Cycles Approach
Metaphon Therapy
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Metaphon Therapy is an approach geared for children with issues in phonology. The overall goal is to increase the child's intelligibility. Goal progression follows a hierarchy from sound level up to conversational level. Instruction can be spoken and visual, with gestures and tactile objects as additional modalities. According to research, it is recommended that sessions be held twice a week, for approximately 30 minutes. There is no recommended time limit for how long this intervention should be implemented.
A speech language pathologist is required to implement this approach; however, a trained teacher may be utilized as well. It is important to note that this approach is meant for children with mild to moderate phonological disorders and intelligibility. External reinforcement activities and games can be used to encourage the child's participation.

Metaphon therapy is comprised of two main phases, each with different levels. Within phase 1, there are four levels; concept, sound, phoneme and word. Within phase 2, there are two levels; word and sentence. The clinician should start and work through phase 1 before phase 2, and follow the hierarchy of levels.
References:
Adams, C., Nightingale, C., Hesketh, A., & Hall, R. (2000). Targeting metaphonological ability in intervention for children with developmental phonological disorders. Child Language Teaching and Therapy, 16(3), 285–299. https://doi.org/10.1177/026565900001600304
Howel, J., & Dean, E. (1994). Treating phonological disorders in children: Metaphon- theory to practice. Department of Human Communication, De Montfort University, (2), 231-237.
Joffe, V., & Pring, T. (2007, March 27). Children with phonological problems: a survey of clinical practice. International Journal of Language and Communication Disorders, 43(2), 154-164. doi:10.1080/13682820701660259












