In this course, Marshalla delves into why some clients struggle with carryover despite achieving correct speech sounds in therapy. She highlights the importance of self-monitoring, speech rate control, cueing techniques, and structured reinforcement strategies. The discussion emphasizes the need to move beyond word-level drills and ensure clients can generalize their skills into real-world conversations. Through case studies and interactive exercises, participants learn how to effectively scaffold speech practice from controlled environments to spontaneous communication.
By implementing Marshalla’s evidence-based techniques, speech therapists can bridge the gap between therapy and everyday communication. Whether using personalized cues, structured conversational prompts, or reinforcement systems, these strategies empower clients to achieve long-term speech success.
Key Learning Questions:
- Why do some clients struggle to generalize correct speech sounds into conversation despite mastering them in therapy?
- What role does self-monitoring play in successful carryover, and how can it be effectively taught?
- How can therapists use behavior management and reinforcement techniques to support long-term carryover success?
Other Courses from Pam Marshalla:
Frontal Lisp, Lateral Lisp
Successful "R" Therapy
Improving Intelligibility in Apraxia and Dysarthria









