"I liked the demonstrations on how to maximize the use of target sounds in phoneme drills during play with familiar items." K.W. (Oct. 2024)

"This course left me with ideas that I could use with my very next patient. It inspired a level of creativity that needed a bit of refreshing and made me excited to get back into therapy with some of my articulation and phonologically delayed patients. she truly provides methods for achieving increased output in a limited amount of time which many therapists battle. This course was fantastic." T.A. (Sep. 2024)

"Easily incorporated treatment techniques." A.M. (Sep. 2024)

"Activities were helpful and thinking outside the box. The information was functionally-based, presenter passionate and knowledgeable." T.H. (Aug. 2024)

"I thought the communication lab was a great idea for getting practice in for students. I liked all the activity suggestions that were made." H.W. (Aug. 2024)

"I liked the toy examples and communication lab idea." K.L. (Aug. 2024)

"I liked the therapy activities section of this course. The materials that the presenter showed and the examples of the syllables, double syllables, words, and songs will be helpful in my daily practice." L.M. (Jul. 2024)

"I found the entire course beneficial. I liked the discussion regarding the rationale for the high-intensity, high-repetition approach. I appreciated the recommended activities." G.S. (Jul. 2024)

"Loved it all! I found it to be most beneficial that I now fully understand what HIHR is and how to do it with lots of activities. It was applicable and functional for younger toddlers to older elementary students. I came away excited and with many ideas to be used immediately in therapy!" P.N. (Jun. 2024)

"Variety of Therapy Materials to use during articulation drills that also incorporate other skills (fine motor, gross motor). Really liked the "Can of Cans" - Things You Can Do Therapy Suggestion. Really appreciated the therapy material ideas to engage patients and to decrease boredom during drills." H.E. (Jun. 2024)

"I have been in practice for a long time. I appreciate the reminders of materials I already have that can be used to yield a high number of repetitions per therapy session. The powerpoint download was great for viewing materials that were suggested for use in high repetition per therapy session." M.C. (Jun. 2024)

"The use of manipulatives to accomplish high repetition therapy for faster results was a helpful topic. Serving as a child advocate for parents who have been misinformed about the law governing speech therapy services in public schools." B.R. (Jun. 2024)

"I liked the examples of games and activities to use for obtaining high-repetition articulation drills." B.H. (May. 2024)

"Examples of how to use materials helped stimulate ideas for my own therapy. I liked the pace of the course." M.C. (May. 2024)

"It was helpful to discuss the different toys and objects, also the singing. Clear structure, presentation interesting with videos and pictures, not only text and speaking." N.F. (May. 2024)

"I loved the ideas around high frequency repetitions and ways to keep learning fun. I loved this whole course, I especially liked the end part, where we should be advocates for students and think about oral speech as part of a good public education. I love Marshalla's work!" M.B. (Feb. 2024)

"Discussing fine motor activities for high-repetition articulation therapy was beneficial. The presentation style was clear and concise." M.M. (Feb. 2024)

"Great hands-on ideas to incorporate into therapy sessions. It was beneficial to discuss different toys/activities that prompt a high number of repetitions within a therapy session." D.V. (Dec. 2023)

"The toys and manipulatives used were helpful." J.S. (Dec. 2023)

"Communication, lab activities using various counter toys, and IDEA clarification were all beneficial topics." L.B. (Dec. 2023)

"Creative ways to schedule more frequent and shorter sessions for our kiddos. I liked the general information concerning the HIHR model, creative ways to implement, and strategies to collaborate with others to see gains in goals for students." S.C. (Nov. 2023)

"Specific activities and materials to achieve a high number of repetitions. I liked all of the practical activities, especially the ones involving music and movement." A.K. (Oct. 2023)

"All info on HIHR therapy was beneficial. I'm piloting this with my second graders. I liked the therapy ideas best." M.M. (Oct. 2023)

"I liked the research references and examples of treatment materials. Good presentation." M.R. (Oct. 2023)

"Great ideas for therapy." M.R. (Oct. 2023)

"This course was great! I liked the examples of games and toys." E.N. (Sep. 2023)

"Straightforward presentation. I liked the research background on short sessions." M.S. (Sep. 2023)

"Great ideas provided that can be incorporated immediately. The games and activities for high intensity reps within a session were beneficial." C.G. (Sep. 2023)

"I enjoyed learning about the high-intensity and high-repetition benefits of articulation therapy." L.R. (Aug. 2023)

"I liked every topic discussed in this course. From the therapy materials to the therapy techniques, everything was beneficial for my daily practice. I liked best the video of the therapist working with the student." L.R. (Aug. 2023)

"Straightforward course. I liked the examples of activities." S.B. (Aug. 2023)

"So many ideas for simple and engaging therapy materials! I liked the tools and strategies presented for increasing the number of student practice opportunities." A.S. (Jul. 2023)

"Practical examples that can be applied directly to my therapy sessions." L.K. (Jun. 2023)

"I liked the ready-to-implement activities." J.H. (Jun. 2023)

"Short and sweet with therapy ideas. Showing all the games, toys, art, music activities and explaining exactly how they're utilized in a therapy session was beneficial." J.D. (Jun. 2023)

"List of manipulatives to use was beneficial. This course was descriptive." A.C. (May 2023)

"I liked all the ideas to use for high repetition drills. The topic of short repetitive drill therapy was beneficial." K.N. (May 2023)

"Good ideas for articulation therapy tools. I liked the resources provided." H.R. (Apr. 2023)

"All of it was beneficial. This course was very organized, clear and informative." S.G. (Mar. 2023)

"I liked the treatment ideas and examples provided." B.V. (Feb. 2023)

"I really enjoyed the therapy suggestions. My littlest kiddos will love the "Can" music." C.L. (Jan. 2023)

"The materials and ideas to target a high number of repetitions were helpful." M.G. (Jan. 2023)

"Course was well organized and provided a lot of therapy ideas. I enjoyed the section which presenter gives lots of new ideas of how to use toys to get a lot of repetitions." J.A. (Dec. 2022)

"I liked the mix of theory and practice. And the third section: Articulation in the Schools." D.D. (Dec. 2022)

"Liked it all - good therapy ideas." M.S. (Dec. 2022)

"Specifics about therapy. Liked the examples of materials you could use." A.R. (Dec. 2022)

"Practical examples of techniques that I can immediately apply to my therapy sessions." J.S. (Nov. 2022)

"Relevant to my clinical practice in the school setting. The presenter demonstrated a large variety of ways to apply high repetitions in an engaging manner for students." J.S. (Nov. 2022)

"Course had useful, practical information that I can use immediately in my therapy. I found the extensive list of activities that encourage a high level of repetition to be practical, useful information." L.R. (Nov. 2022)

"I liked the various ways to use toys/activities by getting high repetition targets and that I could go at my own pace." J.W. (Nov. 2022)

"All the tips for intervention were good. Ana Paula's voice is melodic." R.J. (Oct. 2022)

"I liked the idea of using various toys in different ways to achieve more repetition of sounds and especially getting more reps in less time as teachers don't want children to miss academics. I liked the ideas on how to elicit sounds from children, especially singing and using music." C.H. (Oct. 2022)

"Good ideas for activities. Practical suggestions." J.A. (Oct. 2022)

"Content on adverse effect was very useful." J.C. (Oct. 2022)

"The activities suggested were terrific."  N.S. (Oct. 2022)

"Starting with syllable repetition, rather than real words - I liked suggestions for materials and activities that will elicit high repetitions of target sounds." A.C. (Oct. 2022)

"Very practical information that can be used right away."  C.T. (Oct. 2022)

"I liked the ideas of toys to use in short sessions."  H.K. (Sept. 2022)

"Lots of ideas to use in my therapy sessions right away."  C.P. (Sept. 2022)

"The articulation drills and specificities were good."  C.D. (July 2022)

"Learning how articulation treatment sessions and practice methods can be streamlined. I liked the practical treatment ideas." S.R. (July 2022)

"I enjoyed the entire presentation, specifically the activities suggested while performing high-intensity repetition. Also the practicality, that the strategies are realistic, and the discussion about IDEA not citing academic failure as a basis for special education." T.D. (Jun. 2022)

"Concrete examples of articulation therapy materials. Liked the examples of materials, toys, games to use to increase the number of trials." J.T. (Jun. 2022)

"I liked the colored chip idea as a form of non-intrusive cueing, the Can of Cans idea, and the singing activity. I will use all of these ideas going forward in my practice. Many kids like to get up out of their seats, so I also liked how you highlighted movement and music too as these can facilitate a successful amount of trials." C.A. (Jun. 2022)

"Detailed description of various therapy activities. Straightforward explanation of evidence-based interventions." E.M. (Jun. 2022)

"Wow, what a wonderful course! I learned so much useful information and easy ways to improve my therapy. I work in a private practice for pediatrics and most of my therapy is articulation remediation. Some of my kiddos are struggling with their target sounds and I have a hard time getting in enough practice in a 30 minute session once or twice a week. These ideas, like the abacus, xylophone, and puzzles or peg boards, are simple enough to do but SO creative! I love it!  A new way to use common toys I already have but will change the way I do therapy in a big way." A.H. (May 2022)

"The ideas offered were numerous and this was a great refresher of the options available to me." M.B. (May 2022)

"The availability to take it at any time was nice." M.B. (May 2022)

"Learning that short sessions and more frequent are better. It was very practical and something I can use everyday." K.D. (May 2022)

"Presenter gave wonderful games and therapy ideas that I had never tried." S.B. (May 2022)

"I liked the high repetition drill activity ideas – practical strategies provided." A.P. (Mar. 2022)

"I love the idea of a Therapy Hour. I liked all the material ideas to help implement artic lessons." C.B. (Mar. 2022)

"I liked the communication lab – lots of therapy ideas." S.J. (Feb. 2022)

1. Identify three components of high-intensity, high-repetition articulation therapy.
2. Describe high-intensity, high-repetition therapy activities for target sound production.
3. Explain intervention methods that are meaningful and functional for children.

This program is offered for 0.15 ASHA CEUs (Intermediate Level; Professional Area).

ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.

ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:

• Current ASHA Member.
• ASHA Certificate of Clinical Competence (CCC) Holder.
• Licensed by a state or provincial regulatory agency to practice speech-language pathology (SLP) or audiology.
• Credentialed by a state regulatory agency to practice SLP or audiology.
• Credentialed by a national regulatory agency to practice SLP or audiology.
• Engaged in a Clinical Fellowship under the supervision of an individual with their ASHA CCC.
• Currently enrolled in a master's or doctoral program in SLP or audiology.

If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.