March 6, 2023 · 1:30 · DTTC · Practice
End Every Block on an Accurate Production
When you move up and down the DTTC hierarchy and a child can't get a target at a harder level, step back down until they produce it accurately, and end the block there.
Full transcript
Good morning. Nicole coming in from the NYU Motor Speech Lab with the Monday tidbit. I'm back on schedule with my Mondays.
I wanted to very quickly leave you with this concept for when you're working with your motor speech kiddos and moving through the DTTC hierarchy. There's simultaneous, there's direct imitation, there's delayed imitation, and then there's spontaneous. Once they start getting these targets, you're going to have sessions where you're actually moving up and down the hierarchy.
Maybe you're testing the waters for direct imitation because they sound wonderful in simultaneous, and they don't quite have it yet. Or they sound so great in direct that you want to try delayed, and they don't quite have it yet, so you go back to direct. This is why Dr. Strand calls this a dynamic treatment.
One of the things I do every time, every block, is end with an accurate production. Meaning, if I'm moving up the hierarchy, we've been working really hard on a target word, we're now at delayed production and they're not getting it, I'm not going to end with them not getting it. I'm going to go back down to direct, sometimes simultaneous, and I'm going to have them get it perfectly. And then I end the block.
