Children are normally seen in small groups of 2-3 in the speech room. Therapy is not delivered on an individual basis unless the student is unable to participate in a group setting or has impairments to such a severe degree that working in a group is not beneficial. Students are grouped according to their grade level, although some mixed grade groups have been used to address specific deficit areas such as social language or fluency. I believe in doing lots of hands-on activities that engage the children in the skills they are working on. Therapy sessions include teaching of direct skills and then repeated reinforcement practice to master the targeted skills. Articulation or speech production practice sheets will be sent home with students to reinforce their target sounds. Home practice is not recommended until a student can make the targeted sound consistently in therapy because imperfect practice reinforces imperfect production patterns. I work as a team with your child's classroom teachers including the resource/instructional teachers. I might target a specific skill in therapy that relates to the classroom curriculum or provide consultation to the teacher on how to reinforce the skills learned in speech/language therapy within the classroom.