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PROMPT is:• A Philosophy

* tenets• An Approach

* organizing principles of assessment• A System

* development of intervention plans, communication focus, goals, objectives, activities etc.

• A Technique* purpose and use of PROMPT technique

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4 Levels of PROMPTs (page 43)

• Parameter – broad based stabilizing PROMPTS that facilitate or inhibit

• Complex – give information on two planes, only done in isolation

• Surface – the most critical information about the motor phoneme link, used in words and phrases

• Syllable - Inhibit movement on one plane (vertical) to facilitate movement on another (horizontal)

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Syllable PROMPTS:• Form syllable shape around the vowels: /u/, /i/, /o/

(horizontal plane)• Facilitate production of me, bee, pee, moo, boo,

pooh, mow, bow, do, two, D, T• Syllable PROMPTs can also be used with velars to

facilitate words such as: go and key• Relate mostly to stage 4: labial-facial control

(introduction or facilitation of rounding and retraction, facilitating independence of lip closure)

Four Levels of Prompting

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What is the proper method for Syllable PROMPTs?

• Syllable PROMPTs are a two-step process:1. Map in syllable (surface PROMPT) – only the clinician is expected to make a

verbal production during the mapping for step 1 – the client is not expected to say anything

2. Provide support to jaw and shape the vowel.

For example in the word “boo” the clinician must: 1. surface PROMPT the word (surface prompt each motor phoneme link while pairing the PROMPTing with the verbal model “boo” (not “b-oo”)(Clinician: We’re going to say “boo” – first it’s my turn “boo”)2. Set up the syllable by: Hooking the middle finger under the jaw like a shelf to support the jaw and then PROMPTing the vowel /u/ at 1-2 SIMULTANEOUSLY (thus inhibiting vertical movement to create horizontal movement)(Clinician: Now you say “boo”)