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Stimulability Intervention

Stimulability Intervention is an approach geared toward children with problems in articulation. In this intervention, the goal is to increase the number of sounds in the child's spoken repertoire. Increasing the child's overall intelligibility will aid in their ability to be understood by others. Multiple goals may be targeted at one time, and it is important to target stimulable and non-stimulable speech sounds. 

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Targeting non-stimulable sounds is important in order to increase the amount of speech sounds the child has. Targeting stimulable sounds is also crucial in order to keep the child's motivation, and encourage them to continue with harder sounds. The clinician may use a spoken model of instruction, as well as gestures, tactile objects and visual cues if needed. A speech language pathologist is required for this intervention; however, parents, teachers and other educators may prove to be useful aids. 

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Recommendations include holding sessions twice a week, for 45-50 minutes. Although research is variable, it is suggested to focus on this intervention for approximately 12 weeks. Sessions can be structured or more naturalistic to encourage client participation. External reinforcers (games, activities) can be used to keep the client's attention and motivate them to continue through targets. 

References:  

 

Micco, A., Elbert, M., & Forrest, K. (1999), The relationship between stimulability and phonological acquisition in children with normally developing and disordered phonologies. American Journal of Speech Language Pathology, 8(4), 347-363 

 

Micco, A., & Williams, A. L. (2010). Stimulability Intervention. Interventions for Speech Sound Disorders in Children,  179-200.   

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