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PROMPT Therapy at COG

More than just speech sounds.

PROMPT is a comprehensive treatment approach that improves a child's speech intelligibility — how clearly others understand them — while building meaningful, everyday communication.

Request a PROMPT evaluation What a session looks like

Led by a PROMPT Certified provider — every step of the way.

Every PROMPT evaluation at COG is completed by a PROMPT Certified provider. That same certified provider creates your child's treatment plan and oversees all PROMPT therapy sessions and programming, so your child's care stays consistent, high-quality and true to the PROMPT approach.

Hands-on, tactile cues

A PROMPT-trained speech therapist places carefully chosen cues with their hands on a child's face, jaw and mouth. These cues help the child learn to coordinate their jaw, lips and tongue to produce sounds and words more accurately.

What many people don't realize

PROMPT isn't simply about teaching a child to say words correctly. It's about helping them use those words to communicate in everyday life.

Why we don't practice sounds in isolation

Imagine a child working on the word "go." With enough drilling and PROMPT cues, they might say it beautifully in the therapy room. But once they leave:

Will they say "go" for a push on the swing?
Will they use it in a game with a sibling?
Will they say it to get a parent moving?

Saying a word in therapy isn't the same as using it independently. PROMPT targets the physical movements of speech and connects every pathway a child needs to communicate.

We help children connect three pathways

Working on all three together helps children carry new skills into real life — getting wants and needs met, commenting, protesting, and more.

  1. 1

    Motor speech

    How the mouth moves to produce a word.

  2. 2

    Language

    What the word means and how to use it.

  3. 3

    Social communication

    When, why and with whom to use the word.

What does a PROMPT session look like?

Every child's plan is individualized, but our sessions follow a consistent structure.

1

Motor-phoneme warm-up

About 5–7 minutes

With tactile PROMPT cues, the therapist practices speech movements and target words chosen for your child. It may look repetitive — that's on purpose. It teaches the motor system to say words more accurately and consistently.

2

2–3 communication activities

Planned activities that build the same targets into real communication:

  • Turn-taking games
  • Pretend play (requesting, commenting)
  • Language activities (vocabulary, directions)
  • AAC for language and expression

The key: PROMPT cues don't stop after the warm-up.

Throughout every activity, the speech-language pathologist keeps using tactile cues while your child communicates for a real purpose. Instead of saying "go" because they were asked to, they say "go" because they want the car to move, the bubbles to start, or their partner to take a turn.

How PROMPT and AAC work together

For children who use AAC, combining it with PROMPT means learning through several channels at once.

Touch

PROMPT cues show how to move the mouth.

Sight

AAC shows a symbol, picture or word.

Sound

They hear the word from the therapist or the device.

Meaning

They see what the word does for them.

Example: During bubbles, a child sees "more" on their device, hears the therapist say "more," gets PROMPT cues for their own try — and then more bubbles appear.

AAC isn't a last resort. It supports language growth and gives children a reliable voice while speech develops — and using it at home keeps strengthening the link between a word's meaning and how to say it.

Built for carryover

Our goal is your child using their skills with parents, siblings, teachers and friends. A word from a turn-taking game can show up on the playground; one from pretend play can become part of daily routines at home.

The goal isn't just clearer speech — it's clearer, more functional, more independent communication.

Wondering if PROMPT is right for your child?

Reach out and we'll set up a free phone consultation to talk it through.

Request a free consultation