Background: The client, T, has been attending speech therapy here at WVU for about three years. She is an 8 year old girl. She has been seen for articulation difficulties. Originally she was mostly unintelligible. Most recently she was working on /tS/, /k/, /g/ and /d3/. When I began treatment she was working on carry-over skills and had graduated from her speech therapy at her school.

Treatment: After some initial base rating it was determined that T had well established carry-over of her sounds and that we should focus solely on maintenance. We see T once a week for fifty minutes. In that time the assistant and I listen for correct articulation of all sounds while focusing on other activities. When we originally focused on her sounds she was 100% over 4 sessions so now we get her conversation in as natural settings as possible and see how her carry over is maintained. In the article, Programming Rapid Generalization of Correct Articulation through Self-Monitoring Procedures by Lynn Kern Koegel , Robert L. Koegel , and Janis Costello Ingham , they discuss the importance of self-monitoring in situations outside of the clinic for generalization and maintenance. This is why we try to use different situations with T, like going outside, or talking on the phone. The above mentioned article was in the Journal of Speech and Hearing Disorders Vol.51 24-32 February 1986.