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/r/ in Initial Position of Words — Moderate Support

Produce /r/ in the initial position of single words with verbal and visual cueing during structured therapy activities.

Domain: articulation phonology Settings: school, private-practice Support: moderate Severity: moderate Age: grades 1-5

The Four Questions

Conditions
Given a structured activity with verbal model and visual placement cue
Observable Behavior
[Student] will produce /r/ in the initial position of single words
Measurable Criteria
with 70% accuracy across 3 consecutive data collection sessions
Measurement Method
as measured by SLP data tracking during structured therapy probes

Full Goal

Given a structured activity with verbal model and visual placement cue, [Student] will produce /r/ in the initial position of single words with 70% accuracy across 3 consecutive data collection sessions, as measured by SLP data tracking during structured therapy probes.

Individualization Guidance

Before using this goal, verify:

  • Baseline data. Current accuracy should be in the 30-60% range to make 70% a meaningful but reachable target. If below 30%, consider syllable-level targets.
  • Cueing hierarchy. “Verbal model and visual placement cue” should match the cues you actually use. If you use tactile cues, specify that instead.
  • Dialect considerations. Confirm the target reflects the student’s communicative environment, not a single prestige dialect.
  • Stimulability. The student should be able to produce /r/ in isolation or syllables before targeting words with moderate cueing.

Clinical Notes

The lower accuracy criterion (70% vs. 80% at minimal support) reflects the additional scaffolding. When the student reaches 70% consistently with these cues, the next step is fading to minimal support — not jumping to phrase level. Track which cue types are most effective so you can systematically fade them.

Evidence Base

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