What is the PROMPT© Technique?
PROMPT© stands for “Prompts for Restructuring Oral and Muscular Phonetic Targets.” It is used to restructure the speech production capabilities of children with a variety of speech disorders, including apraxia. PROMPT uses specific techniques based on touch pressure, proprioceptive (the body’s sense of itself) and kinesthetic (tactile) cues to help reshape the way the brain and mouth work together to articulate words. This is a very hands-on approach which will require therapy provided by a licensed speech-language pathologist.
An example of a PROMPT© technique involves manipulating the external muscles of the face to help the child understand the movement required to produce a specific sound. These specific techniques vary depending on the different needs of the client.
Why is PROMPT© Used for Speech Disorders?
A large portion of children who receive services from speech-language pathologist exhibit delays or disorders in speech production. PROMPT therapy is appropriate for a wide range of clients with communication disorders. The most common clients treated have motor speech disorders like Childhood Apraxia of Speech (CAS) and articulation difficulties. Treatments also target goals related to stuttering, language delays, syntax, motor control or planning, phonological disorders, auditory processing and production disorders, general cognitive or global delays. PROMPT© may be used to facilitate production, change production or to integrate motor production with cognitive-linguistic function. PROMPT© provides a more organized way to assess all domains and organize this information for the most effective, functional treatment program.
Is PROMPT© Effective?
The effectiveness of PROMPT varies by child. Measuring how well it works depends on the expectations of the child undergoing the treatment and also of the parent. PROMPT has a very good success rate in helping children communicate better, though it is important to understand that it is not a cure-all. Some children recover full speech and intelligibility while others will continue to have some impairments in speech.
The progress a child makes with PROMPT© will depend on many factors, including: the potential of the child’s motor system, how early the treatment is administered, parental involvement, and the skill of the clinician who administers the treatment. With consistency and patience, your child should see improvement from the use of this system.
What is PROMPT© Training?
A PROMPT-Trained therapist has completed the Introduction to PROMPT Technique Workshop has learned the basics of the PROMPT technique. These clinicians have been trained how to make the “touch cues” to the articulators to help patient’s produce a phoneme. They can also properly evaluate a patient (from a motor perspective) to identify if PROMPT therapy will be beneficial. Some clinicians at this stage are quite good at the technique and all will improve with practice.
Clinicians who have completed the PROMPT Bridging Workshop have had various levels of practice, but they have now gained a much-greater understanding of how and when to use the technique. These clinicians can develop much greater holistic intervention plans that address not only speech-motor problems, but also cognitive-linguistic and social-emotional disorders that may affect speech.
Where do I find a Prompt© Therapist?
Good news! Our lead therapist Elisa Cartagena,M.S. CCC-SLP is highly trained in the PROMPT© technique. For more information, please fill out our new client form or call us at (954) 532-8096.
You can learn more about the Prompt© Technique by visiting The Prompt Institute's Webiste. Our direct listing on their website can be found here.
As the lead therapist and owner of Teach Beyond Speech Therapy Services, LLC, Elisa Cartagena provides academically relevant speech therapy for children from preschool through adolescence throughout the Greater Fort Lauderdale of Broward County including Davie, Plantation, Sunrise, and Weston. She has over 18 years of experience in the education field that includes classroom teaching, ESE education, and speech and language therapy services.