Creative Speech Therapy Ideas: Using Stickers for Articulation, Apraxia and Language Goals

I want to shine a spotlight on an often underrated but inexpensive versatile resource for targeting goals in our speech therapy sessions. They are  lightweight, require minimal prep, and the kids absolutely LOVE them! Yes, I’m talking about……

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FREE Scavenger Hunts
(egg carton and full sheet versions)

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What is it about sticky pieces of paper that is so intriguing? 

Recently, I’ve been using a Paw Patrol Puffy Sticker Book that I found at Marshalls (they also had a construction vehicle one!). It’s become a favorite among my kids, and I just had to share all the ways we can use stickers to target both speech and language goals.

Use stickers for……

Speech Sound Practice

• Working with kids with Childhood Apraxia of Speech. When adding stickers to a page or background scenes model  “power phrases” like “put on”, “take off” and  “my turn” and use self advocacy phrases like “help me” and  “it’s stuck”.

• Sticker Charts: Create a chart with different articulation targets. Each time a child successfully practices a target sound, they get to place a sticker on the chart. This visual reinforcement can be very motivating (ok,  so this one is overused and underwhelming, but I had to add it!)

• Sticker Stories: Have the children create a story using stickers. Each sticker represents a word or sound they are working on. They can narrate their story, practicing their target sounds as they go.

Language Development

• Sticker Sequences: Use stickers to create sequences or patterns. Have the child describe the sequence, focusing on using words like "first," "next," and "last."

• Sticker Descriptions: Give each child a set of stickers and have them describe what they see. This can help with vocabulary building and descriptive language.

• Sticker Scenes: Provide background scenes and let children create their own stories using stickers. Have them narrate their story, focusing on sentence structure and vocabulary.

STICKER SCENES

Add sticky magnets from a magnet tape roll to stickers to create magnetic stickers!

Social Skills

• Sticker Conversations: Use stickers to prompt conversations. For example, place a sticker of a happy face and ask, "What makes you happy?" or use a sticker of a group of friends and discuss friendship and social scenarios.

• Emotion Stickers: Use stickers depicting different emotions and discuss each one. This can help children identify and express their feelings.

Following Directions

• Sticker Maps: Create a simple map or scene on paper and use stickers to give directions. For example, "Place the dog sticker next to the tree" or "Put the car sticker on the road."

Examples with Paw Patrol Puffy Sticker Book

To give you some concrete examples, here’s how I’ve been using the Paw Patrol Puffy Sticker Book in my sessions:

• Prepositions: Receptive and expressive use. "Put Chase under the tree," "Where is Chickaletta?"

• Expanding Utterance Length: Targeting 2+ word phrases. "Go Ryder," "Marshall wants a ride," "Bye ___." I model and repeat these phrases throughout the session.

• Working with children with Apraxia: Power phrases like “put on”, “take off” and “my turn”. Self-advocacy phrases like “help me” and “it’s stuck”.

• Gestalt Language Processors: Mixing and matching phrases. For example, if a child uses "Rubble on the double" and "I'm fired up," I model a combination like "Rubble is fired up."

• Production of 2+ Syllable Words: We worked on "Mayor Humdinger" - a motivating 3-syllable word!

• Verb Tense: Using background scenes with minis, we practiced past tense: "The car jumped over the sign," "He drove away."

• Negatives: Using stickers on background scenes. "I don’t want it there," "Not in," "Not on my nose!"

PAINT STICKS WITH PACKING TAPE

Use paint sticks or tongue depressors and cover them with packing tape for repeated articulation trials.

Low Prep, Low Expense Ideas

Here are some additional low-prep, low-expense ideas to get plenty of repetitions with stickers:

1. Paint Sticks or Wooden Tongue Depressors: Add stickers for each target the child gets correct. I add packing tape to my paint sticks so kids can put on and take off stickers over and over for multiple trials!

2. Body Parts: Stick stickers on different body parts on you and the kids following each production, then have the kids take them off again while practicing their target sounds, words, or sentences.

3. Matching Games: Add matching stickers onto milk or juice lids, or cardboard circles or squares and play a matching game with them.

Stickers are a fantastic tool for making speech therapy sessions fun and engaging. I hope you find these ideas as helpful and enjoyable as I do. Happy sticking!

Best Christmas and Winter Books for Kids Ages 3-5

Winter and Christmas books are some of my favorite to use in speech therapy for facilitating language skills in preschoolers. Following is a list of books I use in my speech sessions each season with different target goals in the descriptions. I wanted to post this blog now if you are thinking about gift for this age children.

For more information on choosing books for children, go to Choosing Books for Preschoolers to Encourage Communication Skills

Each title has a link to the book on Amazon (these links are affiliate links, so I get a few cents if you purchase one- at NO extra cost to you). You can also find most of these books at your local library!

Holiday Books

Holiday and Winter Books can target an array of speech and language goals

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The Snowy Day by Ezra Jack Keats

  This is a classic book with simple colorful contrasting pictures of a journey of a little boy and his adventures through the snow.  I use the concepts of “toes pointed in” and “toes pointed out” when walking to incorporate some motor movement into speech therapy. I use my book companion for this story each winter!  We also work on opposites like “down the hill” and “up the hill”. You can have tons of supplemental craft extension activities with this sweet story.

The Snow Globe Family by Jane O’Conner. 

This story is about a real family living in a house, then the snow globe family living in a snow globe in the real family’s house and only the baby sees the snow globe family.  This is for 4-5 year olds and is also great for older children also. It lends itself to working on “pretend” versus “real”, “big” versus “little” and working on finding solutions for problems. This one has fun extension activities like making snow globes. 

Merry Christmas Big Hungry Bear by Audrey Wood

This is really a perfect Christmas book for this age! A little mouse initially tries to hide his presents from the big hungry bear, then realizes that the bear needs some presents too! 

This story has repetitive text and the reader is talking to the mouse keeping children interested in knowing how this will end up! I target asking the mouse questions for information and kids love to join in talking to the mouse. We also target “big and small” when talking about the bear versus the mouse, what they wear, the presents and where they live.

Are You Grumpy Santa by Gregg Spiridellis

Santa is grumpy in the beginning of this wonderful rhyming story then comes around. This is fun to read and kids think this grumpy Santa is hysterical because of all the reasons  he is grumpy (itchy suit, he’s on a diet..). This one is for 4-5 year olds and is perfect for working on emotions like “grumpy, happy, sad, frustrated, annoyed”. 

Merry Christmas, Stinky Face by Lisa McCourt

Stinky Face loves Christmastime...but he still has plenty of questions. What if a big, wintry wind blows his Christmas tree away? What if one of the reindeer gets his antlers stuck in the branches that hang over the roof? His  Mama knows how to answer these questions. This one is fantastic for working on “wh” questions!

Snowmen at Christmas  by Caralyn Buehner

This is one book in a series of 5 about Snowmen at different time (Winter, Night, Play). There are hidden items throughout the story that children can try to find (although it’s not easy even for me!).  Working on concepts like “behind’, “under” and “on top” when describing where the snowmen are as well as using descriptive language when describing the different snow people works well in this book. There is quite a bit of text, but remember, you do not have to read it all if you have a younger child.

Llama Llama Jingle Bells  by Anna Dewdney

This is a book for younger children or children with difficulty attending to longer stories. It has rhyming phrases where children can attempt to fill in the words. The pictures are engaging and good to work on pointing to pictures named. 

The Snowman by Raymond Briggs

This is a story about a little boy who makes friends with a snowman. I like the “lift the flap” version of this book with my younger children. There is very little text (or no text in the original version), so children can use their own words to tell the story.

Dream Snow by Eric Carle

This is one of my favorite winter books! A farmer dreams that snow has covered him and his farm animals. There is a snow cover plastic page covering each animal in the story, so children can guess what is under each page. This works well for answering and answering  “who” questions and labeling animals and using animal sounds for minimally verbal children.

Max’s Christmas by Rosemary Wells

Max has plans to stay up late to see Santa Claus, but his big sister, Ruby, won’t let him. Max asks questions throughout the book making it perfect for working on “wh” questions with children. It has limited text which is perfect for younger wiggly listeners!

Gingerbread Baby by Jan Brett

The repeated phrasing in this story makes it easy for children to “help” tell the story. The people and animals that the Gingerbread Baby meet continue to grow lending this story to working on sequencing of events with children. There is a “hint” with the side pictures of what is coming next, that children love to guess! You can find a ready made book companion here!

The Night before Christmas by Clement Moore

Need I say more?  Just had to include this for those of us who had to read this every Christmas Eve!

Check out my Winter Book Companion Kit in my TPT store for activities to use with some wonderful winter and holiday books!

Top Children’s Books for Speech and Language Development

“Remember, the best part is not just reading the books but also engaging your child in conversation, asking questions, letting them add to a story with words and phrases and creating new language with literacy.”

As a speech-language pathologist, I get to dive into the magical world of children's books every day, and if my bookshelves could talk they would tell you I have a bit of an obsession! 

There's something about watching kids light up as they explore the wonders of language through books. Not only do I love books, but I love sharing them with friends!

I'm excited to share some of my top picks for children's books that nurture speech and language development. I have divided them into categories that promote engagement and language learning. (Amazon affiliate links included on titles)

BOOKS WITH INCORPORATED MOVEMENT

Who says reading has to be a sit-still activity? Incorporating movement into storytelling is a genius way to keep those little minds engaged. So, get ready to wiggle, jump, and roar as you read some fantastic books that'll have your kiddos imitating animal moves and dancing with joy!

Movement helps kids attend to longer stories. By incorporating movement it builds imitation skills and assists with memory or concepts.

1. Tip Tip Dig Dig by Emma Garcia

2. We’re Going on a Bear Hunt by Rosen and Oxenbury

3. Press Here by Herve Tullet

4. Is Everyone Ready for Fun? By Jan Thomas

5. I’m a Dirty Dinosaur by Janeen Brian

6. Toot Toot Beep Beep by Emma Garcia

7. Tap Tap Bang Bang by Emma Garcia

8. Plinka Plinka Shake Shake by Emma Garcia

9. 5 Little Monkeys Jumping on the Bed Eileen Christelow

10. Stir Crack Whisk Bake by America’s Test Kitchen Kids

BOOKS WITH REPETITIVE TEXT

Children's books with repetitive text are like musical earworms that stick in your head (in the best way!). They'll have your little ones predicting what comes next and filling in the blanks like pros. So get ready for some rhyming, rhythmic fun!  Familiar text  helps children comprehend the story and remember due to repeat phrasing.

1. Bear Wants More by Karma Wilson

2. Too Many Carrots by Katie Hudson

3. The Seals in the Bus by Lenny Holt

4. The Bear Came over to My House by Rick Walton

5. Today is Monday by Eric Carle

6. Thank You Mr. Panda by Steve Antony

7. Brown Bear Brown Bear by Eric Carle

8. Polar Bear Polar Bear by Eric Carle

9. The GingerBread Baby by Jan Brett

10. Little Blue Truck by Alice Schertle

11. Pete the Cat I Love My White Shoes by Eric Litwin

12. Pout Pout Fish books by Deborah Diesen

13. Duck in the Truck by Jez Alborough

14. Sheep in a Jeep by Nancy E. Shaw

15. I say Ooh You say Aah by John Kane

LIFT THE FLAP BOOKS

Surprise! There's nothing quite like the excitement of lifting a flap to reveal hidden treasures within a book. These interactive gems not only captivate kids' attention but also help target important language skills like answering questions, predicting what's behind that flap, and learning about "open and close" concepts.

1. Dear Zoo by Rod Campbell

2. Oh Dear by Rod Campbell

3. Peek a Who by Nina Laden

4. Open the Garage Door by Christopher Santoro

5. Find Spot books by Eric Hill

6. Do Cows Meow by Salina Yoon

7. Gotta Go Buffalo by Haily Meyers

8. Tree by Britta Teckentrup (Peek through book)

9. Inside Outside by Lizi Boyd (Peek through book)

10. How Does Bunjee Feel?: An Interactive Lift Flap Book by Josie Mott

INTERACTIVE BOOKS

Moveable parts and tasks to complete during storytime? Yes, please! These interactive books keep those little hands busy and their minds buzzing with curiosity.Interactive books keep kids engaged and moving with moveable parts. Kids love to have a task during book reading!

1. Nita’s Day by Kathy McMillian (sign language)

2. Nita’s First Signs Kathy McMillian (sign language)

3. Find the Duck by Stephen Cartwright

4. Find the Puppy by Stephen Cartwright

5. All Better by Henning Lohein

6. The Cheerios Play Book by Lee Wade

7. Print and Laminate Books by SpeechieTrish

8. Hey, Seymour Books by Walter Wick

9. Drive the Firetruck and Drive the Car by Dave Mottram

10. Poke-a-Dot: Construction Vehicles (Board Book with Buttons to Pop) and other “Pop” books by Melissa and Doug

11. Hi-Five Farm! (A Never Bored Book!) by Ross Burach

CHAIN OR CIRCULAR STORIES

Wait, did the story just go back to the beginning? You bet! Chain or circular stories are like literary roller coasters that take you on a looping journey. Not only are they entertaining, but they also help reinforce storytelling skills and make kids feel like master storytellers themselves.

The storyline is linked so the ending goes back to the beginning in these books. 

1. The Napping House by Audrey Wood

2. If you Give a….. Books by Laura Numeroff

3. I know an Old Lady Who Swallowed a …Books by Various Authors

4. Little Blue Truck Books by Alice Schertle

5. 5 Little Ducks  by Various Authors

6. The Very Hungry Caterpillar by Eric Carle

WORDLESS OR LIMITED TEXT

Who needs words when pictures can speak a thousand of 'em? Wordless or limited text books are a feast for the imagination. They encourage kids to create their own stories, build vocabulary, and improve their narrative expressive language skills.

1. Carl’s Birthday by Alexandra Day

2. Not a Box by Antoinette Portis

3. Not a Stick by Antoinette Portis

4. Mix it up By Herve Tullet

5. Moo Baa La La La by Sandre Boyton

6. Maybe by Chris Haughton

7. Goodnight Gorilla by Peggy Rathmann

8. Flashlight by Lizi Boyd 

9. Big Bear Little Chair by Lizi Boyd

10. Let’s Go Puppy by Holly Rosensweig

11. Wishy Washy: A Board Book of First Words and Colors for Growing Minds by Tabitha Paige

12. Gravity by Jason Chin

 Let the language adventures begin!

Remember, the best part is not just reading the books but also engaging your child in conversation, asking questions, letting them add to a story with words and phrases and creating new language with literacy. Happy reading! 📚✨

SLP Essentials for Back to School

To make sure we kick speech off with a bang, I've put together a list of essential items that will make our lives a breeze during those first few weeks back in school. Check 'em out:

(Keep in mind that we may receive commissions when you click the Amazon links and make purchases. However, this does not impact our reviews and comparisons.)

Binder Rings

Binder Rings with Speech Sound Cue Cards

1. Binder Rings: I use these ALL the time!  I have my speech sound cue cards on them for on the go access to the visuals. My students love to flip through them to find “their sounds”. I also use them to hang visuals around the classrooms on plastic hooks.

Velcro Dots

2. Velcro Dots: Using velcro for visual schedules, adapting books and them for behavior charts is key! I no longer have to cut my velcro with these time saving dots!

Copier Paper

3. Copy Paper: Let's face it, we can never have enough of this stuff. Gonna be printing out activities, resources and screening record forms like crazy!

Laminating sheets 5m

4. Laminating Sheets: I laminate SO MUCH! I can keep activities year after year and kids can’t rip the pages! I use 5 mm sheets for even more durability for my visual sentence strips and books (check out my printable Back to School book for preschoolers!)

plastic sleeves

5. Plastic Sleeves: Slip those printable resources into these sleeves for use with dry erase markers when don’t have the time to laminate!. Plus, they're super easy to wipe clean. Score!

mesh storage bags

6. Mesh Storage Bags (the big ones): I used these to store my games paired with books in one place! I have a fun S’mores speech activity that includes articulation marshmallows that can all be stored in one bag.

7. New Play-Doh: Opening play-doh for an activity and finding it gray and hard is no fun!! Who doesn’t love the smell of new play doh any way? It's time to restock our Play-Doh stash. Love using play-doh for smash mats!

8. Nice Pens: Treat yourself to some smooth writing action with good quality pens. They make note-taking way less boring!

9. Dry Erase Markers: I always have a stash of these for making on the spot speech sound visuals and they are perfect for writing on whiteboards or laminated materials. 

Plastic Container with attached Lid with Sensory Materials

10. Plastic Bins with Attached Lids: Seems like I always need one to make a sensory bin for a new theme, and the bins with the attached lids work the best for me in my therapy bag since they don’t open unless I want them to.

11. Water Bottle: My goal for this year is to drink more water and even though I have SO MANY water bottles, I want to motivate myself, so I’m buying a new one!

12. Dot Painters: These bad boys can be used for all kinds of cool therapy activities, dot articulation comes to mind and can be used with little prep and kids love to use them!.

13. Glue Sticks: Never can find my glue sticks, so this year I am putting one in every pocket of my therapy bag. I like the clear ones to use with the small pieces that I laminate. I stick inside the laminating sheet to hold the pieces in place while they run through the laminator.

14. Clipboard with Storage: This was a game changer for me last year!  I keep each child’s daily sign in sheets inside the storage portion and the child’s sheet that I am working with on top plus my monthly time sheet. 

Now that we're armed with these essential speechie necessities, we're all set for an amazing start to the school year. 

Here's to a fantastic school year ahead!

Add a Word Strategy for Language Development

Description:

If a child is using one word to comment, request, negate, label, describe, answer or ask for more; add a word to their vocalization. If a child is using 2 words together, expand it to make a 3 word sentence and so on. The child does not need to imitate, simply hear the expansion. This will expand their sentences and the function of their communication and their vocabulary skills. Click here for the Full Resource of Speech and Language Strategies for Early Childhood.

Examples:

1) If a child is saying "bye-bye" to someone or something, you say, "bye-bye kitty" and if a child says "bye-bye Kitty, you say, "Bye-bye big kitty". Add a word to what the child says.

2) If a child asks for "more", expand their vocalization by saying "more milk", if they say "more milk", you could say, "more milk me".

3) If a child makes a comment on a picture or something happening in their environment by saying "plane", you say, "see plane" or expand to three words by saying, "see plane fly".

4)Introduce a new word each day and encourage children to use it throughout the day. This can help them build their vocabulary and learn new words in a fun and interactive way. You can also incorporate this strategy into daily routines such as snack time or bedtime.

Wait and Pause Strategy to Support Language Development

Description:

Pause and give the child time to respond during play activities. When you ask a question, make a comment or give directions, wait and pause for the response. Make sure to also pause after your child speaks.

During play, as you are talking, pause where there is a word you want the child to say.

Click here for the Full Resource of Speech and Language Strategies for Early Childhood

Examples:

1) Build a block tower: As you place each block on top say "block on" at least 3 times, on the fourth time say "block" and pause for the child to fill in the word "on", wait 3-5 seconds and say the word if the child does not. Continue each time you place a block on.

2)Hide some toys around the room, and have your child cover their eyes. Repeat phrases such as, "Where is it?" or "Where are you?" as the child is looking for the toys. Repeat the phrases several time and pause after at least 5 trials and shrug your shoulders and pause to see of the child will say "where". Continue to repeat the activity.

3) As you are reading a book point to the same item on each page of a book and say or sign the word (i.e. car). After at least 3-5 trials, point to the car and pause for the child to say or sign the word.

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Speech Therapy Tips for Minimally Verbal Preschoolers

How do I get my child to talk? What can I do at home to help my child communicate what they want and need? If my child isn’t talking, is there anything I can do? 

These are some initial questions that I hear when I first see a minimally verbal child for a speech and language evaluation.  Although it is important for intervention (speech therapy) to be tailored to the individual child, there are some intervention techniques that are helpful for all children.  Some experts (Fish, 2016; Velleman, 2003) suggest intervention for young children include the following (modified from article by Megan Overby, PhD, CCC-SLP original article Sharon Gretz, M. Ed.):

• Learning to imitate gross motor skills

• Large motor movements (such as clapping, hands up to be picked up)

• Actions with objects (banging two blocks together)

• Imitating vocal play (i.e. raspberries, tongue clicks)

• Imitating oral-facial movements (i.e.,puffing cheeks out, blowing kisses)

• Vocalizing visible early sounds such as /m/, /b/, or /d/ (e.g., /mmmm/, “muh” or “buh”)

• Vocalizing to get attention (e.g., “uh” and pointing to a cookie)

• Sound effects: animal noises (e.g., “grr” for a tiger, vehicle sounds)

As children start using more of the above and begin to use more sounds imitatively and spontaneously, focus can include more functional vocalizations: 

•  Words with distinctive pitch patterns (e.g., “uh-oh,” “wow,” “whee,” “yay”)

• Words with strong emotional meaning (“no”, “up”)

• Vocalizations that can be paired with actions (e.g., “whee” as a car goes down a track, “hi,” with a wave and  “oops” when an object falls)

• Sound effect words (e.g., “woof’, “beep,” etc.). There are great books that use sound effects (see Blog post, 13 Tips for Choosing Books for Preschoolers)

• Verbal routines and singing (e.g., songs  like “5 Little Monkeys Jumping on the Bed,” favorite predictable books like “Brown Bear Brown Bear What Do you See”) : (see Blog post, 13 Tips for Choosing Books for Preschoolers)

• Words with very early consonants and simple syllable shapes (e.g., “hi,” “me”, “mama”, “oh no”)

Some helpful speech therapy tips: 

•  Use sounds already in the child’s repertoire to build simple productions (e.g., if a child has /p/, can they learn to say “pop” “up,” or an approximation of those words)

• Hold toys or objects of interest near the speaker’s mouth to direct the child’s attention to mouth movements during imitation tasks. 

• Use movement during practice (push a car down a track to work on “wheee” or build a tower and place block on top and practice “up” then “uhoh” when they fall down.

• Make it fun and incorporate play with stuffies or whatever the child is interested in to elicit speech and language (i.e. let your child see you “hiding” toys in the room and have them find them)

• Books and music are extremely helpful to facilitate skills. 

• Keep in mind, once a child begins to use sounds, it is  more important to expand their sound and syllable repertoire than to have them accurately produce the sounds ( that will come later!)

• The more repetitions you can get the better! Using target vocalizations in play is not only fun for the child, but also encourages the most engagement and in turn increased repetitions.

The primary goals for children who are exhibiting minimal communication skills are (modified from Davis and Velleman, 2000):

• Help the child establish a consistent form of communication. This could include sign language, pointing to pictures, using approximations of words, pointing to what a child wants, gestures and facial expressions (or a combination of these!). It is important that the child and the people in their environment agree what a gesture, sound, picture, or word approximation represents or means.

• Using alternative communication such as sign language, gestures, or pictures can help move a child toward verbal communication by relieving frustration and establishing a consistent, reliable means of communication (Fish, 2016). 

Once my child/student starts vocalizing, where do I go from there?

A hierarchy is suggested for working on production of syllable shapes for children with Childhood Apraxia of Speech (modified from Fish, 2016 and Velleman, 2003) but can also be applied to minimally verbal children. I have include the initial steps in this hierarchy: 

• CV (Consonant plus a vowel) (“me”)

• VC (vowel plus a consonant “up”)

• Reduplicated CV.CV (“bye-bye” or “no-no”)

•  CV.CV with a vowel change  (“mommy”, “nehnuh”)

• Variegated CV.CV (“bunny”)

• CVC (“pop”)

•  CVC with different consonants (“top”)

These are techniques and suggestions that speech language pathologists use in therapy and caregivers can use at home to elicit some speech and language skills. If you are concerned about your child’s speech and/or language development, it is recommended that you contact a speech-language pathologist through your local county or early intervention or preschool program to have a thorough communication evaluation to determine if speech therapy is required. 

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