Here are some of our favorites. stories, articles, poems, videos, etc.) One suggestion for speech production long term goals for children with CAS is to write them in terms of the child's speech intelligibility AND his/her mean length of utterance in morphemes (morphemes are like words, but are a more sensitive measure of a child's language complexity. It made the group more accountable and was also a great way to build rapport. Those more straightforward articulation goals occur after my student has mastered the foundational skills. Goal: AAE Rule(s): Example: Mark 3rd person singular -s : 3rd person singular -s may be omitted or it may be used with the 1st person. . After that, we practice pronouncing the verbs. In this blog post, Im going to share some of my favorite, Read More How to Do Speech Therapy with 4th and 5th Graders (SLP Guide)Continue, TWO. Articulation Goals - Sounds Will use X sound in isolation Another idea might be checking with the teacher to see if any upcoming presentations or book reports will need to be presented to the class. Grade Core Curriculum Goal Speech/Language Smart Goal Intervention Ideas 3 6. They also include relative pronouns (such as who, whoever). 2023 The Pedi Speechie Website + Branding Design by Christi Fultz, Grammar Goals for Speech Therapy (IEP Objectives), 5 Speech Therapy Articulation Activities for Older Students, Quick and Easy Semantic Relationships Speech Therapy Worksheets, How to Do Speech Therapy with 4th and 5th Graders (SLP Guide), The Advanced Grammar and Sentence Structure Program for Speech Therapy: Why Grammar and Syntax is SO Important, Teaching Idioms in Speech Therapy (Ideas and Activities). The speech therapy goals directly impact his daily living activities. I point out the alveolar ridge. observed, the goal was to form common factors within linguistic topics, to compare . For more information on writing objectives using the SMART framework, this n2y.com blog post is very helpful, Techniques and Interventions to Correct R course, if a student is demonstrating a tongue thrust or improper tongue resting posture and is also demonstrating a lisp, articulation carryover is teaching my student how to self-evaluate speech, Here is another fun articulation carryover activity, its really important to work on grammar and syntax in speech therapy, creating complex and compound sentences using conjunctions about pictures, straw technique for tackling a lateral lisp, BEST Books for Speech Therapy: 4th and 5th Grade - The Pedi Speechie, Website + Branding Design by Christi Fultz, have a better understanding of the articulators, realize they can control, shape, and move the tongue, maintaining the correct lingual positioning (i.e. The pictures are not childish and are designed to be used with older students. Click "unsubscribe" in any email to opt-out. Communication Community. Speech Therapy Goals for Articulation If you're working with upper elementary students (such as 4th and 5th graders), there's a solid chance you'll be focusing on either vocalic r or lisps. - The patient will demonstrate adequate attention to therapy tasks with no more than Your student may need to focus on specific parts of speech, and thats fine too. $~301210b%3f0 Your goal might read like this: Another articulation carryover idea might include having your student identify words that contain his or her targeted speech sound in written text. Next, I like to use the long t to elicit final ts words. What do you do if they master half of the goal? Then, the student would practice a presentation in the speech room, while focusing on correctly producing his target articulation sounds. Whether they are using a communication board or a communication device, be sure to provide that student with access to increasing morphology, grammar, and syntax. Serve as a member of a multidisciplinary team in student assessment and treatment. verb + ing) to describe actions or pictured actions use present progressive verbs (verb +ing) to describe actions Some Older Students Feel Like Theyve Been in Speech Therapy for forever When youre working with, Read More 5 Speech Therapy Articulation Activities for Older StudentsContinue, These semantic relationships speech therapy worksheets make it simple to work on this skill. The Los Angeles Unified School District Speech and Language Program consists of a dedicated staff of over 300 qualified speech-language pathologists. One student I worked with was part of the announcements team. I typically first work on s in isolation- however, I never call it s to my students. We needed a system that would start with the basics before moving to compound sentences and complex sentences. Speech Sound Disorders. Morphemes are used to form words and each morpheme differs from another (aka they all serve different meanings). What do I mean by this? I like to teach my student what a normal lingual resting posture is (aka, proper resting tongue position). $17.00. BUNDLE INCLUDES: SPEECH THERAPY GOAL BANK FOR MEASURABLE TREATMENT GOALS (school-aged) & AAC GOAL BANK (children & adults) Over THOUSANDS of possible goal combinations in this easy-to-use speech therapy goal bank. At the word level, morphology refers to the structure and construction of words. Basically, this has allowed my students to: I discussed how to treat r in this YouTube video, and also this blog post. As you can see, I put a huge focus on mastering vocalic er before we move on to the other vocalic r sounds. What is the solution? Target high-frequency prefixes, suffixes, and root words with this Morphology set for middle, junior high, and high school speech therapists and special education teachers!Your high school speech therapy and special education students will be introduced to 10 high frequency root words, prefixes, and suffixes in evidence-based activities that . Or is it up at the top of your mouth?. This concept is not one I invented and has been around for some time in the field. hb```f``a af`a0zE9V^`a8tSz& Morphology (word endings, tenses, contractions, tenses, etc.) I call it a whisper t and a long t. Will select the image/object that does not fit into a given categoryEscoger el imagen/objeto que no pretenece a una categora dada. Feel free to modify or expand on them. Goal 3: Request for a continuation of an activity or more of an item by using 2-3 word combinations in 50% of opportunities, given no cues. Verbs are a great place to start when targeting expressive language. If you need a resource that addresses a variety of grammar and complex syntax targets for older children, be sure to look into the Entire Year of Grammar and Sentence Structure program. Are you trying to write speech therapy goals for your 4th and 5th grade elementary students and feeling stuck? This article explains more about the five areas of grammar, which include: Reference: The 5 Fundamental Elements of English Grammar. Spatial relationships can be targeted by simply looking around the room. So basically- I make sure my student understands the correct lingual resting posture as a foundational skill. Once this has been mastered, you could use co-articulation to elicit initial s words. This speech therapy goal bank makes the process free and easy. Speech Therapy Goals for Life Skills General Conversation Social Skills Return to Top -General Given a functional symbol (cooking, community, safety, etc. I have had clients as young as two-years old who know they come to speech to work on their buh and puh sounds. After a few speech therapy sessions and communication with the gentleman, I understand that he is most excited about meal time, creating art and watching his favorite television shows. Fluency goals are intended to support children who stutter by desensitizing them to the stutters and providing them with tools to modify and shape their stutters to give them more control over their speech. Using the Curriculum to Formulate IEP Goals, Also! Morphology Big picture language skills like 'reading comprehension' or 'vocabulary' are huge skills that are comprised of many smaller skill areas. mommys bag), regular past tense -ed, articles, and conjunctions. Big picture language skills like reading comprehension or vocabulary are huge skills that are comprised of many smaller skill areas. Provides strategies and "ready-to-use" activities for teaching vocabulary across grade levels. Think about how we talk about grammatical markers, such as past tense "ed". EXHAUSTING. Although I studied), generate an, when the base word ends with a voiceless sound, -ed or -d sounds like /t/ (example: laughed), when the base word ends with a voiced sound, -ed or -d sounds like /d/ (example: waved), when a base word ends with a /t/ or a /d/, -ed or -d sounds like id (example: painted). Retrieved 13 June 2022, from http://www.butte.edu/departments/cas/tipsheets/grammar/parts_of_speech.html#:~:text=There%20are%20eight%20parts%20of,as%20grammatically%20within%20the%20sentence. The goals I write, however, are geared towards speech. If you are working with a student who has failed to make progress with r, and you need some fresh ideas- I highly recommend becoming familiar with the basics of orofacial myology. If you think about our language system and the core skills involved in it: phonology, semantics, and syntax. ), Will follow #-step directions with age-appropriate quality concepts (color, size, shape)Seguir instrucciones de # pasos que incluyen conceptosde calidad apropiados para su edad (color, tamao, forma geomtrica), Will follow #-step directions with age-appropriate pronounsSeguir instrucciones de # pasos que incluyen pronombres apropiados para su edad, Will follow #-step directions with age-appropriate temporal conceptsSeguir instrucciones de # pasos que incluyen conceptostemporales apropiados para su edad, Will answer age-appropriate yes/no questions related to personal experiences/classroom discussions/storiesContestar preguntas de si/no apropiados para su edad en relacin a experiencias personales/discusiones en el saln/cuentos, Will answer age-appropriate wh- questions related to a storyContestar preguntas apropiadas para su edad acerca de un cuento, Will answer age-appropriate wh- questions related to an activityContestar preguntas apropiadas para su edad acerca de una actividad, Will answer age-appropriate wh- questions related to discussionsContestar preguntas apropiadas para su edad acerca de discusiones, Will answer a variety of age-appropriate wh- question typesContestar una variedad de preguntas apropiadas para su edad (quin, qu, cundo, dnde, por qu y/o cmo), Will answer who, what, and where questionsContestar preguntas dequin, qu, y dnde, Will answer when, why, and how questionsContestar preguntas de cundo, por qu y cmo, Will answer who questionsContestar preguntas de quin, Will answer what questionsContestar preguntas de qu, Will answer when questionsContestar preguntas de cundo, Will answer where questionsContestar preguntas de dnde, Will answer why questionsContestar preguntas de por qu, Will answer how questionsContestar preguntas de cmo, Will sequence a)3 b)4 c)5 images to show the correct order of events after hearing a storySecuenciar a)3 b)4 c)5 imgenes para ensear el order correcto de eventos despus de or un cuento, Will sequence a)3 b)4 c)5 images to show the correct order of events after an activitySecuenciar a)3 b)4 c)5 imgenes para ensear el order correcto de eventos despus de una actividad, Will sort images/objects into categoriesClasificar imagenes/objetos en categoras. I wanted to make sure you had a quick reference for conjunctions as well! For students who require more structured support, I like to do either fill-in-the-blank conjunction activities or sentence starter activities. Speech-language pathologists looking for a quick list of initial ch words, medial ch, and final ch target words to practice during speech therapy, make sure to bookmark this post. After we defined and described the topic, we went through and highlighted our target speech sounds. endstream endobj startxref Morphology and Syntax Language is comprised of sounds, words, phrases and sentences. Cognitive Client will consistently use compensatory strategies to aid memory. Provides "ready-to-use" activities to enhance vocabulary development for preschool through adolescent students. My base goal for syntax is this: "Student will say/write sentences." IT'S THAT SIMPLE. In this blog post, Ill share some creative ways to teach and work on this figurative language skill in speech and language. Ruby will produce the pre-vocalic /r/ sound at the sentence level in 7/10 opportunities without prompting across 3 consecutive sessions. Need some ideas for grammar goals for speech therapy? Skills as basic as making gestures or as complex as retelling a narrative can be addressed in speech therapy. You can talk about how the pencil sharpener is to the right of the door. Those professions, in my opinion, are continually working to move in our direction. 6. This is a concept I teach if I feel it is necessary for success with s and z. Your students will start with the basics. By the way, I discussed my speech goals for 4th and 5th graders earlier. Vocalic r words, for example, are not always spelled how one might think. Morphology is the study of the internal structure of words and how they're formed, including parts such as roots, bases and affixes (Nippold, 2016). (2021). by. The analogies were broken down into different areas (i.e. Aka: does the individual have to meet a . They also knew each others goals. Isolating the morphemes is important to doing grammar activities for speech therapy because even young students are capable of inferring meanings of unknown words using their knowledge of word parts. It is important that your student is able to label the category for an item, but also be able to provide even more attributes. Golden (2001) for example, emphasizes the language constructs of the four planes, i.e. ), STUDENT will match identical symbols given a choice of 4 options wit 80% accuracy in 4 out of 5 opportunities. go+[subject]) during a structured game/activityUtilizar directivas para generar un enunciado de varias palabras (es decir, va+[sujeto]) durante un juego/actividad estructurado, Will initiate a greeting to familiar communication partnersIniciar un saludo a compaeros de comunicacin familiares, Will respond to yes/no questions using gestures, signs, words, or symbolsResponder a preguntas s/no usando gestos, seas, palabras, o smbolos, Will use the phrase I need help to request assistance during structured/unstructured tasksUtilizar la frase necesito ayuda para pedir ayuda durante actividades estructuradas/no estructuradas, Will select the appropriate symbol to communicate more or all done following engagement with an activity/objectSelecionar el smbolo apropiado para comunicar ms o se acab despues de participar en una actividad/con un objeto, Will navigate to the appropriate category within the AAC system when participating in a categorization activityNavegar a la categora apropiada dentro del Sistema CAA cuando participle en una actividad de categorizacin. Incorporates auditory, visual, and sensory modalities in all learning activities. So, when they made the sound, they were SO proud of their efforts. Any of these can be made into long term or short term articulation goals. words, phrases, sentences, etc). In one year, using curriculum relevant tasks student will use context clues to determine the meaning of unfamiliar words or phrases 8/10 trials with data charted monthly using direct observation. $20. This area can be overwhelming, but its really important to work on grammar and syntax in speech therapy. HVM6WQ.%i `=lr$JF+ No worries! You can talk about how todays date is written on the top left corner of the board. An idea would be to record the student, then play the recording back. These are items that provide quick ways to motivate students or help me provide speech therapy, Read More 19 TOP Speech Therapy Materials (SLP Must Haves)Continue, Are you looking for ideas for speech therapy for toddlers? First, itd likely be helpful to understand my approach. (Reference: Pence, Khara L. Building Blocks of Language. Language Development From Theory To Practice, Pearson Education, Inc. , Upper Saddle River, NJ, 2008, pp. After reviewing 22 studies Bowers et al. This product also includes an answer key. grammar and syntax affect reading comprehension, How I Write IEP Goals for Younger Children. I realize how overwhelming teaching grammar and syntax can be for any speech language pathologist! You can target a really wide variety of root causes or weak language areas using one thing: affixes. And if you dont at least mention it to your students, no one else will. Figurative Language Types Idioms are a type, Read More Teaching Idioms in Speech Therapy (Ideas and Activities)Continue, Let's connect via email! This will help your student make the speech to print connection. endstream endobj 90 0 obj <>stream 2023 The Pedi Speechie Website + Branding Design by Christi Fultz, CH Words for Speech Therapy (Word Lists and Activities), The Top 10 Lesson Plans for Speech Therapy, Core Vocabulary Speech Therapy: Get Started Guide for SLPs, 19 TOP Speech Therapy Materials (SLP Must Haves). But now that you understand a little bit about my approach, the articulation goals I write will hopefully make more sense. An SLPs job in the schools for many students is choosing academic language targets and providing language intervention contextualized within the curriculum. Typically, I send 3-4 emails per month. The spelling of those morphemes is so tied in to the meaning we give them. *Also commonly included is a consistency statement. If youre looking for an organized, effective approach to use in speech, then youre in the right place! Will approximate target volume level in wordsAproximar un nivel de volumen apropiado en palabras, Will approximate target volume level in sentencesAproximar un nivel de volumen apropiado enoraciones, Will approximate target volume level in connected speechAproximar un nivel de volumen apropiado enhabla continua, Will approximate target volume level in non-therapy situationsAproximar un nivel de volumen apropiado ensituaciones no-terapeuticas, Will approximate target volume level for optimal participationAproximar un nivel de volumen apropiado para participacin ptima, Will approximate target volume level in classroom activitiesAproximar un nivel de volumen apropiado enactividades en el aula, Will speak using a volume appropriate to varied situations, within the limits of his/her physical mechanismHablar usando un volumen apropiado en diferentes situaciones, dentro del rango normal de su mecanismo fsico, Will describe the general problem and the goal of therapyDescribir el problema general y la meta de terapia, Will explain the function of the vocal mechanismExplicar la funcin del mecanismo vocal, Will judge appropriateness of model voiceEvaluar la calidad apropiada de la voz con un modelo de la terapista, Will judge appropriateness of students own voiceEvaluar la calidad apropiada de su propia voz, Will identify appropriate/inappropriate nasal resonance in self and othersIdentificar resonancia nasal apropiada/no apropiada en s mismo/a y los dems, Will speak using optimal voice resonance, within the limits of his/her physical mechanismHablar usando resonancia vocal ptima, dentro de los lmites de su propio mecanismo fsico, Will use appropriate nasal resonance in single words/ phrases/ sentences/ paragraphs/ conversational speechsar resonancia nasal apropiada en el nivel deseado [palabras, frases, oraciones, conversaciones], Will approximate target resonance in phonemes, syllables, words, phrases, sentences, connected speech, different speaking situationsUsar resonancia nasal aproximada en fonemas, slabas, palabras, frases, oraciones, conversacin, y situaciones diferentes, Will imitate optimum pitch in syllables, words, phrases and sentencesImitar tono de voz ptimo en slabas, palabras, frases y oraciones, Will use optimum pitch in syllables, words, phrases, and sentencesUsar tono de voz ptimo en slabas, palabras, frases y oraciones, Will use optimum pitch in reading and structured conversationUsar tono de voz ptimo en lectura y conversacin estructurada, Will use optimum pitch in conversational speech across two environmentsUsar tono de voz ptimo al nivel de conversacin a travs de dos lugares, Will use appropriate vocal pitch in single words progressing to conversational speechUsar tono vocal apropiado al nivel deseado [palabras, frases, oraciones, conversaciones], Will use appropriate stress patterns in single words progressing to conversational speechUsar patrones de estrs apropiados al nivel deseado [palabras, frases, oraciones, conversaciones], Student will describe the general problem and the goal of therapyDescribir el problema general y la meta de terapia, Will judge appropriateness of his/her own voiceEvaluar la calidad apropiada de su propia voz, Will identify situations in which appropriate volume is neededIdentificar situaciones cuando sea necesario usar un volumen apropiado, Will establish adequate breath supportEstablecer un nivel de respiracin adecuada para el habla, Will sustain phonation for 10-15 seconds at target loudness levelSostendr fonacin por 10-15 segundos al nivel apropiado de volumen, Will identify basic anatomical features (larynx [voice box], throat, tongue. The Wordy Birdy SLP. MONTHS. possessive s: the cats toy) in sentences, create complex sentences using conjunctions (i.e. Retrieved 13 June 2022, from https://www.englishcollege.com/what-5-elements-grammar. Continued education is supported by the district for our . The Entire Year of Grammar and Sentence Structure provides you with a structured activity and lesson to use each week with your students. That doesnt mean thats EXCLUSIVELY what youd target, of course. It can be administered orally or written. Just copy the Spanish portion along with the English portion and paste them into your speech language report. hkk02]|H]:%Zb%*Kts7fEtD g $8 Do you need a reminder on the different verb tenses? Will use X sound in isolationProducir el sonido X en aislamiento, Will use X sound in X position(s) of the word at the word levelProducir el sonido X en la posicin X de la palabra al nivel de la palabra, Will use X sound in X position(s) of the word at the phrase levelProducir el sonido X en la posicin X de la palabra al nivel de la frase, Will use X sound in X position(s) of the word at the sentence levelProducir el sonido X en la posicin X de la palabra al nivel de la oracin, Will use X sound in X position(s) of the word at the paragraph levelProducir el sonido X en la posicin X de la palabra al nivel del prrafo, Will use X sound in X position(s) of the word at the conversation levelProducir el sonido X en la posicin X de la palabra al nivel de la conversacin, Will use X sound in all positions of the word at X levelProducir el sonido X en todas las posiciones de la palabra al nivel X, Will use X blends at the word levelProducir palabras con grupos consonnticos con el sonido X al nivel de palabra, Will use X blends at the phrase levelProducir palabras con grupos consonnticos con el sonido X al nivel de la frase, Will use X blends at the sentence levelProducir palabras con grupos consonnticos con el sonido X al nivel de la oracin, Will use X blends at the paragraph levelProducir palabras con grupos consonnticos con el sonido X al nivel del prrafo, Will use X blends at the conversation levelProducir palabras con grupos consonnticos con el sonido X al nivel de la conversacin. )Seguir instrucciones de # pasos que incluyen conceptosde ubicacin apropiados para su edad (en frente, atrs, arriba, abajo etc. It pairs perfectly with a magnetic wand and chips. with 80% accuracy for 3 data collections. It may be important to note that I have taken coursework in orofacial myology. That said, once your student HAS mastered vocalic er in isolation, nonsense word combinations, and real words, I might write more specific vocalic r objectives, and even carryover objectives, such as: When your student is ready, you could move on to phrases, sentences, and carryover activities. I explain that conjunctions are words that join sentences or sentence parts together to my students. Will reduce the process of weak syllable deletion by producing all syllables of: a) two- and b) three-syllable words at the [word/phrase/sentence] levelDisminuir el proceso de omisin de slabas tonas al producir todas las slabas en palabras con a) dos y b) tres slabas al nivel de la [palabra/frase/oracin], Will reduce the process of initial consonant deletion by producing all age-appropriate consonants in the initial position of words at the [word/phrase/sentence] levelDisminuir el proceso de omisin de consonantes iniciales al producir todos los consonantes apropiados para su edad en la posicin inicial de palabras al nivel de la [palabra/frase/oracin], Will reduce the process of medial consonant deletion by producing all age-appropriate consonants in the medial position of words at the [word/phrase/sentence] levelDisminuir el proceso de omisin de consonantes mediales al producir todos los consonantes apropiados para su edad en la posicin medial de palabras al nivel de la [palabra/frase/oracin], Will reduce the process of final consonant deletion by producing all age-appropriate consonants in the final position of words at the [word/phrase/sentence] levelDisminuir el proceso de omisin de consonantes finales al producir todos los consonantes apropiados para su edad en la posicin final de palabras al nivel de la [palabra/frase/oracin], Will reduce the process of fronting by producing velar sounds (i.e., /k, g/) in words at the [word/phrase/sentence] levelDisminuir el proceso de frontalizacin al producir los sonidos velares (ej. Speech pathologists are language experts- but we arent English teachers! Students need to know what speech therapy goals they are working on. durante actividades de lenguaje estructuradas, Will increase utterance length to two wordsAumentar sus frases para incluir dos palabras, Will Use 2-3 word utterances to describe [in a structured activity/in conversation]Usar 2-3 palabras en una frase para describir [durante una actividad estructurada/en una conversacin], Will use 4-5 word utterances to ask questions/comment/describe [in a structured activity/in conversation]Usar 4-5 palabras en una frase u oracin corta para hacer preguntas/comentar/describir [durante una actividad estructurada/en una conversacin], Will name missing words (articles, prepositions, etc.) It is yellow), but can also be used for more advanced describing with older students. Affixes are relevant and found in all texts across all subject areas! The assessment includes identifying syllables and morphemes, coding morphemes, examples and definitions, and word sums. (client) will maintain grammatical accuracy during 1 full conversation, at least 5+ sentences in length, across 3 data collections. I needed to make my goals more functional. For a more comprehensive list of grammatical morphemes, see this chart from ASHA. 6. Its also important to remember that to work on grammatical endings, our students must be able to SAY the required speech sounds. /t/, /d/, id), correctly produce final consonants and/ or final consonant clusters to mark plurals, correctly produce final consonant clusters to mark possessive s grammatical endings, correctly pronounce past tense -ed verbs (sounds like /t/, sounds like /d/, sounds like id), sort base verbs by the correct past tense suffix ending (d or ed), identify the base and suffix within words (i.e. Feb 8, 2017 - Speech language therapy materials for school age: grammar, tenses, plurals, sentence structure. We practice sorting verb cards by suffix ending. Students with language disorders benefit from explicit instruction in these areas and affixes are one functional way to make vocabulary instruction explicit and direct. *Helping verb, "be" verb, copula list: am, is, are, was, were, be, being, been, has, have, had, can, could, do, does, did, shall,. (client) will maintain grammatical accuracy in sentences 5+ words in length in 80% of opportunities across 3 data collections. . a nonfiction article or video. 2. Syntax Goals for Speech Therapy Part 3: Adverbial Clauses and Temporal/Causal Conjunctions. For the purpose of this article, we will focus specifically on writing goals for pediatric voice disorders. Speech therapy can help individuals with Down syndrome improve their speech production and clarity. Students with language disorders benefit from explicit instruction in these areas and affixes are one functional way to make vocabulary instruction explicit and direct. This blog post, however, specifically is focusing on grammar goals and syntax goals. 2 I also love WordDetective.com its a totally free resource from Vanderbilt that includes a lot of morphology materials. This is really an informal iep goal bank of ideas. They had to research these people, then present a report explaining what theyd learned. Your student may have a lateral lisp or a frontal lisp, but it doesnt matter: I always start with the same foundational skill. 1 My Prefix and Suffix Activities resource is my top recommendation! Youd want to make sure to add components such as the prompts or cues youd provide, the percentage you expect them to master (it doesnt always have to be 80%), the number of sessions you hope they accomplish this, and more. Morphology study of the rules that govern how morphemes, the minimal meaningful units of language, are used in a language. 86 0 obj <> endobj If youre feeling stuck, keep on reading! In this blog post, Ill share, Read More Quick and Easy Semantic Relationships Speech Therapy WorksheetsContinue, Are you a speech pathologist that works with 4th and 5th graders? They specify which phoneme(s) will be addressed in speech therapy. Make sure to learn about the straw technique for a lateral lisp.
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