Between Sessions Guide
What to practice at home and how to communicate with your SLP.
First Words
Building your child's initial spoken vocabulary — helping them move from sounds and gestures to intentional, meaningful words. This is about making words functional and motivating, not memorizing labels.
Why This Matters
First words are the foundation of all future language. Children typically need many repetitions in meaningful contexts — often dozens of times or more — before they use a word. Your role at home is to provide those repetitions naturally throughout the day, especially around things your child is already interested in.
Target Word Bombardment
dailyPick 3-5 words your SLP is targeting. Use those words as many times as possible during natural routines — aim for 20+ repetitions per word per day. Don't ask your child to say the word; just let them hear it over and over in context.
First Word Jar
3x/weekPut small objects or pictures representing target words in a jar or bag. Let your child pull one out. Name it with excitement, play with it for 30 seconds using the word repeatedly, then put it back and draw another.
Environmental Sabotage
dailyIntentionally set up situations where your child NEEDS to use a word. Put a favorite toy in sight but out of reach. Give them a closed container they can't open. Offer a snack in a sealed bag. Then wait — they need to communicate to get what they want.
Bedtime Word Review
dailyBefore bed, look at 3-4 photos from the day (or just talk about the day) and use target words one more time. This 'sleeping on it' effect helps consolidate new vocabulary in the brain.
What to Tell Your SLP
Ask your SLP: 'Which 3-5 words should we focus on this week? Can you write them down for me so I can bombard at home?' Also ask which words your child is closest to saying — those are the best targets.
Weekly Check-In Questions
- Which target words did your child attempt this week?
- In what situations did they try to use a word? (requesting, labeling, greeting?)
- How did they say it? (whole word, approximation, first sound only?)
- Did any new words pop up that weren't on the target list?
Following Directions
Helping your child understand and respond to spoken instructions — from simple one-step commands to multi-step directions. This is about receptive language: what your child understands, not what they say.
Why This Matters
Understanding language always comes before using it. If your child struggles to follow directions, it may not be defiance — they may genuinely not understand the words. Building comprehension creates the foundation for everything else: following classroom instructions, staying safe, and eventually using those same words expressively.
One-Step Direction Drills (Disguised as Play)
dailyDuring play, give simple one-step directions that involve fun actions. Start with directions that have clear visual cues (pointing, gesturing). Gradually reduce the gestures so your child relies more on the words alone.
Silly Simon Says
3x/weekPlay a simplified version of Simon Says using actions your child knows. Make it silly and fun so they want to keep playing. No elimination — just do the actions together. Gradually increase complexity from one action to two.
Routine-Based Directions
during routinesDuring daily routines (getting dressed, cleaning up, setting the table), give specific directions instead of doing things for your child. Start with one step, then chain two steps together. Always pause and give them time to process (3-5 seconds).
What to Tell Your SLP
Ask your SLP: 'How many steps should the directions be right now — one step or two? Should I use gestures with the words, or is my child ready to follow verbal-only directions?' This tells you exactly what level to practice at home.
Weekly Check-In Questions
- Can your child follow one-step directions without gestures?
- Can they follow two-step directions? (e.g., 'Get the ball and bring it to me')
- Do they need you to repeat directions? How many times?
- Are there specific concepts they struggle with? (on/in/under, big/little, etc.)
Articulation (Sound Practice)
Practicing specific speech sounds your child is working on in therapy — helping them say sounds more clearly so others can understand them. Your SLP will tell you exactly which sounds to target.
Why This Matters
Speech sound development follows a predictable sequence, but some children need extra practice to master certain sounds. Home practice is critical because children need hundreds of correct repetitions to build new motor patterns. Five minutes of practice daily at home can be more impactful than weekly therapy alone.
Sound Scavenger Hunt
3x/weekWalk around the house (or look through a picture book) and find items that start with your child's target sound. Name each one together, emphasizing the target sound slightly. Make it a game: 'Let's find everything that starts with /s/!'
Mirror Practice
daily, 3-5 minutesSit together in front of a mirror for 3-5 minutes. Practice the target sound together so your child can see how your mouth moves AND how their mouth moves. Start with the sound alone, then in simple words. Keep it short and positive.
Target Sound Reading
during reading timeWhen reading books, pause on words that contain your child's target sound. Say the word slowly, stretching out the target sound, and let your child try it after you. Choose books that naturally have lots of the target sound.
Sound of the Day Game
2x/weekPick your child's target sound as the 'sound of the day.' Throughout the day, whenever you or your child notices something with that sound, point it out and practice it together. Give a special sticker or stamp on their hand each time they try.
What to Tell Your SLP
Ask your SLP: 'Which sounds should I practice at home and at what level — in isolation, in words, in sentences, or in conversation? How should I correct errors — should I model it back or ask them to try again?' Different sounds at different stages need different approaches.
Weekly Check-In Questions
- Which sounds did you practice this week?
- Can your child say the sound by itself? In words? In sentences?
- Does accuracy change when they're tired, excited, or talking fast?
- Are there specific words where the sound is easier or harder?
Two-Word Combinations
Helping your child move from single words to two-word phrases — the critical leap from labeling to real communication. Two-word combos like 'more milk,' 'daddy go,' and 'big truck' are the building blocks of sentences.
Why This Matters
The jump from one word to two words is one of the biggest milestones in language development. It means your child is starting to combine ideas, not just label things. Children typically need about 50 single words before they start combining, and they need to hear two-word models constantly to learn the patterns.
Two-Word Model Flooding
dailyThroughout the day, speak in two-word phrases to match the level your child is working toward. Instead of long sentences, drop down to their level: 'Push car,' 'Big dog,' 'Want more?' 'Shoes on,' 'All done.' This shows them exactly what the next step looks like.
Expansion Every Time
dailyEvery time your child says a single word, immediately add one word to make it a two-word phrase. Don't ask them to repeat your model — just provide it. Over time, they'll start imitating the longer version on their own.
Choice Phrases
during meals, during playOffer choices where both options are two-word phrases. This exposes your child to the phrase structure and motivates them to attempt the longer form to get what they want.
What to Tell Your SLP
Ask your SLP: 'What types of two-word combinations should we target first — action + object (push car), descriptive (big ball), or requesting (more cracker)? Which combinations is my child closest to producing?' Your SLP can prioritize the combinations that match your child's current vocabulary.
Weekly Check-In Questions
- Has your child put any two words together this week? What did they say?
- What single words does your child use most? (These are good candidates for combining)
- Do they imitate two-word phrases when you model them?
- How many single words does your child have now? (50+ usually means ready for combos)
Answering Questions
Teaching your child to respond to different types of questions — starting with yes/no and 'what' questions, then building to 'who,' 'where,' and eventually 'why' and 'when.' This is harder than it seems because it requires both understanding the question AND generating a response.
Why This Matters
Being able to answer questions is essential for conversation, social interaction, and school readiness. Many children with language delays understand more than they can express, so they may know the answer but struggle to produce it. Others may not yet understand question words. Knowing which type your child struggles with helps you target the right skill.
Forced-Choice Questions First
dailyBefore asking open-ended questions, start with choices. Instead of 'What do you want?' say 'Do you want crackers or apple?' This gives your child the answer within the question, reducing the demand while still practicing the skill of responding.
What's In the Bag?
3x/weekPut familiar objects in an opaque bag. Pull one out, show it, name it: 'It's a ball!' Put it back. Then ask: 'What was in the bag?' They just heard the answer, so the demand is lower. Gradually increase the delay between showing and asking.
Real-Life Where Questions
dailyDuring daily routines, ask 'where' questions about things your child can point to or see. Start with visible answers: 'Where's your cup?' (it's on the table in front of them). Then move to less visible: 'Where are your shoes?' (in the closet).
What to Tell Your SLP
Ask your SLP: 'What types of questions should I focus on at home — yes/no, what, where, who, or why? Does my child struggle more with understanding the question or with formulating the answer?' This distinction changes how you practice.
Weekly Check-In Questions
- Can your child answer yes/no questions accurately?
- Can they respond to 'what' questions about objects they can see?
- Can they answer 'where' questions?
- Do they need choices in the question, or can they generate answers independently?
Social Communication
Building the social foundations of communication — eye contact, joint attention (sharing focus on an object with someone), turn-taking, and using communication to connect with others, not just to get things.
Why This Matters
Language isn't just about words — it's about connection. Joint attention (the ability to share focus between a person and an object or event) is one of the strongest predictors of language development. If a child can look at you, look at a toy, and look back at you to share the experience, they have the social foundation that words are built on.
Face-to-Face Play
dailyGet at your child's eye level during play. Position yourself across from them, not beside them. When they look at you — even briefly — respond immediately with a big smile, a word, or an action. You're reinforcing that looking at people's faces leads to good things.
Point and Share
dailyThroughout the day, point to interesting things and react with excitement. You're modeling joint attention — the act of directing someone else's attention to share an experience. When your child points at something, always respond by looking, naming, and reacting.
Turn-Taking Games
dailyPlay simple games that require taking turns. Start with very short turns (roll a ball back and forth) and narrate: 'My turn... YOUR turn!' Use a clear, predictable structure so your child learns to wait for and anticipate their turn.
What to Tell Your SLP
Ask your SLP: 'How is my child's joint attention? Can they share focus between an object and a person? Are there specific social communication goals I should work on at home — like responding to greetings, initiating interaction, or taking turns?' These skills are as important as vocabulary.
Weekly Check-In Questions
- Does your child make eye contact during interactions?
- Do they point to show you things (not just to request)?
- Can they take turns during simple games?
- Do they look at you to share excitement or surprise?
Requesting
Teaching your child to ask for what they want or need using words, signs, gestures, or a communication device — instead of crying, screaming, or grabbing. This is often the first functional use of language children learn.
Why This Matters
Requesting is the most motivating type of communication because your child gets something they want. When children learn that communication works — that making a sound, sign, or word gets them what they need — they're motivated to communicate more. This is the engine that drives all further language development.
Controlled Access Setup
dailyStrategically place favorite items where your child can see them but can't reach them independently. On high shelves, in clear containers they can't open, or in zip-lock bags. This creates natural opportunities for them to request help.
Small Portions Strategy
during meals and snacksGive tiny amounts of food, drink, or materials so your child needs to ask for MORE. Instead of filling the cup, give a sip. Instead of a full serving, give one cracker. Then wait for them to communicate wanting more.
Preferred Item Choices
dailyAlways offer choices between two items rather than asking 'What do you want?' Hold up two real objects at the child's eye level, name each one, and wait for them to indicate a preference through any form of communication.
What to Tell Your SLP
Ask your SLP: 'What should my child be using to request right now — words, signs, gestures, or a picture/device? How long should I wait before helping them? Is there a specific prompt hierarchy I should follow?' Some children need sign language or picture cards as a bridge to spoken words — this is not giving up on speech, it's building a bridge to it.
Weekly Check-In Questions
- How does your child currently request things? (crying, pointing, words, signs?)
- Are they requesting more often than last week?
- What items/activities are most motivating for requesting practice?
- Are they starting to request without a prompt from you?
Vocabulary Building
Expanding your child's understanding and use of words across categories — not just nouns (things), but also verbs (actions), adjectives (descriptors), and social words (hi, bye, please, more, all done).
Why This Matters
Children need a balance of word types to build sentences. A child who knows 50 nouns but no verbs can label everything in the room but can't tell you what's happening. Verbs are especially important because they're the glue that holds sentences together: 'push car,' 'throw ball,' 'want cookie' — the verb makes it a phrase.
Verb Narration
dailyThroughout the day, emphasize ACTION words when you talk. Instead of just naming objects, describe what's happening with them. Exaggerate the verb and pair it with a physical action when possible.
Descriptor Games
3x/weekDuring daily activities, highlight descriptive words by comparing two things. Hold up a big thing and a little thing. Show something wet and something dry. Compare hot and cold. Use the same descriptor words across many contexts so your child hears them frequently.
Category Sorting
2x/weekGather items from one category (animals, foods, clothes, vehicles) and sort them together. Name each item as you sort. This builds word knowledge by connecting related concepts — children learn words faster when they're organized into groups.
What to Tell Your SLP
Ask your SLP: 'What types of words should we focus on expanding — nouns, verbs, descriptors, or social words? Can you give me a list of the next 10-15 words to target at home?' A good SLP will choose words that are functional, motivating, and appear frequently in your child's daily life.
Weekly Check-In Questions
- How many words does your child understand? How many do they use?
- What word types do they have? (nouns, verbs, adjectives, social words)
- Are there categories of words they're missing? (no action words? no descriptors?)
- What new words appeared this week?
Storytelling / Narrative
Helping your child learn to tell about events, retell stories, and eventually create their own narratives. This starts with sequencing — first, then, last — and builds toward describing experiences with who, what, where, and when details.
Why This Matters
Narrative skills are one of the strongest predictors of school success. Children who can tell a simple story or recount what happened during their day use higher-level language skills: sequencing, cause-and-effect, perspective-taking, and vocabulary. These skills begin developing around age 3 and should be intentionally nurtured.
Recount the Day
daily at dinner or bedtimeAt dinner or bedtime, tell your child about something that happened that day in 3 simple steps: 'First... then... and then!' Show them how to organize a story. Over time, ask THEM to tell you about something using the same structure.
Photo Narration
after outings or eventsTake 3-4 photos during an outing or activity. Later, show the photos in order and narrate the story together. The photos serve as visual supports that make storytelling much easier for children who struggle to recall and sequence events.
Story Retelling with Props
2x/weekAfter reading a familiar book, use toys or props to act it out. Narrate together, taking turns being the characters. This bridges receptive understanding (hearing the story) to expressive language (telling the story).
What to Tell Your SLP
Ask your SLP: 'What level of narrative is my child working on — is it labeling events, sequencing two things, or telling a full story? Should I use picture supports or verbal cues? What connector words should they be using (first, then, and, because)?'
Weekly Check-In Questions
- Can your child tell you about something that happened today?
- Do they sequence events (first, then, last)?
- Can they retell a familiar story from a book?
- Do they include details (who, what, where) or just actions?
Feeding Skills
Supporting your child's mealtime goals — which may include accepting new textures, improving chewing, reducing gagging, expanding diet variety, or building oral motor skills needed for both eating and speaking.
Why This Matters
Feeding and speech share the same muscles. The tongue, lips, jaw, and cheeks that move food around are the same structures that produce speech sounds. Children who have oral motor weakness often show it in both feeding and speech. Additionally, mealtime is a high-stress area for many families, and reducing that stress benefits everyone.
Food Chaining
during meals, introduce one new link per weekStart with a food your child already eats and make tiny changes to bridge to new foods. Change one property at a time: same shape but different brand, same food but different temperature, same flavor but different texture. Never force — just offer and let them explore.
Food Exploration (No Pressure to Eat)
daily, one new food exposureLet your child interact with new foods without any pressure to eat them. They can touch, smell, lick, squish, poke, and play with food. This builds comfort and reduces anxiety. The path to eating is: tolerates on plate → touches → smells → licks → tastes → eats.
Oral Motor Warm-Ups
before meals, if SLP recommendsBefore meals (if recommended by your SLP), do simple oral motor exercises to wake up the muscles. These should be fun and quick — silly faces in the mirror, blowing activities, or crunchy snack warm-ups. Always follow your SLP's specific recommendations.
What to Tell Your SLP
Ask your SLP: 'What textures should we be working toward? Are there specific oral motor exercises I should do at home? How do I respond when my child gags — is that a danger sign or a normal part of learning? Should I use a specific seating position or utensil?' Feeding therapy is very specific — always follow your SLP's plan.
Weekly Check-In Questions
- How many foods does your child currently eat?
- Did they try any new foods this week? What happened?
- Is gagging increasing, decreasing, or staying the same?
- How is mealtime stress — for your child and for you?
Fluency (Stuttering)
Supporting your child's smooth speech at home — creating a communication environment that reduces pressure and supports fluency. If your child stutters, your home environment can have a significant impact on their comfort and confidence with speaking.
Why This Matters
Stuttering in young children (ages 2-5) is common, and many children outgrow it. However, how the people around them respond matters enormously. A child who feels time pressure, gets interrupted, or sees worried faces when they stutter may develop anxiety about speaking that makes the stuttering worse and more likely to persist.
Slow Your Own Speech
daily, especially during conversationsReduce your own speaking rate — not robotically, but gently and naturally. When you slow down, your child feels less time pressure and their fluency often improves. You're not telling THEM to slow down (never do that) — you're modeling a relaxed pace by changing YOUR behavior.
Reduce Time Pressure
alwaysGive your child extra time to speak without showing impatience. Don't finish their sentences. Don't look away. Don't say 'slow down' or 'take a breath.' Just wait calmly with a warm expression. Eliminating time pressure is the single most impactful thing a parent can do.
Special Talk Time
daily, 5 minutesSet aside 5 minutes of one-on-one time daily where you follow your child's lead, speak slowly, pause frequently, and let them talk without any agenda. No questions, no corrections, no teaching. Just calm, connected, low-pressure conversation or play.
What to Tell Your SLP
Ask your SLP: 'Should I acknowledge the stuttering or ignore it? What do I say if my child asks why they get stuck on words? Are there specific things I should avoid doing at home? Is this the type of stuttering that is likely to resolve, or should we be doing direct therapy?' Fluency therapy approaches vary widely — make sure you and your SLP are on the same page.
Weekly Check-In Questions
- How often does your child stutter — is it happening more or less than before?
- Does it happen more in certain situations? (tired, excited, new people?)
- Does your child seem aware of or frustrated by the stuttering?
- Have you noticed any secondary behaviors? (eye blinking, head nodding, avoiding words?)
Play Skills
Building symbolic and imaginative play — the kind of play where a box becomes a boat, a banana becomes a phone, and stuffed animals have conversations. Play isn't just play — it's where children practice the thinking skills that underlie language.
Why This Matters
There is a direct, research-proven link between play complexity and language complexity. Children who engage in pretend play are using symbols — one thing representing another — which is exactly what words do (a sound representing a meaning). Building play skills builds the cognitive foundation for language. If your child isn't playing pretend by age 2-3, it may indicate a need for support.
Pretend Routines
3x/weekAct out familiar daily routines with dolls or stuffed animals: feeding, bathing, putting to bed, going to the doctor. Start by modeling it yourself, narrating each step. Then hand the toy to your child and see if they imitate. Don't correct — just model again if needed.
Object Substitution
during playModel using one object as something else — a block as a phone, a box as a car, a blanket as a cape. This is the beginning of symbolic thinking. Start with objects that are similar in shape to the real thing, then gradually make the substitution more abstract.
Role Play Scenarios
2x/weekSet up simple pretend scenarios based on your child's experiences: going to the store, visiting the doctor, cooking dinner, going on a trip. Provide a few props and take on roles together. Narrate everything and add dialogue for the characters.
What to Tell Your SLP
Ask your SLP: 'What level of play is my child at right now — are they exploring objects, doing functional play (using toys correctly), or starting pretend play? What's the next play milestone I should be encouraging? Are there specific play activities that connect to their language goals?'
Weekly Check-In Questions
- Does your child use toys for their intended purpose? (push a car, feed a doll)
- Do they pretend? (talking on a toy phone, feeding a stuffed animal)
- Can they use one object as something else? (block as a phone)
- Do they create scenarios or sequences in play? (cook food, then serve it, then eat it)
Communicating with Your SLP
Not sure what to say at your next session? These common scenarios and scripts will help you get the most out of therapy.
Generated by HomeSLP — Educational resource, not medical advice. Always consult with a licensed speech-language pathologist for personalized guidance.