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Multiple Oral-Mechanism Examinations have been included in my binder to use with future clients. When conducting an examination, I will focus on assessing all structures and their function. When assessing a child with a suspected anomaly, I will careful examine the physical appearance of structures for any anomalies present. I will also assess tongue, lip, jaw, velopharyngeal, swallowing, etc. functioning.

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All materials posted have been printed and included in a tangible binder. They have also been uploaded here for electronic submission purposes. Images of the tangible binder are included below.

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An overall cleft lip/palate treatment hierarchy and therapy targets are outlined within this document. Therapy targets are explained and ideas are shown in order to target the goals.

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Evaluation of Cleft Lip and Palate and Velopharyngeal Insufficiency (VPI) Within the School Setting 

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Evaluation of Cleft Lip and Palate and Velopharyngeal Insufficiency (VPI) Within the School Setting 

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This evaluation form was designed for a school-based SLP and assesses structures and their functioning for a cleft lip and palate and VPI. The form includes images for reference and procedures to conduct nasal emission, hypernasality/hyponasality, phonation, and articulation assessment. There is also a glossary section defining terms used throughout the examination form.

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This document has been included for future reference to the anatomy and physiology of craniofacial structures.

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I plan to use this checklist when there it is suspected that a child may have a tongue thrust to further evaluate their need for speech/language services. This checklist requires the SLP to watch and assess the child's swallow, eating habits, breathing, oral structures, and oral behaviors.

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The Tongue Thrust Program includes a screening form, informational section, images depicting a correct swallow, 21 different exercises, and a home chart for clients to practice at home and manage their progress. This program will be used as a resource for treatment and educational handouts in the future.

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This form comes from The Tongue Thrust Book and informally evaluates the pattern in which the child's tongue moves during the swallow. When a child has a tongue thrust, their tongue will move forward in the mouth instead of up and back for a normal swallow.

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This resource explains communication disorders and the role an SLP plays in treating them. It details cleft lip/palate and how it can affect both communication and swallowing. It also explains surgical treatment options and support from SLPs that can be provided. There is also a resource list including books for parents, books for kid, and websites/support.

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Different Types of Lisps: Tongue Thrust, Lisp & Myofunctional Disorders 

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Different Types of Lisps: Tongue Thrust, Lisp & Myofunctional Disorders 

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This resource details what a tongue thrust is and why it is important to correct. There is also information describing different types of lisps (interdental lisp/frontal lisp, lateral lisp, dentalized lisp, and palatal lisp), as well as other sound errors common in myofunctional disorders.

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Within this resource, there are cards I have cut out to use as a visual aid for a "nose sound" ("nosey narwhal") and a "mouth sound" ("mouthy monkey"). I plan to use these visuals during therapy activities for hypernasality/hyponasality to help the child understand which sounds should be nose sounds vs. mouth sounds.

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Tongue Thrust Resting Posture Reminder Visual 

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Tongue Thrust Resting Posture Reminder Visual 

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I plan to use this visual resting reminders when working with children with a tongue thrust. The pictures will be used to show them what normal resting posture is and remind them to stay in this position unless they are talking or eating.

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Included within this document are 20 treatment probes for eliminating hypernasality after cleft palate repair or velopharyngeal insufficiency. The strategies are explained and supplemented with a picture for visual aid. I plan to use these treatment probes when working with a future client exhibiting hypernasality.

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Sample IEP Goals for Cleft Palate Speech 

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Sample IEP Goals for Cleft Palate Speech 

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This resource includes sample goals for children with a cleft palate and speech deficits as a result of it. I plan to use these goals to get ideas and a starting point to form goals specifically beneficial for my individual client. Goals are provided for nasal air emission, compensatory errors, resonance, articulation, production of nasal sounds, production of plosives, and production of fricatives.

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Cleft Palate Speech Remediation Program 

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Cleft Palate Speech Remediation Program 

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The Cleft Palate Speech Remediation Program was created by Kristi Chamberlain, M.A. CCC-SLP and includes step by step procedures on remediation of disordered speech as a result of a cleft palate. The program is broken into 3 main therapy targets: nasal air emission, compensatory errors, and resonance errors. The program first begins by explaining the importance of proper assessment and how to obtain data for specific targets. It then moves on to step by step treatment probes with supplemental visuals.

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Orofacial Myofunctional Therapy Exercises for Tongue Thrust

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Orofacial Myofunctional Therapy Exercises for Tongue Thrust

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This document includes visuals with orofacial myofunctional therapy exercises for clients with a tongue thrust. Orofacial myofunctional exercises help to address the underlying muscle function and coordination contributing to the client's tongue thrust. These exercises include: lip seal, nasal breathing, tongue posture at rest, backwards tongue movement, and others. By consistently practicing these exercises, the client can learn and retrain their tongue to move properly (up and back) during a swallow.

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I plan to use this infographic as an educational handout for parents with children receiving services to correct a tongue thrust. I can also use this infographic to explain to the child what we are doing in therapy and how it is going to retrain their tongue muscles. This handout can be used at home by both the parents and child to practice the exercises they learned in therapy.

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When a child begins receiving services for a tongue thrust, it is important to educate the parents on how to ensure their child is successful throughout treatment. This parent education sheet comes from The Tongue Thrust Book and gives suggestions for each step of the therapeutic process and how they can help their child reach success.

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When a parent is told their child has a tongue thrust and requires the services of an SLP, they may be concerned and feel they don't know how to help their child. To avoid these feelings, I plan to provide parents with educational handouts included in these documents. The handouts include facts about tongue thrust, why "fixing" it is important, how it impacts speech, and signs of a tongue thrust. There is also answers to common questions parents may have, as well as, what therapy will look like for their child.

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Infographics are included at the beginning of the binder for reference and can also be used as educational handouts to clients and their families.