We have developed our ‘Getting to grips with SLT’ blog series to help families and school clients to learn more about the specialist support that we can provide. This blog is all about the PROMPT approach.

What is PROMPT?

PROMPT stands for PROMPTs for Restructuring Oral Muscular Phonetic Targets. PROMPT is mostly known as being an approach which uses tactile (touch) and auditory stimuli to support speech development, with the therapist using their hands on the client’s face to guide their jaw, lips, and tongue to help them produce speech accurately.

However, PROMPT trained therapists use this approach to focus on the child or young person holistically, looking at their language skills, social communication and interaction, and physical and sensory needs as well as motor speech skills. Therapy using PROMPT integrates all these areas to support accurate speech production as well as communication as a whole.

Who is PROMPT for?

PROMPT is beneficial for children and young people of many ages and abilities. We have had lots of success at The Talking House using PROMPT alongside traditional therapy approaches and oral placement therapy to support children and young people who have complex speech, language and communication difficulties such as:

  • Dyspraxia
  • Dysarthria
  • Developmental delay
  • Hearing Impairment
  • Cerebral Palsy
  • Down’s Syndrome
  • Complex needs
  • Phonology delay and disorder
  • Autism Spectrum Condition

How does it work?

The therapist will assess your child’s communication as a whole, looking at the areas mentioned above. Your input as a parent or carer is vital in this process as you know your child best. The therapist will also complete an assessment of your child’s speech, looking at where the motor difficulties may be in relation to the movement of the jaw, lips and tongue. During assessment and therapy sessions, the therapist may take short videos of your child’s speech during play or conversation, with your consent, to allow further analysis outside of the session. This enables us to look at your child’s communication and motor speech skills in as much depth as possible and helps us to form our recommendations. 

When completing therapy using a PROMPT approach, specific speech sounds are not always targeted. The focus is on developing accurate production of speech in whole words and phrases as this is more functional in everyday life. The therapist will use their hands to guide the child’s jaw, lip and tongue movement by touching their face. 

You will be given activities to practise at home as repetition is essential in supporting progress of speech and communication using the PROMPT approach. However, parents and carers are not taught specific PROMPTs to complete at home, as if done incorrectly, this can impact progress. 

If we feel PROMPT therapy would be beneficial for your child, we will work together with you to: 

  • Provide specific information about the nature of your child’s speech sound and communication difficulties. 
  • Make recommendations and provide tailored therapy to support your child’s speech sound and communication development. 
  • Provide advice and training on how you can support your child’s development at home.  

Please see below for links to the profiles of our Speech and Language Therapists that are PROMPT trained:

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