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Practice 1

AJ is 3 years, 5 months. He was a late talker and is being referred by his family, because they still cannot understand him. AJ's word productions include the following:
- no-> no
- three -> me
- block -> bot
- more -> moh
- stop -> dop
- run -> um
- where -> wayo
- top -> dop
- car -> da
- mine -> mime
- on -> on
- mommy -> mommy
- stay -> day
- ice cream -> i beam
- like -> why
- apple juice -> abo boo
- walk -> walk

Based on this limited sample and assuming it is representative of connected speech, what would you plan for target patterns and phonemes to teach the patterns?

Remember, always look at the Primary Patterns first, and I think, "Do I need to target this?"
-Syllableness? NO, he can string two syllables together (even if every phoneme in the word is not correct)
-Initial Singleton Consonants? NO, he begins most words with a consonant (even if it is not the correct consonant)
-Final Singleton Consonants? NO, he ends at least 60% of words with a consonant (again, even if it is not the correct consonant)
-Anterior-Posterior Contrast? YES, he is not yet at 60% on /k, g/
-S Blends? YES, he is not combining consonants.
-Liquids? YES, he is not using liquids.

And we stop there, because we do not want to worry about Secondary Patterns until he has met criteria for graduating from Primary Patterns.

Phonemes to teach the patterns (assuming stimulability):
(Anterior-Posterior Contrast)
-/k/ final
-/g/ initial
(S Blends)
-/st/ initial
-/sp/ initial
-/sn/ initial
-/sm initial
-/ts/ final
-/ps/ final
(Liquids)
-/r/ initial
-/l/ initial

One week per target. If he gets /k/ in the first cycle, you could target initial /k/ (under A-P Contrast), and /sk/ initial /ks/ final (under S Blends) in the second cycle.

Suppose you have gone through two cycles and his productions are now:
- no-> no
- three -> we
- block -> bock
- more -> moh
- stop -> dop
- run -> wun
- where -> wayo
- top -> dop
- car -> ta-oh
- mine -> mine
- on -> on
- mommy -> mommy
- stay -> stay
- ice cream -> i kweam
- like -> wike
- apple juice -> appo duice
- walk -> walk

Which patterns would you include in Cycle 3, and which phonemes to teach the patterns?

(Anterior-Posterior Contrast)
-/k/ final
-/g/ initial
(S Blends)
-/st/ initial "It's a _"
-/sp/ initial "It's a _"
-/sn/ initial "It's a _"
-/ts/ final
-/ks/ final
(Liquids)
-/r/ initial
-/l/ initial

After ensuring that Primary Patterns graduation criteria were met, I would probably continue straight into Secondary Patterns with...
(Voicing Contrasts)
-/p/ initial
-/t/ initial
(Palatals)
-y initial
-ch final
-sh final
(Stridency)
-/f/ final
-/f/ initial

He would probably need a fourth cycle, which I would imagine to be:

(S Blends)
-/st/ initial "It's a _"
-/sp, sk/ initial "It's a _"
-/sm, sn/ initial "It's a _"
(Liquids)
-/r/ initial
-/l/ initial
(Palatals)
-ch final
-ch initial
-sh final
-j initial
(Other Consonant Clusters)
-/s/+stop final
-medial /s/ clusters

Do not forget your metaphonological skills practice! Remember the hierarchy:
-Nursery rhyme cloze
-Syllable blending
-Syllable segmentation
-Onset-rime blending
-Onset-rime segmentation
-Phoneme blending
-Phoneme segmentation
-Phoneme manipulation