Intervention Decision Making & The Cycles Approach

8:00 - 9:45


9:45- 10:00

Articulation Disorders - Residual R Errors

10:00 - 11:30


11:30 - 12:30

Articulation Disorders - Lateral Lisps

12:30- 2:00

2:00 - 2:15
Intervention Considerations for Childhood Apraxia of Speech
2:15 - 3:00
Questions and Answers, Completion of Evaluation and CEU forms3:00 - 3:30

2022 SASHA Fall Virtual Live Event

2022 SASHA Fall Virtual Live Event


Online Registration is now available 

Mail In Registration is now available

Capacity will be capped at 100 participants


Friday, October 28, 2022


Virtual on Zoom 

Registration Fee: $100
Students, Interns, SLPAs, Parents: $50

A $25.00 handling fee will be charged for all cancellations. No refunds will be given for cancellations made seven days or less prior to the event; however, a credit will be issued toward a future seminar. If you register and do not attend, you are still liable for payment. Substitutions are permitted if SASHA is notified in advance. If cancelled by SASHA full tuition refunds will be issued.​​




Handouts will be individually emailed to those who have registered prior to the conference

A Deeper Dive into Speech Sound Disorder Interventions

Course Description

Children with speech sound disorders often comprise a majority of SLPs'; caseloads, but
understanding how to choose appropriate interventions given the nature of a child’s SSD is frequently misunderstood. This full-day presentation will take a deeper look into particular approaches and specific considerations when choosing interventions and implementing elicitation techniques. These specific aspects of remediation will differ given the nature of children’s underlying deficits, from phonological, to childhood apraxia of speech, to those with residual articulation errors.

One such intervention commonly used among children with phonological disorders is the cycles
approach. Cycles is a systematic intervention designed to help improve overall intelligibility among children with phonological deficits and is a well-known yet misunderstood phonological intervention. There is often confusion about what a *cycle* actually consists of, how to select and prioritize speech targets, and how therapy sessions should be carried out. The first portion of this presentation will provide an overview of and rationale for the cycles approach and demonstrate how to organize therapy sessions effectively. Specific strategies for choosing appropriate target phonemes and target words, as well as videos of actual therapy sessions demonstrating implementation, will be shown.

In addition to selecting particular approaches, many SLPs find correcting lateral lisps and residual /r/ errors among children to be highly challenging. SLPs frequently have older children with these residual articulation errors and distortions on their caseloads, which can be even more difficult to remediate. The middle portion of this presentation will focus on particular elicitation strategies that can be effective for older children who have such habituated and motorically-based errors and distortions, such as phonetic shaping and cognitive reframing. Practical therapy tips, video demonstrations, and target selection recommendations will be outlined that can help children move from isolation level to spontaneous speech. Thirdly, this course will cover intervention and elicitation considerations for children with childhood apraxia of speech (CAS), a motor speech disorder. CAS requires a treatment approach distinct from those implemented among children with other speech sound disorders, specifically including principles of motor learning (i.e., increased trials, practice distribution, practice variability, schedule of practice, and feedback). This course will introduce options for evidence-based interventions, considerations for target selection, and demonstrate how motor learning principles can be put to use with practical therapy tips that participants can utilize straight away. The last 30 minutes of this presentation will allow for an extensive question and answer session.

About The Speaker

Amy Graham, M.A., CCC-SLP is a speech language pathologist and owner of Graham Speech Therapy, a private practice in Colorado Springs that specializes in pediatric speech sound disorders. She received both her bachelors and masters degrees in Communicative Disorders from California State University, Fullerton and has been an SLP for over 20 years.  Amy frequently speaks to and trains SLPs on a variety of evidence-based practices regarding the assessment and treatment of SSD and is the creator of the Graham Speech Therapy Oral-Facial Exam and the Bjorem Speech Decks for Lateralization and Cycles. She has been a guest on numerous SLP podcasts and has a particular interest in supporting and equipping SLPs by posting frequent therapy videos and practical therapy tips on social media platforms.

Learning Outcomes

Following this workshop, participants will be able to:

  • Identify the core components of a cycles therapy session
  • Describe how cognitive reframing and phonetic shaping can benefit children with habituated articulation errors
  • Discuss how target selection for CAS differs from other speech sound disorders


Amy Graham receives a speaking fee for her presentation.
She has the following financial disclosures:

  • Graham Speech Therapy, LLC (Salary, Intellectual Property Rights, Ownership Rights
  • Bjorem Speech Publications (Royalty)
  • Teachers Pay Teachers (Royalty)
  • Boom Learning (Royalty)

She does not have any non-financial disclosures.

Speech-Language Pathologists and related professions employed in a variety of settings.
Registration Fee: $100
Students, Interns, SLPAs, Parents: $50

If you have questions or need more information please send us an email to

If you have question with payments please send an email to