Help with Speech Motor Chaining Treatment

Treatment Templates let you load in settings that you commonly use in different treatment sessions, so setting up individual treatment sessions for your clients will be a breeze.

For example, you might make treatment session templates like these: 

• 30-min session with 2 chains
• 45-min session with 4 chains
• 45-minute session with 4 chains and Treasure Chain game (available for Pro users)

You can set up as many Treatment Templates as your like, or use our defaults. 

To Set up a Treatment Session Template:

1. In the banner menu, select “Setup Tools” then “Treatment Templates”

2. Click on “+ Create New” to create a new session-type

3. Enter the name of your session

4. Use the drop downs to select the number of syllables to address in your session, the number of chains per syllable, how often auditory models should be provided to learners, total duration of session, and whether the session will have prepractice or not.

5. Click “Save” to store the template in your library

When teaching speech movements, it is the stage in which the clinician provides maximal instruction and support to the client. Speech Motor Chaining sessions are designed to start with pre-practice.

Pre-practice can be time-based (e.g., you may chose to end pre-practice after 10 minutes) or criterion-based (e.g., you may end pre-practice after 3 correct productions of each of your target syllables). Once pre-practice is over, your session will advance to structured Chaining.

To include pre-practice in your Speech Motor Chaining sessions, it must be set up in your Treatment Session Template:

Random practice involves saying practice words in a random sequence (e.g. A, F, B, D, C, E) rather than in a blocked sequence (e.g., A A A A A, B B B B B B). In Speech Motor Chaining, Random practice will automatically begin only once the client has shown success on some mutisyllabic words, and 70% of the session time has gone by. The highest level of each chain that the child achieved earlier in the session will be presented in random order.

During random practice, feedback is limited to 50% of practice trials to best support motor learning generalization.

1. From the Client Dashboard, select “Treatment Sessions" for the client
   
2. Click on “+ Create New Treatment Session for this Client”
3. Click the calendar to select the session date and time
4. Name the session
5. Using the dropdown identify the client(s) being treated in this session.
   • If the session is a group session, you can select more than one client in the dropdown.
   • If you make an error when selecting group members, you can uncheck them.
   • All checked session members are listed in Clients.
6. Select the Treatment Session Template you will use for this session (for your reference, template details will appear underneath “Session Template”, but you cannot modify them from this screen)
7. Click “Save” to store session information
8. If you change something in the session after saving it, don't forget to click "Save" again!

1. After you have saved your Treatment Session, the “Set up Chains” button will appear.
2. Using the dropdowns, select the Sound Target(s) you will focus on
3. Using the dropdowns, select the syllables you will focus on
4. Option: You can select “Autogenerate Remaining Chains” to fill in the rest of your chaining targets
5. Using the dropdowns, you can select each level of chains; work in a left to right manner as the monosyllabic word you select will dictate which options are available at higher linguistic levels
6. Review chains; if you would prefer a different target, you can use the dropdowns to further customize
7. Select “Save Client Chains” to lock them into the session
8. Entered information will be stored in your session until the session is started

Note: You can use the “Copy From…” button to copy chains from a previous session to a new one. It will import the chains exactly as they are saved from a prior session. This is helpful if you want the client to work on the same Chains as a previous session.