PROMPT (PROMPTs for Restructuring Oral Muscular Phonetic Targets) is one of the essential techniques to be considered for use with a child with speech reproduction and articulation errors. Articulation, or the way we produce sounds, is connected with sensory and motor processing and oral-motor structures. Difficulties with articulation may occur at any age and result in reduced intelligibility of speech. There are many other deficits affecting articulation. For example, CAS (childhood apraxia of speech) is a neurological childhood disorder in which the precision and consistency of movements underlying speech are impaired. The core impairment in planning and/or programming movement sequences results in errors in speech sound production and prosody.
PROMPTís multidimensional approach to the assessment and treatment of speech production disorders embraces the well known physical and sensory aspects of motor performance, as well as the cognitive, linguistic, social and emotional aspects. Provided by a specially trained and certified Speech and Language Pathologist, PROMPT involves manipulation and sensory input (tactile, kinesthetic and proprioceptive) to oral motor structures in order to change speech production targets. The PROMPT model coming from a dynamic systems theoretical position utilizes tactual sensory information (in addition to auditory and visual), to support and develop speech-motor functioning leading to improved communication functioning across all domains. The model provides for assessment across all domains and in depth analysis of the motor speech subsystems. It also discusses how to choose the best focus for intervention, how to plan and organize treatment and how to select and use the most appropriate level or levels of PROMPTs.
Research efforts continue in the areas of autism, and motor speech disorders. In the near future we hope to look at a multi-site study with different speech production disorder populations in order to make better predictions about the way PROMPT treatment should be delivered to different populations and the amount of change that may be expected using PROMPT.