How do I choose targets in           
CAS therapy?

Target selection in CAS therapy is guided by the child’s current motor speech capacity rather than a fixed developmental sequence of sounds.

Target selection in CAS therapy begins with the child’s current motor speech capacity.

In practice, this involves:

• identifying current consonant and vowel repertoire

• analysing syllable shapes the child can produce

• selecting targets that match existing movement patterns

Speech is organised into syllable-level motor units, so therapy often begins with accessible structures (e.g. CV, CVCV) and builds complexity over time.

I’m not aiming to teach individual words in isolation.
The goal is to develop flexible, reusable movement patterns that can generalise across many words.