Step 1: Sound level production/establish placement
a) Establish accurate articulatory placement for sound production in isolation
(e.g., say “sss…”)
Step 2: Word level production
a) Initial position of words (e.g., “saw”)
b) Final position of words (e.g., “dress”)
c) Medial position of words (e.g., “messy”)
Step 3: Sentence level production
a) Initial position of words in sentences (e.g., “I saw the movie over the weekend”)
b) Final position of words in sentences (e.g., “Can I where my dress to the party?”)
c) Medial position of words in sentences (e.g., “My room is kind of messy today!”)
Step 4: Discourse level production
a) Initial position of words in discourse
b) Final position of words in discourse
c) Medial position of words in discourse
Step 5: Naturalistic/Spontaneous production
a) Initial, medial and final word position of words in structured spontaneous
speaking opportunities
Step 6: Fully generalized productions
a) Use across all word positions in everyday speaking situations