

Strong goals focus on both accuracy and context. It’s not just about answering the question correctly; it’s about understanding and using the skill functionally across settings.

Here are a few examples:

Simple WH Questions:

  • When given a field of 3 visual choices, Student will answer “what” questions about a story with 80% accuracy across three sessions.
  • When given a short story, Student will answer “who” and “what” questions about the story with 80% accuracy across three sessions.

Complex WH Questions:

  • After listening to a short story, Student will answer “why” and “how” questions with 70% accuracy.
  • Given a classroom narrative or book, Student will answer inferential questions about the story with 80% accuracy across three sessions.

Functional WH Questions:

  • During classroom routines, Student will answer functional WH questions (e.g., “Where is your backpack?”) with 80% accuracy across three consecutive sessions.
  • During classroom activities, Student will ask appropriate WH questions to gather information in 4 out of 5 opportunities.

These goals can easily be adapted for your students’ unique needs.

📊 Tracking Progress Effectively

Consistent data collection helps you see whether students are generalizing their skills and whether your current strategy needs adjusting.

Here’s what I like to track:

  • Appropriateness: Did they respond with the correct type of answer (e.g., a person for “who,” a place for “where”)?
  • Accuracy: Was their response correct based on the content?
  • Cueing Level: How much support did they need (independent, verbal cue, visual prompt, etc.)?
  • Context: Were they successful in structured vs. naturalistic activities?

The data sheets in the WH Questions Skill Pack make this easy by breaking progress into small, measurable steps. You can record both accuracy and cueing, see growth trends over time, and quickly share updates with teachers or parents.

🧩 Connecting Data to Instruction

Data shouldn’t just live on a sheet; it should drive your next steps.

  • If a student’s accuracy is improving but responses are still inappropriate (e.g., answering “where” with a person), revisit explicit teaching of question word meanings.
  • If accuracy is high in structured drills but low in conversation, focus on embedded, contextualized practice.
  • If progress plateaus, consider targeting one question type at a time again before mixing multiple WH forms.

By consistently looping data into your instruction, you’ll ensure each student continues to build mastery — not just in the therapy room, but across their entire school day.

FAQs About Teaching WH Questions

Even though WH questions are a familiar goal for most school-based SLPs, there are always a few tricky areas that come up in practice. Here are some of the most common questions I hear from fellow clinicians, along with strategies and resources to help you feel confident in your approach.

At what age do kids learn WH questions?

WH question understanding develops gradually between ages 2 and 6, though the exact timeline varies by child.

According to Blank, Rose, and Berlin (1978) and later summarized by Paul and Norbury (2012), WH-question understanding typically develops between ages 2 and 6, though every child progresses at their own pace.

Here’s a general progression:

  • Age 2–3: Begins to answer what and where questions (with visual support).
  • Age 3–4: Starts to understand who and when questions.
  • Age 4–5: Begins to respond to why questions (cause and effect).
  • Age 5–6+: Understands how questions (processes, emotions, and reasoning).

If a child is struggling with WH questions beyond these ages, especially in comparison to peers, that’s a good indicator for targeted speech therapy support.

How do visuals help teach WH questions?

Visuals are a game-changer for students who need support with WH questions. A simple icon or cue card helps students connect the question word to its meaning. For example, showing a person for “who” or a place for “where.”

Visuals reduce cognitive load and give students something concrete to anchor their understanding. Research by Swanson (2001) supports this approach, showing that explicit instruction paired with visual scaffolding leads to stronger comprehension outcomes.

The WH Questions Skill Pack includes visual cards and student-friendly definitions for each WH type, so you can introduce, cue, and review the skill consistently.

What’s the best order to teach WH questions?

In general, start with simple and concrete question types and move toward abstract or inferential ones.

Here’s a hierarchy that works well for most students:

  1. What (objects and actions)
  2. Where (places)
  3. Who (people)
  4. When (time or sequence)
  5. Why (reasoning)
  6. How (processes or emotions)

This sequence aligns with developmental norms and research showing that simple WH questions (e.g., “what,” “where”) develop before complex WH questions (e.g., “why,” “how”).

How can I make WH question practice more engaging?

Keep it fun and functional!

  • Incorporate WH questions into storybooks, games, and classroom routines.
  • Use visual supports and movement-based activities (e.g., scavenger hunts.
  • Rotate between structured drills and open-ended tasks to maintain engagement while still targeting accuracy.

You can find dozens of ideas in the WH Questions Skill Pack, which includes printable visuals, story-based practice pages, and leveled assessments that make planning a breeze.

Up next, we’ll wrap up with a quick summary of the research behind these strategies, plus related resources if you want to dig deeper into literacy-based therapy and contextualized intervention approaches.

Evidence & Further Reading

As with all of our therapy approaches, everything we’ve talked about in this guide is grounded in research. Below are a few of the studies and frameworks that inspired the strategies shared here — along with related blog posts that show how to put the research into practice.

🧠 Evidence & Research Highlights

Parnell et al. (1986)
Found that students with language delays often give appropriate but inaccurate responses to WH questions. This study helps us remember that children may understand the structure of a question before mastering its meaning, which is why explicit instruction and consistent data collection are so important.

Swanson (2001)
Demonstrated that explicit instruction significantly improves comprehension skills for students with language-based learning difficulties. When targeting WH questions, this means clearly defining each question word, modeling responses, and using visuals to support understanding.

Justice et al. (2002)
Supported the use of literacy-based intervention, showing that shared storybook reading with embedded WH questions improves comprehension and expressive language.

Ukrainetz (2015)
Highlighted the effectiveness of contextualized language intervention, embedding WH questions into meaningful classroom or play activities to encourage generalization and functional use.

Together, these studies form the foundation of the Assess → Teach → Scaffold → Focus → Embed → Repeat model used throughout this post and in the WH Questions Skill Pack.

📚 Related Blog Posts

If you’d like to explore more ways to use these evidence-based strategies in your sessions, here are a few related resources:

  • Tips to Implement Literacy-Based Therapy for Students with SLI — Learn how to embed WH question practice within book-based units and classroom routines.
  • How to Use Books in Therapy — Practical strategies to connect storybooks, comprehension questions, and language goals.
  • How to Use a Pocket Chart for Easy Literacy-Based Therapy — A visual scaffolding technique that makes WH question practice more interactive and structured.

💡 Putting It All Together

If you’re looking for a way to apply this research without spending hours planning, the WH Questions Skill Pack combines all of these strategies into one easy-to-use resource. You’ll find leveled assessments, visuals, and printable data sheets that bring the research to life, so you can focus more on your students and less on prep time.

✅ Evidence-based. Classroom-friendly. Ready when you are.

That’s a wrap on WH questions! I hope these strategies, examples, and tools make it easier for you to plan effective therapy sessions and help your students build lasting comprehension and communication skills.

Transcript

Transcript
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I am so excited to continue our series about how to teach different skills. Today we are diving into strategies for wh questions, and I think we all know how fundamental wh questions are for success in the classroom, literacy development, social interaction, all of the things. Before we dive into the strategies, I wanted to share a couple tidbits from the research, and I will share my citations in the show notes.

Parnell et al talk about how students with language delays produce less appropriate and less accurate responses to questions. And those are two things that we want to consider as we're approaching intervention and strategies that we're using.

So an appropriate response would be that we're responding to a who question with a who answer. So like, who went to the zoo? The girl did, and not responding with like a what or a why. If we say who went to the zoo because they wanted to, that would be an inappropriate answer because they're using the wrong question word and it would also be inaccurate because it's the wrong response.

But we wanna look at are they identifying the question word and responding. So if they say who went to the zoo and they say the girl, but it was really the penguin who went to the zoo, then that would be an appropriate response because they're identifying the who and giving a who answer. But it would be an inaccurate response because that's not the correct answer. But they are identifying the correct question word. So that's one thing we want to consider. Students with language delays often show appropriateness before accuracy, so we might see students start to give more appropriate answers before they become totally accurate. So that is something helpful to consider and something that we might look at in our data collection. I make skill packs for a lot of different skills and I started this because I was working as a school-based SLP managing a caseload in the triple digits, and I was not feeling my most confident and I wanted to make sure that even if I was spread very thin, I was providing the best possible intervention for my students and that I was doing it without breaking my neck. Enter the skill packs and a bunch of other things that I've made over the years. I dug through the research, and I started this process about 11 years ago when I started working and managing that massive caseload.

I made these skill packs to help organize the practical strategies and give me access to materials right at my fingertips. I'm going to pull from that, as a practical example of what this could look like, but the focus will be on the actual evidence backed strategies that we can use.

How I structure these packs are through assess, teach, practice. So we want to have tools to assess a skill. We wanna make sure that we're appropriately teaching the skill. This is a step that I would often skip as a newer SLP.

And then we want to give students the opportunity to practice.

So we're going to start with the assess portion. We talked about appropriateness versus accuracy, which is important to think about all throughout intervention when working with wh questions. But we'll move through strategies for assessment and then teaching and practice.

Strategy number one is to assess to find our starting point. We need to make sure that we're meeting students where we're at. I like to get a baseline assessment to help me determine what goal is even appropriate for the student, but then also where we need to start and what levels of support they need.

If they're at 0% accuracy, my approach is going to look a lot different versus if they're at 50% accuracy. So like to have a strong baseline assessment. and usually that's leveled to pinpoint exactly where we want to start with the goal. I also like to have a probe for the goal I end up writing, and I use that probe to assess the student's progress throughout intervention.

We do wanna find our starting point. We wanna start with that baseline assessment. I go from simpler to more complex and look at the different question types because, research shows us that some question types are more complex. They might struggle more with a certain question type. So I look at their responses to all of the question types, like who, what, when, where, why, how, and then I increase the complexity of that.

So I might start with responding to questions about a simple picture. I might include general knowledge questions, and comprehension questions about a passage. I can pull out my assessment packet and look at all of those different levels, and then wherever the student starts to struggle I'll be able to identify their strengths so we can leverage that in intervention. Also I want to find that sweet spot of, okay, where does it make sense to start intervention? Answering questions about a picture or are we all moving all the way to responding to questions about a story?

And there's different levels of complexity there. Having a strong baseline helps us identify what makes sense for that. The skill pack in SLP Now includes that leveled assessment to help you do that really good baseline to identify where students need to start. We also have probes for all of the different goals that you might write for that ongoing intervention.

That was our strategy one using a baseline assessment to figure out where to start.

Then strategy two is explicitly teaching the question words using visuals. Swanson 2001 talks about explicit teaching. How we do that with WH questions is we select a question word to focus on and we might have a visual to help the students understand what that word means. We might also have a quick student friendly definition. So we might have a picture of an object, and an action. A simple definition for a what question is a thing or an action. Then we would practice, answering questions. So, we have a number of different visuals inside the WH question skill pack. You can also do quick drawings and make your own little cards for the visuals for students. We have, little cards for each question word with the icon and the, quick student friendly definition.

We also have sheets that have examples of answers. The what page has the icons and the student friendly definition as well as examples of things like an apple, watching, stretching, clapping, all of those types of things. We have that for all of the different question marks.

Then we have a bunch of different ways to help you. You have that visual to help you teach it. And so you would introduce like, today we are practicing what questions, this is what a what question is, and then strategy three is to scaffold using a hierarchy. So part of that, we talked about already in strategy one, in just using that assessment to determine where students are at, are they able to answer questions about photos, general knowledge questions or questions about a text, question about conversation.

This is where teacher, parent report would come in, classroom observations, all of that good stuff. We would write the goal for the appropriate level. and then we have activities to practice those. So we have photo cards where you can practice who is in the picture, and then you would pair that with the visual. if you're practicing who today, you would have the little who card or the little who page, and you can have practice discrimination too. Like maybe have the who and the what poster, if they're already good at responding to what questions. That's how we can leverage their strengths. You can have these picture cards and you can ask who is in the photo, and then you'll pause. Okay, what word are you hearing? What question word is that? So first identifying the question word. So, oh, we heard the who, so we're looking for a person. then you look at the picture. Who's the person in this picture? They can say, A boy.

And then to leverage their strength and to practice that discrimination can say, okay, what's the boy doing? What kind of question was that? Is that a who or a what? And so you can point to the appropriate card, and then they can respond giving an appropriate and accurate response to that question.

And so you could rinse and repeat for all of the different question types. And then you can move on from simple photos and you can use the photos in the skill pack, any photos that you have in decks of cards, or you can look at pictures in books or ask questions about the immediate environment.

There are so many ways to scaffold that depending on where the student is at in the hierarchy. Strategy four, which we've touched on a little bit, is to teach one wh question at a time. Parnell et all 1986 Isenberg 2014 talk about focusing on one question type as a way to support mastery and reduce cognitive load.

We can, use the assessment to identify which question, like if they're really good at who and what questions, then we don't need to target them. We can leverage those as a strength. And then, if they are struggling with one questions, for example, we would put our focus on one question and just focus on that question type.

And then as they master that we can move on to more.

Strategy five is to embed wh questions in meaningful context. The four steps I've talked about have been very decontextualized. We're doing assessment, using visuals, and doing very structured practice to help teach that concept. Then we want to move into a meaningful context.

So we wanna move away from these card decks and structured activities and move into books and classroom activities as quickly as possible. I could share a lot of references to support the use of meaningful context for this skill.

Dr. Ukrainetz's research emphasizes this. There's also a study by Justice et al. from 2002 about using short shared storybook reading. lots of evidence to support using this approach. The reason why we want to make sure that we jump into embedded practice as quickly as possible is that it facilitates generalization.

I think that's the biggest thing. It doesn't matter if they can respond to the most complex wh questions in the speech room if they're not able to use that in the classroom. We want to think about where we ultimately want them to use the skill and give them the opportunity to practice that as quickly as possible.

It would be like if I were a basketball coach and only ever had my students do drills. If it's game time, they're really going to struggle if only did dribbling practice and never practiced the coordination of all the things in a game.

And so it's the same thing with all of the skills that we target, but it also applies to wh questions. Then our last strategy is to provide high repetition with varied practice. Repetition builds mastery and the varied context support generalization. We do want to use the question cards and structured practice to build that repetition. Then we want to make sure again, that we're moving into that embedded practice as quickly as possible, because that is critical for generalization. In terms of WH questions, the varied practices that we're not asking the same question over and over, we are asking if we're doing a storybook, there's variability and varied practice built in.

We're answering questions about different activities throughout the story unit. Last week I did a podcast episode about how I used Apple Trouble to target all of the skills. That'll give you a lot of ideas for varied practice with WH questions, from doing the KWL chart to the book walk to the virtual field trip to the story.

There's lots of varied practice built into a literacy based therapy unit, and we'll leverage that. So those are our six strategies for wh questions.

So a quick recap.

One, we wanna have a high quality assessment to help us determine which level is most appropriate for students. We'll use that to inform our goals and how we structure intervention. Strategy two is to explicitly teach the word meanings and to leverage visuals. Strategy three is to scaffold using a hierarchy. Based on the assessment results, we might start with questions about pictures and then move up to general knowledge and then about a passage

We want to teach one question at a time. Strategy five is to embed this practice in a meaningful context to facilitate generalization. Strategy six is to provide high repetition with varied practice. Those are our six strategies. Check out the show notes for the references and examples of what this looks like.

If you want to access the WH questions unit with all the assessments, visuals, and structured practice in one nice download. It's totally no strings attached. You'll just enter your name and email, set up a password, you'll get logged in.

You can go to the materials page, download the WH questions pack, and have the access to this awesome resource. Or you can check out some of our other skill packs and therapy plans and resources.

I started creating these materials as a very overwhelmed SLP who still really wanted to serve her students well. These materials have been 11 years in the making. We're constantly updating and revamping them, and I hope that they make your life a little bit easier and make it easier to implement some of these strategies.

So that's a wrap for today. Thanks for joining me, and I'll see you soon.

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231: 5 Evidence-Backed Strategies to Teach Past Tense Verbs

September 9, 2025 by Marisha Leave a Comment

Many of our students have goals for past tense verbs, but sometimes progress doesn’t come as quickly as we’d like. When that happens, it’s helpful to have research-backed strategies in our back pocket.

Before diving into the strategies, let’s take a step back: why do we even target past tense verbs?

  • Communication: Marking tense is an essential skill for telling stories, sequencing events, and being an effective communicator.

  • Diagnosis: Research shows that tense marking is a reliable indicator of language impairment (Guo & Schneider, 2016).

With that foundation, let’s explore five strategies supported by research that can help our students succeed.

1. Focused Stimulation

This strategy involves giving students rich, meaningful exposures to past tense verbs.

Example 1: Read a picture and emphasize the past tense verbs.

Example 2: If a student says, “I run at recess,” you might recast with, “Yes, you ran at recess today!”

You can coach parents and teachers to use this too.

Fey, M., Long, S., & Finestack, L. (2003). Ten principles of grammar facilitation for children with SLI. AJSLP, 12, 3–15.

2. Contrastive Imitation

Contrastive imitation highlights the difference between present and past tense forms.

Example: “Today we jump. Yesterday we jumped.”

Use picture cards, actions (jumping, clapping, tapping) or simple activities in your therapy room.

Encourage students to repeat the targets as part of the activity.

This contrast helps students connect meaning with form.

Connell, P. J. (1982). On training language rules. Language, Speech, and Hearing Services in Schools, 13(4), 231–240.

3. Visual and Kinesthetic Supports

Visuals make abstract grammar more concrete.

Try pointing to a visual cue for present tense versus past tense.

Incorporate kinesthetic activities. Students can act out verbs and then reflect on what they did.

Consider approaches like shape coding for added clarity.

These supports are especially helpful if students aren’t progressing with auditory-only strategies.

Ebbels, S. H. (2007). Teaching grammar to school-aged children with SLI using Shape Coding. Child Language Teaching and Therapy, 23(1), 67–93.

4. Interactive Prompting

Interactive prompting provides additional scaffolding.

Give students a field of two choices: “You pull the cart or you pulled the cart?”

If needed, model the correct form: “Say it like me. You jumped.”

Eisenberg, S. (2014). What works in therapy: Further thoughts on improving clinical practice for children with language disorders. LSHSS, 45, 117–126.

5. Increase Lexical Variability

Instead of drilling the same verb (e.g., jump → jumped), rotate a variety of verbs.

Research by Plante et al. (2014) suggests that variability facilitates morphology learning.

This prevents rote memorization and helps students generalize the past tense rule.

Plante, E., Tucci, A., Nicholas, K., Arizmendi, G. D., & Vance, R. (2014). Lexical variability and morphological learning in children with SLI. JSLHR, 57(2), 516–528.

Final Thoughts

If your students aren’t making the progress you’d expect, these strategies may provide the boost they need. Many are simple to implement with activities you already use, and they’re backed by strong research.

If you’d like access to ready-to-use visuals and therapy materials, sign up for a free trial!


At SLP Now, we are hard workers… but we also like to work smarter.

That means we’re constantly improving our materials, therapy planning resources, and the ways we support SLPs like YOU — so you can skip the hard work part and just work smarter. 👇

Inside the SLP Now membership, you’ll find 400+ therapy plans and an organized library of 6,000+ (and counting!) evidence-backed speech therapy materials to help you differentiate your therapy in a matter of minutes.

How is that possible, you ask?

Because we analyzed all the books, identified the targets, and created unit plan pages that suggest activities based on the skills you’re targeting and your students’ needs. This is the one-stop shop for all your literacy-based therapy needs, including resources for virtual field trips and visuals to help those concepts stick.

We’ve talked about so many activity options during this series… but there are even more literacy-based ideas and evidence-based resources waiting for you on the other side of SLP Now. 🤗

Join thousands of SLPs and get the support you need

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Transcript

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Hello there and welcome back to the SLP Now podcast. Today we are going to be chatting about five evidence backed strategies that we can use when targeting past tense verbs.

A lot of our students have these goals, and it's helpful to have some good strategies in our back pocket, especially if students aren't making the progress that we would expect.

And taking another step back. Why do we even write these goals in the first place?

It is a very important communication skill and being able to mark tense is really important when telling stories and being an effective communicator. It is also a diagnostic indicator, so if students are not marking tense, that is a very reliable indicator of language impairment.

This is according to Guo and Schneider in their 2016 article. I'll link all of the different articles in the show notes, if you are wanting to dig into anything in a little bit more detail. I also apologize if I butcher any of these names. I always read this and don't hear it talked about quite as much.

I think we're all on the same page in terms of why we might want to target these goals and why it's important, so now we can dive into five strategies.

The first strategy is to build awareness through auditory bombardment. We provide rich, meaningful exposures of these past tense verbs. We can use this for other grammatical morphemes and grammatical targets as well.

We want to give multiple exposures to these targets and emphasize them. Focused stimulation is what some of the studies call that. The main goal here is giving them lots of meaningful exposures to those targets.

So first strategy is that auditory bombardment, focused stimulation. This is a strategy that I often share for intervention, before a student might be on my caseload.

I teach this to parents and teachers. just having them give that focused stimulation, and recasting. So if a student says I run during recess, we can say, yeah, you ran during recess today. That is a helpful strategy and I find that teaching that strategy and getting parents and teachers on board often helps students start using that target. They just need a little bit of extra exposure, and for some students that does the trip, which is amazing.

Now on to strategy two, which is contrastive imitation. There's a whole protocol for this in the research article.

An example of what this could look like is if we're using the present and the past tense verb. Today we jump, yesterday we jumped. You can use picture cards potentially having a picture of a girl jumping and then having her be done jumping.

She jumped. Just having that contrast and semantic representation of the meaning. You don't have to have materials for the contrastive imitation. Have the student actually jump or push or tap or whatever.

You can be like you are tapping and then, oh, you tapped when they're done tapping. You can do this with a lot of different games and activities that you already have in your therapy room.

The protocol might include having the students actually repeat the targets as well. I'll link to that in the show notes so you can see what that looks like.

Then strategy three is using kinesthetic and visual supports.

in the SLP Now membership, we have different visuals to help students so that we can point to an indicator of this is present tense, this is past tense. We also have different cards that can help with that strategy one and strategy two using a bunch of different verbs.

There's lots of different ways that we can do this. There's also shape coding. There's some research behind that as well. in just giving students some different types of visual supports.

So considering some of those options, especially if students aren't making progress with focused stimulation and contrastive imitation from the first two strategies. That brings us to step four, which is interactive prompting. This is an example of what this would look like.

You pull the cart or you pulled the cart. You give them those two choices. If you are doing different jumping activities, like you are jumping or you jumped, like which one is true. if they're doing it while they're jumping, they can say, I am jumping. If they finish jumping, then they can say, I jumped.

If they don't answer that independently with that forced choice, you can say, say it just like me. You jumped, and scaffold that production. And then you can combine that with your visuals and your other strategies as well.

Giving those choices and eliciting those imitations can support grammar when recasts aren't enough. That's something that we have seen in the research as well. The fifth strategy is to have high lexical variability. Instead of using the same verb over and over again, we want to rotate the verbs that we're using in the session.

So instead of just doing tons of practice with jumping, we would include different types of verbs like play, climb, wash, call, sit, stand, and being mindful of whether we're doing a regular or regular past tense verbs. But then that helps students learn that pattern more versus just memorizing, oh, the past tense of jump is jumped if they're generalizing it to a bunch of different words.

Plante et al their 2014 article is really an interesting read in looking at that lexical variability. if we have more variability that can facilitate morphology learning. and so being strategic with the words that we're selecting. And that article gives some suggestions for that.

So those are our five strategies. Hopefully this is a confidence boost of things that you're already doing. And if you're listening to this because a student isn't making the progress that you would expect, hopefully you have some great strategies now that you are reminded of, that you can try to implement.

So just a quick recap. Our first strategy was that focused stimulation, auditory bombardment. The second strategy is using that contrastive imitation, and the third strategy was incorporating visuals or kinesthetic supports. Strategy four is some of those interactive prompting strategies like giving that forced choice, that elicited imitation.

Okay. And then strategy five is making sure that you're including a variety of verbs in your session and not just drilling one over and over and over. And then check out the Plante at al article from 2014, for some different strategies on lexical variability.

So those are our strategies. We are going to continue this series of different strategies we can use for grammar intervention. This will partially be based on any questions. So if you have a question, send us an email [email protected] or dm us on Instagram at slpnow. Some of the future episodes will be focused on generalization and focusing on that from the start and having those meaningful context for this intervention.

But if any, if you had any questions about anything that we chatted about today, let me know. That's all for now. Thanks for joining us, and I'll see you very soon.

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223: 5 Quick Questions to Audit Your Referral Process

July 8, 2025 by Marisha Leave a Comment

Let’s be real. Referrals can be a total time suck.

If you’re constantly chasing paperwork, reviewing inappropriate quality referrals, or feeling like your system is non-existent, this post is for you.

Based on insights from over 400 school-based SLPs, I’m sharing 5 quick but powerful questions you can ask yourself to audit your referral process.

This mini audit will help you spot time-wasters, cut down on chaos, and build a system that actually works for you (not against you).

Question 1: Do you have to chase down teachers or parents for info every time?

If the answer is yes, it might be time to implement a referral form. A simple Google Form (or a HIPAA-compliant tool like what we have inside SLP Now), can help you collect key info upfront.

→ No more back-and-forth emails.
→ No more trying to remember which questions to ask.
→ Just one streamlined form that gets you what you need.

A well-designed form can save hours of follow-up time and ensure every referral starts on solid ground.

Question 2: Do most referrals end in “not eligible” or “RTI needed first”?

Too many referrals that don’t lead to evaluation = a system breakdown.

It could mean your team needs more education around developmental norms or interventions. Supporting teachers with guidance and tools can boost referral quality and save everyone time.

→ Share developmental checklists.
→ Offer intervention ideas.
→ Train staff on when a referral is truly needed.

It doesn’t take much, but it can change everything.

Question 3: Can you describe your referral workflow in under 30 seconds?

If you’re winging it every time, you’re not alone, but there is a better way.

Having a simple, 3-5 step process that you follow every time will:

→ Save your mental energy.
→ Help you respond faster.
→ Make things more fair and consistent for students.

Think: “I get the referral, I review the form, I screen or consult, then I decide next steps.”

That’s it. No wheel reinvention required.

Question 4: Do referrals feel like a surprise flood?

Referrals shouldn’t feel like a tidal wave, but for many SLPs, they do (especially in the spring).

Here’s what helps:

→ Frontload teacher training in the fall.
→ Track referral patterns over time.
→ Explore proactive screenings in high-need grades.

We can’t eliminate all the surprises, but we can make them more manageable.

Question 5: Are referrals taking you more than 3 hours each?

According to our survey, the average SLP spends 3+ hours per referral. That’s a lot.

Next time you process a referral, take note:

→ What’s eating the most time?
→ Are you doing steps that could be simplified or skipped?
→ Is it time to refine your form, workflow, or teacher guidance?

A referral should not take more time than an evaluation. (And with the right system, it won’t!)

So, how many yeses did you get?

If you said yes to 1 or more of these, that’s a sign your system could use a tune-up.

But the good news? Even one small change can free up your time and make referrals way less stressful.

Want more help? I’m sharing my best tips (plus a bundle of free referral resources) at my SLP Summit presentation.

Sign up for free here: slpsummit.com

Let’s simplify referrals together! You’ve got this, SLP. 💛


At SLP Now, we are hard workers… but we also like to work smarter.

That means we’re constantly improving our materials, therapy planning resources, and the ways we support SLPs like YOU — so you can skip the hard work part and just work smarter. 👇

Inside the SLP Now membership, you’ll find 400+ therapy plans and an organized library of 6,000+ (and counting!) evidence-backed speech therapy materials to help you differentiate your therapy in a matter of minutes.

How is that possible, you ask?

Because we analyzed all the books, identified the targets, and created unit plan pages that suggest activities based on the skills you’re targeting and your students’ needs. This is the one-stop shop for all your literacy-based therapy needs, including resources for virtual field trips and visuals to help those concepts stick.

We’ve talked about so many activity options during this series… but there are even more literacy-based ideas and evidence-based resources waiting for you on the other side of SLP Now. 🤗

Join thousands of SLPs and get the support you need

Sign up for a risk-free two-week trial → We won’t even ask for your credit card!

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape!

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
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Hello, there. I am so looking forward to continuing our conversation around referrals. Last week, we talked about the struggles that SLPs face when it comes to referrals, based on our survey of over 400 school-based SLPs. If you're listening to this episode, you are probably an SLP who is struggling with referrals or at least want to make referrals easier.

And I have five questions to help you start that process and figure out how you can make referrals easier for yourself. Jot down a quick note anytime you say yes to these five questions. It'll help us come up with our game plan for how to move forward. The first question is, do you have to chase down teachers or parents for information every time? When you receive a referral, are you having to run around to get the information that you need to make your decision? This is a struggle that a lot of SLPs talked about in our survey. If you're answering yes to this, you can start thinking about some teacher and parent input forms.

A lot of SLPs said that they use Google forms. We also have this built into SLP now in a HIPAA compliant way. By having a template in the form of a Google form or the SLP Now forms, you don't have to waste time thinking about what questions you're gonna ask. You have the templated way to organize it, and if you're in the habit of using paper forms instead of digital, this can save you time because you have all of the information in one place versus having to organize all of the papers.

One thing that an SLP said in our surveys was that collecting all the background information and accessing the student's academic history is almost more work than an evaluation. A referral should not be more work than an evaluation. We need an easy, streamlined way to collect that information and quickly make those decisions.

By having a streamlined process that includes a form, you can potentially save hours with each referral depending on how much time you're already spending.

Question two is, do most of your referrals result in not eligible or RTI needed first? Are you getting a lot of inappropriate referrals where you are having to say, "No, they're not eligible. They need intervention." We really should be getting high quality referrals that generally lead to an evaluation.

Hopefully there's enough supports upfront where anytime we receive a referral, it is a very high quality referral, when they've exhausted their resources and we really need some help. If you are having a lot of those not eligible or RTI needed first referrals, that is a red flag that, we need to educate our teachers and maybe teach them about developmental milestones and when it is appropriate to refer, or arming them with different interventions that they can use.

And it makes sure that they're supporting students before it gets to a special education decision. A quote from our surveys was that teachers make referrals for every minor speech error and administrators are making language referrals in place of full psych evaluation.

So again, those are some examples of what this might look like, where we're not getting appropriate referrals and we need to do some education. I'm presenting at the SLP Summit , and I am going to be sharing handouts to help you with educating teachers and administrators, in terms of what makes an appropriate referral and what is appropriate for each grade level.

It's an epic bundle of handouts and resources, and anyone who attends my presentation will get this handout. So, head to SLPsummit.com if you wanna check that out. I'm really excited to, share even more tips around referrals, but then also help you, by giving you these free resources that you can use right off the bat.

Question number three is, can you describe your referral workflow in under 30 seconds? In the survey, a lot of SLPs said that they don't have a clear or consistent process. They're reinventing the wheel every time.

One SLP said, no, I'm just winging it every time. The cost of winging it is really so much extra time and so much stress. If you're having to figure out what to do for every referral versus if you have a three step process of I send out the form, I do this, and then I do this, and then the referral is taken care of, it reduces the mental load and decreases the time it takes to manage your referrals. It also improves the quality because every student is getting the same quality of referral and consideration, not skimping on some students versus others. My SLP Summit presentation will walk through, an example of a process and how you can build your own workflow, and it really should just be a couple simple steps. This may vary depending on your district's requirements, but we really should be able to keep it short and simple.

My fourth question is, do referrals feel like a surprise flood? Are there seasons where you are getting tons of referrals, and feeling really overwhelmed? This typically happens in the spring when teachers are realizing that it's time for students to move to the next grade and they're realizing that maybe they didn't do everything that they wanted to.

If you're answering yes to this, you might consider front loading our teacher training, or at least tracking patterns and trying to find ways to make this more manageable. Increasing the quality of our referrals and providing teachers with interventions, they, should be able to more quickly identify students who might need support.

They can consult with you for help on interventions earlier on so that when it gets to the end of the year, they feel confident that the student actually made progress and doesn't need that support. Or they can decide earlier like, oh, I implemented these interventions and it is very clear that this didn't do the trick.

So that is question number four. Do you have a flood of referrals at a certain time of year? You can consider teacher training, proactive screening and other strategies depending on where you are in the journey. If you're feeling like you don't have a process at all, it might be helpful to think about training teachers.

If you have a streamlined process and you're still having floods of referrals and educating your teachers, you might consider doing more proactive screenings or providing more teacher support in specific areas based on what you're seeing.

And that brings us to question number five. Are referrals taking you more than three hours on average? In the survey results, the average time that SLPs indicated they were spending on referrals was about three hours. Ideally the time. you spend on referrals is much less than that but that's where we're sitting as an average.

so there's definitely room to reduce that. A great goal could be to get your referrals done in an hour or less. If you are in the camp of referrals taking 3, 4, 5, or more hours, next time you have a referral, think about what's taking the most time?

Or maybe think back on your past referrals and where have you spent most of your time? Is it the paperwork? Is it trying to hunt down information? Is it the inappropriate referrals? You might also consider the number of referrals. You can ask your colleagues, how many referrals are you getting in the different schools?

And that could be a strategy to think about too. As you're thinking about the steps of your referral process, you can think about, do I really need to do this? Is there a way to make this easier? Or do I need to do some upfront work to, maybe prevent the need for this step?

So those are our five questions. Question number one is, do you have to chase down teachers for information? Question two is, do a lot of your referrals result in not eligible or RTI needed first. Question number three is, can you describe your referral workflow in under 30 seconds or is it a very complicated process? Question number four is, do you ever have a flood of referrals? And then question number five is, are referrals taking you more than five or three hours on average? So how many yeses did you get? I'd love to hear where you're at. One or two or three yeses is a sign that you have some room to tune up your referrals and save yourself some time, and make your work life a little bit easier.

If you are wanting to learn more, please do join me at my SLP Summit presentation. You can sign up at slpsummit.com.

It is free to attend, and I'm going to be sharing a bundle of free handouts for anyone who attends. I'll see you next week as we continue this conversation, and I hope you have a fabulous week.

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Filed Under: Podcast

222: The Referral Struggle Is Real: Why This Process Feels So Hard

July 1, 2025 by Marisha Leave a Comment

Let’s talk about referrals.

Because if you’ve ever felt overwhelmed by the process, you are definitely not alone.

I recently surveyed 434 school-based SLPs and asked them what’s been tripping them up when it comes to referrals.

Wow, did they deliver!

The responses were honest, thoughtful, and (not gonna lie) a little validating. Turns out, the things that make you want to cry into your data binder? They’re super common.

Now let’s dive into the top 5 struggles SLPs shared when it comes to managing referrals!

1. The Background Info Black Hole

The #1 struggle? Incomplete background information.

Referrals rely on input from teachers, parents, and admin. Coordinating all of that takes time and a lot of chasing people down. Without a clear system in place, most of us end up cobbling things together on the fly.

→ Ever tried to make an referral decision without classroom data?
→ Or received a form with one-word answers (if it’s filled out at all)?

Yeah. Not great.

We need background info to make good decisions, and we need systems to make gathering that info sustainable.

2. When Referrals Aren’t Appropriate

Another huge theme? Inappropriate or premature referrals.

Sometimes teachers refer students who are simply developing normally for their age. Other times, they refer without trying any classroom interventions first.

Neither is ideal.

And here’s the kicker… Once a referral lands on your desk, the clock starts ticking—whether or not it’s truly necessary. That adds pressure, work, and (often) a full evaluation to your plate.

3. The Wild West of Referral Processes

This one hit home… Most SLPs said they don’t have a standardized referral process.

Not even within the same district.

One school might have an entire team to support the referral process. In another, you’re left guessing what admin expects.

That inconsistency leads to confusion, delays, and way too much mental load.

4. The Springtime Referral Flood

While referrals happen all year, the majority of SLPs reported getting swamped in the spring. It’s like the floodgates open in March and suddenly there are 10+ new referrals to consider, on top of the rest of our already heavy workload!

5. Time. Always, Time.

Here’s the math:

Average time to complete one referral = 3 hours

Average referrals per year = 15

That’s an average of 45 hours of extra work.

And that’s before we even talk about evaluations or IEPs that come from those referrals.

It adds up fast. And if your system isn’t streamlined? That time multiplies.

So… Now What?

If you’ve been white-knuckling your referral process or blaming yourself for falling behind, I hope this post is a giant exhale for you.

You’re not behind.
You’re not doing it wrong.
You’re working within a broken system, and you’re doing your best.

Over the next few weeks, I’ll be sharing strategies to simplify referrals, build out systems that work, and reduce the chaos (without adding more to your to-do list).

Because we deserve a process that supports us, and students deserve thoughtful, well-informed decisions.

Ready to Simplify?

📌 Listen to the podcast episode for the full breakdown! (You can find the audio at the top of this post, or tune in with your favorite podcast app!)
💬 Have a referral challenge I didn’t cover? DM me on Instagram at @slpnow. I’d love to hear your story.

At SLP Now, we are hard workers… but we also like to work smarter.

That means we’re constantly improving our materials, therapy planning resources, and the ways we support SLPs like YOU — so you can skip the hard work part and just work smarter. 👇

Inside the SLP Now membership, you’ll find 400+ therapy plans and an organized library of 6,000+ (and counting!) evidence-backed speech therapy materials to help you differentiate your therapy in a matter of minutes.

How is that possible, you ask?

Because we analyzed all the books, identified the targets, and created unit plan pages that suggest activities based on the skills you’re targeting and your students’ needs. This is the one-stop shop for all your literacy-based therapy needs, including resources for virtual field trips and visuals to help those concepts stick.

We’ve talked about so many activity options during this series… but there are even more literacy-based ideas and evidence-based resources waiting for you on the other side of SLP Now. 🤗

Join thousands of SLPs and get the support you need

Sign up for a risk-free two-week trial → We won’t even ask for your credit card!

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape!

Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
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Hello there and welcome to the SLP Now podcast. We are excited to be kicking off a new series all about referrals. We are going to be spending the next month or two diving into this topic, because it's an area that a lot of us struggle with when it comes to our workload.

We sent out a survey to the SLP now email list and 434 SLPs responded and shared their feedback in terms of how they're managing referrals and what it looks like and what the struggles are. And so we have some really, really good data.

We asked the years of experience and the setting and the basic demographics It feels very representative of, the school-based SLP world.

I'm really excited to share this with you. Today we are going to be diving into the five common areas that came up, in terms of areas that SLPs are struggling with when it comes to referrals. the goal of this episode is to set the stage and identify what we're seeing as the trends. Hopefully if you are struggling with referrals, you'll realize that you're not alone in this. We are going to spend the next month, and even more time breaking this down and making it more manageable for all of us, because there are major challenges when navigating our referrals.

Let's dive into the five areas that we identified after hearing from 434 SLPs.

The first challenge was incomplete background information. It's really challenging to collect all the information we need from teachers and parents, to make an appropriate referral decision, and that takes a lot of time to coordinate with the teacher. A lot of us don't have a solid process in place either. sometimes we're trying to track down teachers and figure out what questions to ask them, and we may or may not have a form to help us with that. It is really challenging to get that solid background information to make an appropriate referral decision.

Number two was inappropriate referrals. There are two main types of inappropriate referrals. One is when teachers are over referring because they don't know what's developmentally appropriate or expected, and they may be referring for something that is typical for that age. So there definitely is some education that needs to happen to improve the quality of our referrals. And then the other aspect of that is inappropriate and premature referrals. If teachers are referring students without having implemented any interventions, it can be really hard for us to determine if a student really needs specially designed instruction, or if a simple intervention would do the trick. It's hard to make that. decision on whether we need to evaluate or not, if they haven't done that work, to set things up.

Then the third common struggle was that there's not a clear process. So every school, every teacher, every administrator seems to have different expectations around referrals and how to manage that. Every SLP does it a little differently. Maybe if there's 10 SLPs in the district. Everyone manages referrals differently, and it's different depending on the school you're in. If you're an SLP in a district and working in two schools, the referrals are handled differently from school A to school B, which makes it really hard to manage that.

The fourth common struggle is that we get a lot of referrals at once, especially in the spring. We may get 10 referrals on our desk at the same time. Having the capacity to navigate that on top of all the other things happening during that heavy referral season, which typically sounds like it's this spring.

The fifth common, struggle that SLPs were sharing was time. It is challenging and related to all of these pieces of having incomplete background information, inappropriate referrals, unclear, inconsistent processes across schools. And getting those referrals when our workload is already very high. During especially busy times of year, like when progress reports are due or, when we are having an influx of IEPs and evaluations on top of the referrals. so those are all things that lots of S LPs were sharing about. So if you're experiencing that, you're definitely not alone.

When we looked at the responses, the average time it takes to complete a referral is about three hours.

And the average that we calculated was that, SLPs are receiving about 15 referrals in a school year. If the average referral takes three hours and the average SLP gets 15 referrals, that's 45 hours of additional workload on top of meeting our students' service times and managing IEPs and evaluations many of these referrals turn into evaluations.

If we're getting inappropriate or premature referrals or whatnot, because we received the referral and we have that timeline, we might recommend an evaluation, and those evaluations take even more time. It makes sense why referrals are a big challenge for SLPs. if you have any unique insight or a challenge that you don't think we addressed, please reach out to me on Instagram.

I'd love to hear as we're going through this process and having this discussion. Our goal will be to share different strategies and tips. Some SLPs shared great strategies, in the form we sent out. I've been working on optimizing my own referral process and, helping other SLPs do the same.

So I'm really excited to continue this series. Again, reach out if you have any feedback, or unique experiences that you'd like to share. We'll see you next week to continue the conversation.

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Neurodiversity Affirming Speech Therapy Goals

August 27, 2024 by Marisha 1 Comment

As SLPs, we’re always looking for ways to support our students in the best way possible. When it comes to neurodivergent students, using neurodiversity affirming practices is key. 

These approaches celebrate individual strengths and communication styles rather than trying to “fix” differences.

In this guide, we’re tapping into the expertise of Jessie Ginsburg and Chris Wenger to show how you can write IEP goals that truly support and honor neurodivergent students.

Listen on Apple Podcasts Listen on Spotify

Understanding Neurodiversity Affirming Practices

At its core, neurodiversity affirming speech therapy embraces the idea that neurological differences like autism, ADHD, and other neurodivergent conditions are natural variations of the human brain, rather than deficits to be “fixed.” 

This approach focuses on building on a student’s existing strengths and respecting their preferred communication methods. 

As Jessie Ginsburg and Chris Wenger highlight, it’s essential to collaborate with neurodivergent individuals and their families to ensure that therapy aligns with the student’s unique needs and perspectives.

“You really do need to understand what makes something neurodiversity affirming. And for us, I know our favorite way to learn has always been to learn from autistic people.”

– Jessie Ginsburg

Neurodivergent vs. Neurotypical Communication Styles

Neurodivergent individuals often communicate in ways that differ from neurotypical norms. 

For example, autistic students may use alternative methods like AAC devices, gestures, or specific speech patterns that reflect their unique way of engaging with the world. 

Understanding these communication styles is crucial for SLPs to create supportive environments where students can express themselves freely.

What is Neurodiversity Affirming Speech and Language?

Neurodiversity affirming speech and language therapy is about supporting the communication preferences of neurodivergent individuals rather than trying to change them to fit neurotypical standards. 

This might include helping a student express their needs using their preferred method of communication, whether it’s verbal, through AAC, or other means.

What is the Neurodiversity Affirmative Therapy Approach?

The neurodiversity affirmative therapy approach shifts the focus from “fixing” neurodivergent behaviors to celebrating and supporting them. This approach ensures that therapy goals are aligned with a student’s authentic communication needs and helps them advocate for themselves in various environments.

One key consideration in this approach is masking—the act of neurodivergent individuals suppressing their natural behaviors to fit in with neurotypical expectations. Research shows that masking can lead to increased stress, anxiety, and mental health challenges, including burnout and a diminished sense of self​ (Source: National Autistic Society). 

By avoiding goals that encourage masking, therapists can focus on creating a safe space where students feel comfortable being their authentic selves.

Importance of Dynamic Assessment for Neurodiversity

A key element of neurodiversity affirming therapy is using dynamic assessment to understand each student’s strengths and challenges in real-time. 

Traditional assessments may not always capture the full picture of a neurodivergent student’s abilities, which is why dynamic assessments—where you observe and interact with students in different situations—are so important. 

It’s essential to assess how a student communicates and engages in natural settings before creating goals.

“Before we start developing the goals… we’ve got to have some information about what is going on in the environment. So it really has to come down to a dynamic assessment. We really want to figure out, when they get stuck on something in class, what’s this student’s way of communicating that they need support?”

– Chris Wenger

Developing Neurodiversity Affirming Speech Therapy Goals

When developing neurodiversity affirming speech therapy goals, the focus is on supporting the student’s authentic communication style rather than trying to “normalize” behaviors.

These goals empower neurodivergent students to communicate in ways that align with their strengths and preferences. 

This may involve self-advocacy, emotional regulation, and helping them participate meaningfully in different environments.

What are Neurodiversity-Affirming Goals?

Neurodiversity-affirming goals are those that respect and reflect the individual’s communication preferences, rather than attempting to change or “correct” them. 

These goals build on the student’s natural abilities and aim to enhance their quality of life by promoting self-expression in ways that are comfortable and effective for them.

“We’re not writing goals to create more stress and anxiety… We’re creating goals where they’re like, ‘yeah, that’s what I need help with’. So now they have buy-in into their own goals… and everybody gives each other a high five at the meetings.”

– Chris Wenger

How to Write Neurodiversity Affirming IEP Goals

When writing neurodiversity-affirming IEP goals, it’s important to involve the student and their family in the goal-setting process. 

Goals should be personalized, practical, and tailored to the student’s real-world experiences. Jessie and Chris recommend focusing on areas such as functional communication, emotional regulation, and self-advocacy—skills that will help the student navigate their environment with confidence and independence.

Speech Therapy Goals for Autistic Students

Speech therapy goals for autistic students should prioritize the student’s preferred communication methods, whether that’s using AAC, gestures, or speech. 

Rather than pushing neurotypical communication norms, these goals should enhance the student’s ability to communicate their needs and desires in a way that feels natural to them.

Total Communication Approach in Speech Therapy

The total communication approach embraces the use of multiple communication methods—such as AAC devices, verbal speech, and gestures—so students can express themselves in the most effective way. 

Jessie and Chris stress that this flexibility is key to neurodiversity-affirming therapy, as it allows students to advocate for themselves in ways that feel authentic. 

Why is the Total Communication Approach Important for Neurodivergent Students?

Neurodivergent students often have unique communication needs, and the total communication approach helps bridge the gap between different communication styles. By providing access to a range of communication methods, SLPs can better support their students’ interactions with peers, teachers, and family members, giving them more confidence in expressing their needs and thoughts.

Incorporating the Total Communication Approach in IEP Goals

When writing IEP goals, it’s important to incorporate the total communication approach by including different modes of communication in the goals themselves. This ensures that the student has access to multiple tools for communication and that the goals are flexible enough to accommodate the student’s preferences.

We know that sometimes that verbal speech might not happen in that moment, and that’s okay. So within the goal, we might put something to add ‘when given access to total communication’… That implies we’re not forcing the child to use verbal behavior or spoken language… We’re honoring the student and giving them a variety of ways to advocate and to express what helps them out best.

– Chris Wenger

Addressing Sensory Regulation in Speech Therapy

For many neurodivergent students, sensory regulation plays a crucial role in their ability to communicate effectively. Sensory regulation refers to how students process sensory input, such as sights, sounds, and textures, and how it impacts their emotional and physical state. In neurodiversity affirming speech therapy, it’s essential to acknowledge and address each student’s unique sensory needs.

“We want to make sure that our goals are also honoring autistic characteristics. Autistic brains function differently than neurotypical brains and their sensory is going to be different. The way they regulate their emotions is likely going to be different. The way they socialize might be different. The way they communicate might be different. So really taking into consideration..”

– Jessie Ginsburg

Autistic Communication Style

Autistic individuals often have distinct communication styles, which may include alternative communication methods or particular ways of expressing themselves verbally. 

Rather than shaping these styles to fit neurotypical norms, neurodiversity affirming therapy focuses on supporting these natural forms of communication. 

Jessie and Chris emphasize the importance of respecting these differences, noting that focusing too much on neurotypical communication can cause more harm than good: “We’re not just trying to make them fit into a mold.”

Neurodiversity-Affirming Speech Therapy Goals Examples

Writing neurodiversity-affirming goals requires a shift from traditional goals that aim to “normalize” communication toward goals that embrace the individual’s authentic communication style. 

These goals focus on building self-advocacy, enhancing emotional regulation, and supporting functional communication skills in everyday situations. 

For examples of effective, neurodiversity-affirming IEP goals, you can explore the SLP Now goal bank, which provides practical, real-world goals tailored to meet the needs of neurodivergent students.

How to Be a Neurodiversity-Affirming Speech Therapist

To become a neurodiversity-affirming SLP, it’s important to embrace a strength-based approach that focuses on the unique abilities of neurodivergent students rather than trying to “fix” perceived deficits. 

This involves creating a supportive, judgment-free environment where students feel comfortable communicating in their own way. 

Additionally, SLPs should collaborate with students, families, and other professionals to ensure that therapy goals are individualized and meaningful. 

For more guidance on fostering meaningful connections with neurodivergent students, check out Jesse Ginsburg’s book, Ready, Set, Connect!, which provides practical strategies to help SLPs connect with their students and create more effective, affirming therapy sessions.

jesse ginsburg ready set connect

Frequently Asked Questions About Neurodiversity Affirming Speech Therapy

Q: What is neurodiversity affirming speech therapy?

A: Neurodiversity affirming speech therapy recognizes and celebrates neurological differences, such as autism and ADHD, as natural variations. It focuses on supporting the individual’s communication preferences rather than trying to “normalize” behaviors.

Q: How can I be a neurodiversity-affirming speech therapist?

A: To be a neurodiversity-affirming SLP, embrace a strength-based approach, collaborate with students and families, and create therapy goals that respect and support the student’s unique communication style. You can also explore resources like Jesse Ginsburg’s Ready, Set, Connect! for practical strategies.

Q: What are neurodiversity-affirming goals?

A: Neurodiversity-affirming goals are therapy objectives that respect the student’s natural communication style and prioritize functional, real-world communication over conformity to neurotypical norms. These goals focus on areas like self-advocacy, emotional regulation, and functional communication.

Q: How do I write neurodiversity-affirming IEP goals?

A: Start by involving the student and their family in the goal-setting process. Focus on areas that promote independence, such as functional communication and self-advocacy. You can find examples of these goals in the SLP Now goal bank.

Q: What is the total communication approach in speech therapy?

A: The total communication approach allows students to use multiple methods, such as AAC, verbal speech, gestures, and written communication, to express themselves in ways that feel most natural to them.


Links and Additional Resources

  • Jesse’s Instagram
  • Chris’s Instagram
  • Reel: Neurodiversity Affirming Goal
  • Instagram: Sam Rowntree
  • Instagram: Lyric Rivera
  • Autistic Self Advocacy Network
  • Jesse’s Book

At SLP Now, we are hard workers… but we also like to work smarter.

That means we’re constantly improving our materials, therapy planning resources, and the ways we support SLPs like YOU — so you can skip the hard work part and just work smarter. 👇

Inside the SLP Now membership, you’ll find 400+ therapy plans and an organized library of 6,000+ (and counting!) evidence-backed speech therapy materials to help you differentiate your therapy in a matter of minutes.

How is that possible, you ask?

Because we analyzed all the books, identified the targets, and created unit plan pages that suggest activities based on the skills you’re targeting and your students’ needs. This is the one stop shop for all your literacy-based therapy needs, including resources for virtual field trips and visuals to help those concepts stick.

We’ve talked about so many activity options during this series… but there are even more literacy-based ideas and evidence-based resources waiting for you on the other side of SLP Now. 🤗

Join thousands of SLPs and get the support you need

Sign up for a risk-free two week trial → We won’t even ask for your credit card!

Subscribe

Subscribe to the SLP Now podcast and stay tuned for our next series. We’re kicking off September by helping you get your data collection, paperwork, and therapy planning processes in tip-top shape!


Listen to The SLP Now Podcast on Apple ★ Spotify ★ Google  ★ Stitcher ★ Castbox or wherever you listen to podcasts.

Transcript

Transcript
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Marisha (00:00)

Okay, hello there and welcome to the SLP Now podcast. I'm really excited to have two special guests today. We have Jesse Ginsburg and Chris Wenger, and we are going to be chatting about neurodiversity affirming goals. And so I'm, I cannot wait for this conversation. And before we dive into chatting about all things goals,

I thought it would be super helpful to get to know a little bit about Jesse and Chris. They are a dynamic duo with a wealth of knowledge and experiences. So we'll kick things off just letting them share a little bit about their story and kind of how we ended up getting into this conversation about neurodiversity.

Jessie & Chris (00:53)

Yes, thanks so much for having me back. So excited. I know we were talking about so much has changed since we chatted last and now I got to bring Chris along this time. But yep, we're both two SLPs. We are based in Los Angeles and it's kind of fun because not only are we parents together, four boys, but we have very different work settings and just very different experiences, but we both love working with autistic.

kids and that's really our passion area, but I am a clinic based SLP. I own a clinic in Los Angeles for the last over 10 years. And so I work with a lot of littler ones. And then I have a panic attack about the age eight when I call Chris and say what I do with this child. No, but he is a school based SLP working with older kids. So it's fun to come together and have different perspectives.

Yeah, it's so funny that Jesse says that because it's like how I am too when someone approaches me with like a really young child and says, hey, so what about this goal or what about this? And I am I'm like, well, let me let me find out. Let me call Jesse. Yeah, he'll get like his friends from high school who have a kid who need help or something. And then he's like, can you send a voice memo to this person I knew 20 years ago? Totally. That's a baby. And yeah. Yeah. So, you know, following that, that's my setting. It's been my.

The majority of my life has been working with teenagers. So over the years, I've really kind of learned what works, what doesn't work, what makes a neurodiversity affirming goal versus a traditional goal. What are next steps for the future? Like, you know, my whole journey has kind of shaped together to learn this stuff. So but it's all been specific to teens and young adults.

Marisha (02:47)

And I love how we all end up with our areas of specialty and like we can build those networks to help us help all kinds of kiddos. So yeah, I love those stories and this will be a really cool conversation because we'll get the perspective for different age ranges as well as different settings like private practice versus the schools. So I'm really excited to dive into all of this. And.

We've gotten a lot of different questions about neurodiverse, neurodiversity affirming goals and what those look like. And I'm really excited to dive into that. But I know that writing goals is actually a very tiny part of the puzzle. And so, because well, there's a lot more learning that we need to do beyond like, here's a goal bank, for example. So what are some of your?

favorite resources for SLPs are maybe getting started to help give them a good foundation to start thinking about those.

Jessie & Chris (03:49)

Yeah, I mean, I think that it's funny, I was kind of laughing in my head when you said that, that it's such a tiny piece, because it's like, you can't just give someone a neurodiversity affirming goal, and then expect that the therapy is going to be using a neurodiversity affirming approach. You really do need to understand what makes something neurodiversity affirming. And for us, I know our favorite way to learn has always been to learn from autistic people.

and follow autistic people on social media. We have a lot of autistic colleagues and friends that we've had really great conversations with. And that's just, I would say, the number one way that I've at least tried to consume information about how can we best support our autistic kids. Let's ask our autistic adults that we have in our lives and then try to go from there. Yeah. And to shadow that,

back into the goal writing, asking, you know, and connecting with resources with other autistic therapists, autistic voices, which goes right back into the goal writing process, including the client or the student in that goal writing process. That is your first stepping stone on a no diversity affirming goal. Who's the goal for?

Is the goal for the teacher is the goal for the therapist is the goal for the parent or is the goal for the child for the client? That's where we have to step. So that's like one of the very first things we question, like, who's this goal for? Who's it going to benefit? And that right there will help guide the process of writing the goal. But yeah, I always feel like that. Need for connecting with and getting input from that individual.

Because that's intrinsic motivation right there, right? That's like neurodiversity affirming approaches and strategies in general is how do we get away from that externalized motivators and what's intrinsically motivating for the individual? Because if they can have say in their goals, what works for them? What do they need? Then that's where you're going to get a lot more success.

Marisha (06:05)

Yeah, I love that. So Jesse's point was reaching out to or learning from other autistic individuals in the community. And then I love how you added Chris that like our our students and our clients are like they're the stakeholders there. So communicating with them too. And you gave some really good examples of like questions that we can ask our students to help guide that conversation. So I love that.

And then do you have, could we maybe shout out a couple of accounts as examples? Like if an SLP is like, ooh, I love that idea. Like, where can I start on Instagram?

Jessie & Chris (06:45)

I feel bad because I don't want to exclude anyone by not saying names of people. Do you have people you would want to list? my gosh. I mean, I could give you a couple of people who I've worked with directly who have been awesome. It's just there's so many people. Honestly, it's hard to... Maybe we can give you a list to add in your show notes or something. But some people we've worked with and interviewed, one autistic SLP, her name is Sam Roundtree. Her...

Marisha (07:05)

Let's.

Jessie & Chris (07:14)

handle for a long time was the Aussie Specie. She's been awesome, worked on a project with her. my god, I feel like there's just so many people we've interviewed. Lyric, whose handle is neurodivergent rebel and Lyric always posts these questions that say that say autistic asking autistics. So if you go to the post, it's all

Autistic responses, which is really really cool Yeah lived experience educator. Yeah, I like a chain They have like such great content that really focuses on getting away from neuro normativity and working with Our clients and our students through a neuro diversity affirming lens So yeah that handle is at lived experience educator I think like resources to like I really like to go on the website neuro classic comm

you know, Autistic Self Advocacy Network, ASAN is a great one. But yeah, just kind of exploring those and hearing input from from voices has really kind of helped out. Yeah. So there's a few right there. Yeah.

Marisha (08:21)

Yeah, and then I'd love that I'll share the accounts that you mentioned as well as some of those websites. And then you guys highlight people on your accounts as well. So I'll link to Chris and Jesse's Instagrams as well as just another starting point as well. And then, okay, so.

Jessie & Chris (08:39)

awesome.

Marisha (08:43)

Obviously, there's a lot more to learn about goal setting to really help us, but let's humor the people and give them a little bit of what they want in terms of goals. And then I saw, I think it was a collaborative reel that you posted.

between, maybe it was Jesse's, I'll link the real either way in the show notes, but you were sharing about neurodiversity affirming social groups. And one thing that you said, like instead of teaching social skills and making kids sit and forcing conversation, we can provide a safe place for kiddos to be themselves and allow them to move and allow conversation to flow naturally. So I thought that was a really cool.

illustration of kind of some of the thought process. So and I'll share that if people are wanting to look back at that. But what are some important considerations when we are and maybe you have different perspectives based on what age you're working with, but I'm curious what your thoughts are on like, what should we think about as we're writing those goals, in addition to kind of doing our background research and.

listening to the autistic voices and our clients going from there.

Jessie & Chris (10:01)

Yeah, I mean, I think, I mean, Chris could definitely speak to this a lot more specifically, but I think the biggest thing to think about is, you know, our goal is not to just try to take a child and then fit them into the mold of what is quote normal, you know, and previously a lot of our goals would do that. It was, well, most of the time kids can have conversations for five minutes and they can take turns back and forth. So that means this child needs to be able to do that too.

But we want to make sure that our goals are also honoring autistic characteristics and, you know, autistic brains function differently than neurotypical brains and their sensory is going to be different. The way they regulate their emotions is likely going to be different. The way they socialize might be different. The way they communicate might be different. So really taking into consideration that our goal is to really support them in the areas where they

need support or feel they need support. We're not just trying to make them fit into a mold. Yeah. And that's like kind of more exactly on the if we're working on, you know, social engagement, social language, social emotional needs. Shouting what Jesse said is that's the first thing. Are we trying what's the what's the goal? Is it supporting the individual? Because if we're teaching them to act or imitate their typical peers,

then we're inadvertently going to create more stress. We're going to create more anxiety because the goal essentially is telling them, hey, look, your way of communicating or who you are is not OK. You have to you have to not be you anymore. You have to fake your whole identity and pretend to be somebody else. So we're going to create a goal for you to imitate what your typical peers are doing. And there's just a lot of harm in that because.

What ends up happening over time is you start to create this sense of an individual being more hyper vigilant where they're going into social situations like, well, did I initiate it the right way or did I not? Did I exchange back and forth conversation or not? Did I stay on topic the way I was forced to do or not? And then what ends up happening is they withdraw, become socially isolated. So inadvertently does the thing that we don't want to happen in the end.

So I think that's really something that we can we can focus on. So I guess at this point, what do we do? Well, we would create things, situations that are natural, where conversations can happen naturally, where they can meet peers who are like minded that share similar interests. Right. So like, I'll give you an example. We created a Lego club once a week.

after school and we weren't sure how that was going to kick off. This is just in the past six months. But we had a couple of students that had interest in that. And so we reached out to a teacher who is willing to host it once a week for an hour after school, student led, and it generated 16 students so far. But like up the bat, we have 16 students who were like

Wait a minute, there's a Lego club where I can go connect with other people who like to build Legos. No pressure to socialize. No pressure to have to fake who they are. Conversations happen naturally. Relationships happen authentically. We're not forcing people into conversations they don't want to be a part of. We're not taking away unstructured time for them to have to be forced into conversations. We're not forcing eye contact. We're not forcing...

neurotypical style engagement where one person has to put the Lego on and then the next person puts Lego on like things just happen naturally. That's the way life should be. Right. And so and so that's what we would want to do to create those natural conversations to happen to build those skills. And then another thing that Jesse will will shadow and share a lot more of because I learned this from her. But.

Whatever the goal is, if you're working with language, if you're working with vocabulary, you're working with social emotional needs, you're working with grammar, like whatever the goal is, you always have to ensure that the child's regulated. You're going to not get from point A to point B if you don't start there. And so, yeah, that sometimes can be dismissed or not really viewed as a necessity. So.

What might that look like in context? You have to do a makeup speech session. So your sessions are usually Mondays, you know, third period. But there was a holiday. So you're like, all right, well, I've got some time on Friday. Well, the students working on some makeup work in their study skills class or they're in an art project, they have a monotropic mind, they're focused. And then they get the phone call and their teacher says, hey, you have to go over to A100.

because it's speech time, you're going to have a child whose regulation is not going to be the same as it typically would. And so they come to speech and you're like, darn, they're not saying anything. I'm not getting any results. I'm not, you know, it's like, well, we have to think first and foremost, is this is this individual that I'm working with regulated? How do we get them there?

So so Jesse can kind of share a little bit more on that because that's her area. I learned that was good. He learned something from me. I learned a thing. As you were talking to put the dirty clothes in the laundry basket or else one hour massage punishment. I was thinking about you said something that made me think about how I used to teach. OK, am I the only one who did this? I used to have like popsicle sticks with paper.

glued to it and it would be comment question and then we would go back and forth. Did you ever do that? Probably not. You were ahead of your time. Was this in school? No, like with a student, like a seven, eight year old. Okay, let's have a conversation about a topic we choose. And then I remind them by holding up the thing if they need to ask a question or if they need to make a comment. And anyway, that's exactly kind of what I remember. Like,

having conversations about the popsicles that we ate. But yeah, I know what you're saying. But that's how I would teach conversation skills. It's like, OK, well, a conversation looks like I say something. You respond. You ask a question. I respond. And that's just maybe a neurotypical communication style. But if we are just focused on teaching autistic kids neurotypical communication styles, they're not going to actually go out there and

take those skills to be able to develop authentic friendships. And, you know, compared the popsicle sticks compared to I remember when I had these two girls in my office, they were like maybe six and seven sitting on these very chairs. So they were kind of getting some sensory like spinning around as they were talking to each other. And they spent 25 minutes talking about Pokemon and anime is Pokemon the different completely different or is it like a

No, that isn't. That's anime. Okay, so they were talking about anime for 25 minutes and I was like thinking like, man, I did my job. Like they didn't need anything. I didn't, it's like the way you know you're having a successful social group is when you're not needed. You know, and I think like oftentimes we sit back and we feel like, my God, well, I'm the therapist. I need to be interjecting. I need to be talking. I need to be teaching. But if you can...

create a scenario where you have people having an authentic conversation that they're genuinely interested in and you're not needed, that's an amazing thing.

Yeah, absolutely, I agree.

Marisha (18:08)

And you gave some good examples of like just kind of, and they even created their own context in that example. Like they figured out what they want to talk about and they were able to keep talking about it. And like with the Lego club, they're kind of self -selecting there of like, yeah, I love that Legos. I'm going to go to that.

So what would that look like, especially for like school -based SLPs? Like how would we reflect that in a student's IEP? Like what does that look like?

Jessie & Chris (18:38)

Yeah, I mean, regarding goals. So I'm going to give myself a shameless plug here because it goes with the topic. Before we start developing the goals, because there's I get this question like so often, what are neurodiversity affirming goals? Does anybody have a gold bank? But prior to the goal, we've got to have some information about what the need is first. Like what is going on in the environment?

I've got to get information about how things are going on in class with their peers. What does the student want? Like all of that information. So it really has to come down to a dynamic assessment. We really want to figure out, you know, in class, is this student when they get stuck on something, what's their way of communicating that they need some support? It doesn't always have to be through spoken language, but.

Are they reaching out to the teacher? Are they talking to their caregiver? Are they writing it down? If they're becoming dysregulated because let's say they had a substitute teacher come in, that was unexpected, which happens quite often. How do they handle their ability to co -regulate? Do they have a safe person in the building? Who is their trusted adult to go to? How are they advocating to?

get a sensory break or how are they working on co -regulating with somebody like we need to know this information. So the questions, this is always a life thing too. The questions we ask are going to determine the outcome of how we how the goal and the reports are written. Right. So it has to start there. The challenging part that we have as SLPs and OTs and PTs and everybody else on the IEP teams and in private practices.

the forms that we have to assess currently, like the standardized ones, ask the wrong questions because they're asking, how do we get this kid to be more neurotypical? So the system for 70 years now has only created more harm than good because now what you're doing is working against a child's neurology and then when they become dysregulated,

A functional behavior analysis comes in and an FBA is done. And then the behavior plans put on this kid when the reality is they don't have a behavior plan. They just had an unmet need and an unsolved problem because we were asking the wrong questions in the first place. So I created a dynamic assessment that asked the right questions, that asked the teachers, hey, I want to know.

What are accommodations that are working? How does this student self -advocate? What's it look like with the dynamics when the class has small groups put together? What's it look like when things, when the child or the student becomes dysregulated? And then we have a whole different set of questions that are asked to the students so we can get insight about what they're looking for in a friend so they're not feeling pressured to have to be forced into a social.

skills group, we ask the caregivers like, you know, what are some things that are working all strengths based, by the way. But that's where we have to start. And then once we get that information, then we can collaborate. We can work with the student and say, hey, now what is the need? Is the need for the student to advocate for a quieter space when there's test testing going on or.

Does the student need some support with noise canceling headphones during the rally and assemblies that are happening on Fridays? Does the student need a little bit of support about the perspectives of their typical peers without sacrificing their autonomy and giving them a variety of things? Does the student need a little bit of support on being aware that their autistic communication style might be a little different than their peers and it's totally OK? Like, what?

is that information and that will drive the goal. That's huge. Let me drop your mic. Mic drop. Yeah. With all of that being said, I want to say this, too. With all of that being said, we can add things in any of the goals where we come from a level of knowing when a student feels like they've been put into the fight, flight, freeze, fawn response, their nervous system.

Marisha (22:33)

Yes, I think that's the whole conversation right there.

Jessie & Chris (22:55)

happens, they've got anxiety, we know that sometimes that verbal speech might not happen in that moment and that's okay. So within the goal, we might put something to add to any of our goals when given access to total communication, right? And then that implies we're not forcing the child to use verbal behavior is what it's called or like spoken language, they must verbalize it. We're honoring the student and giving them

a variety of ways to advocate and to express what helps them out best. That helps in the schools, but it gives them the tools to help beyond the school walls. So if they have a dentist appointment in the future when they graduate or when they're in high school, whatever age they are, they might be thinking it would be really nice if I could wear my noise canceling headphones when I go to the dentist, because I hate that loud sound that squeals.

And I don't like the bright lights, so I'm wondering if I wear my tinted glasses and I have a certain schedule that works better for me. How can I advocate for those needs? Well, we've given them the resources and the tools like you don't have to call on the phone. But how can you use Yelp to reach out and to connect with them through, you know, written language or through text or through the scheduler? So there's a lot of benefits that these goals can serve on a large scale.

Marisha (24:22)

Yeah, that is incredibly functional.

Jessie & Chris (24:26)

Yeah, absolutely. And it's authentic to them. Like they're not, we're not creating goals that, you know, again, are creating more stress and anxiety. We're creating goals where they're like, yeah, that's what I see. I need help with too. So now they have buy -in into their own goals, which is great. And the parents are like, hey, that sounds like a good plan. I would love for my child to, you know, work on those things. And so then everybody gives each other a high five.

at the meetings. That's huge. Without actually the hands touching, germs and stuff. Air high fives at the IEP meeting.

Marisha (25:06)

That sounds like a really great way for everyone to win.

Jessie & Chris (25:09)

Or we can hold up popsicle sticks and be like, hey, great job. Hey, fantastic.

Marisha (25:12)

I love that. And I think so the first reel that I mentioned was one that Jesse recorded on her own, I think, but there was another one that you all did together, like a conversation about goals. I'll link that in the show notes too. But that's so because I was I see a couple.

kiddos, I don't carry a full caseload anymore, but I was working with an autistic kiddo and I had just updated his goals and I had put in a goal for like to have him after having some conversations with Jesse, I put in a goal to have him like self advocate for sensory supports. And then you did that real and that was the goal you're talking about was like, yeah.

Jessie & Chris (26:04)

my God, so funny. Yes. Rugrats audio. yeah.

Marisha (26:09)

Yeah, I love that one. That was super fun. But it was a really cool, because I still have so much to learn in terms of implementing all of this 100%. But just my experience with those types of goals, like you can really see a huge difference. Like the parents, they're like, of course, like that makes so much sense. And that's so helpful. And it's a goal that helps them at home. And...

in a bunch of settings. And then the kiddo loves it too, because it's really empowering for him to be able to communicate what he needs. So yeah, I've really enjoyed this conversation and getting even more ideas on how we can kind of start to implement that. And I'll definitely link to the dynamic assessment too, because that seems.

Jessie & Chris (26:58)

That would be awesome. Yeah. And I can kind of share where to find it. I wanted to add one more thing, too, because this question comes up, this whole conversation that we've had, there's always one last question that pops up because the majority of parents, when they hear this type of, or caregivers that hear this type of language and this new shift, they're like, yes, this, this, that sounds like so much what my child needs. But then you're going to get that.

really small, small group that isn't on board. And they're like, nope, social skills training right now. My child needs to be like their neurotypical peers, and there's no budging. We want this. Or you might be in a meeting, and there's an advocate that's like, hey, we know what? We want evidence -based programs that are about social skills training.

And I hear this question a lot. So my response is I always try to guide. I don't like try to say, no, don't do that. But I just try to guide with research out there. And I say, you know, I understand where you're coming from with the idea that if they have these social skills like their typical peers are going to be happier and, you know, things are just going to blossom. But the research and what we know is that teaching people in general to heavily mask, to be an authentic.

will lead to future mental health challenges and issues. And here's the research. So that way the parent has information to go, OK, well, you've given me some information so they can do some exploring and understand the harms in it. That's really how I approach that question, because we will, as SLPs, be presented with that question.

or those challenging moments where it's like, no, I hear your neurodiversity friends. I don't want it. I want to force this. And we have to, we do what's ethical, which is supporting the students we work with by not teaching them how to be inauthentic. So I wanted to share that because that's a valuable piece of information I've learned over the past couple of years on how to address that. Yeah. And I think like the underlying ideas.

It always for me at least comes down to a connection driven approach and how can we make this child feel safe and comfortable with us and feel like they can be themselves in front of us and in front of other people as well. And, you know, when we really sit down and think about it, how can I put, you know, connecting with this child, with the student at the forefront of what we do, it's like everything else comes.

more naturally, you know, and that's was the inspiration of my book I just wrote because that's what it's all about. It all comes down to how can we build a connection and that's when kids really learn and that's when kids feel safe and comfortable.

Marisha (29:53)

Love time.

Jessie & Chris (29:53)

Yeah, no, that's huge. I think that's at the forefront of it too. Ready, set, connect.

Marisha (30:02)

And we'll link to the book in the show notes as well. But like Chris said, it's called Ready Set Connect.

Jessie & Chris (30:10)

Yeah, I love it.

Marisha (30:11)

Love it. Well, is there any any other last thoughts before we wrap things up? I mean, you shared a huge wealth of knowledge and resources that I'm super proud of.

Jessie & Chris (30:23)

Yeah, I mean, I think the biggest thing is it is so setting specific when we're writing goals. And like, sometimes it's stressful for me just to listen. We're talking, he's like talking maybe about one of his students goals. And it's just, I feel like there are so many hoops you have to jump through in the schools, because he'll all tell him one of my goals. And he would be like, I could never use that goal for X reason, you know? And so,

I feel like writing neurodiversity affirming goals in a clinic at least. And I can't speak for every clinic because of course funding sources are different, but we do take insurance and we try to write goals that are the most, that are very easy, general goals that gives us the most flexibility possible. So back to Chris, he said adding when given, what did you say? When given,

access to total communication. Yeah, so having like a total communication goal, that's like our go -to goal for a child who comes in and is non -speaking or maybe minimally speaking or inconsistently speaking. And that gives us so much flexibility because we can work on anything now because our goal is total communication. You know, whereas if we have a child come in and we know their Gestalt Language Processor and we can identify what stage they're in, we write them a goal for that. And...

So we write our goals to give us a lot of flexibility over what we do and keep them really general so that it's not just that we're targeting specific activities or specific situations. So I think there's a lot of benefit to that. So if you have the ability to make your goals broader and more general, I've always found that to be easier. Yeah, I agree. And better. Yep. We're given access to total communication.

when working with activities where the child is regulated, like all of those things that right off the bat set up the student for success. I think that we are one step closer to meeting that goal and helping the kids. So we mentioned the assessment when it comes to goals within the schools. The reason why it can be sometimes challenging is how do you measure a self advocacy goal? How do you know the student is, you know,

asking for, you know, use of, you know, something that's calming for their sensory needs or requesting to co -regulate with the counselor or the mental health coach that's on campus or how do you know that they're advocating for the accommodations listed in their IEP. So I like to use a rubric -based system. I have a whole system and the assessment.

And so yeah, I'm gonna just share that word you can locate that because it's all kind of in the same place based on whatever is you're looking for if you're looking for beyond that and You're looking for a neurodiversity of activities I got all that. So here's how you do it. You go to my Instagram and Then you go to speech dude. So just type, you know, you find me at speech dude and then DM me the word bananas and there you go That's it. That's all you have to do. Just DM me the word bananas. I

And you're going to go bananas on some great neurodiversity affirming resources. That's how you do it. And then for Jessie, she's got her own stuff as well for where you could locate her book and all of those things. So you want to share? Yeah. The books at ReadySetConnectbook .com. And when you get it, you get the audio book for free. You also get a lot of other awesome stuff for free, like a free training, free event coming up that I'm going to be hosting. And.

Very easy to get anywhere. Yeah. Awesome.

Marisha (34:16)

ReadySetConnectbook .com. Awesome. And then, yeah, I'll link to all of that in the show notes as well. But thank you both for sharing such a wealth of resources. And it's, that bananas DM seems like it'll cover everyone's questions from the, because it sounds like you mentioned everything from dynamic assessment to actual activities. So.

Jessie & Chris (34:19)

Ready, set, connect.

Yeah, dynamic assessment to where you'll find the Gold Bank or something new that I haven't released yet, but a way for to locate providers and autistic therapists and clinical psychs and the right people. That's what the world needs. We need the right people. And so I got information there, too. Yeah, it'll be it's good stuff.

Marisha (35:10)

Amazing. And I know this was such a small, like this, I mean, it's been what 36 minutes or whatnot. This doesn't do the whole conversation justice, but I'm really grateful for you sharing. And then hopefully the listeners have some good resources to continue that conversation and continue growing as professionals. So thanks for doing this with me today.

Jessie & Chris (35:34)

Yeah Marcia, thanks so much for having us on. Thank you for having us. We love being here. Yeah, love the topic and we love being here. We appreciate it.

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