Treatment Resource Manual for Speech-Language Pathology.

Sixth Edition

Froma P. Roth, Colleen K. Worthington

Details: 539 pages, 2-Color, Softcover (with lay-flat binding), 8.5" x 11"

ISBN13: 978-1-63550-118-6

© 2021 | Available

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The thoroughly revised Sixth Edition of the best-selling Treatment Resource Manual for Speech-Language Pathology remains an ideal textbook for clinical methods courses in speech-language pathology, as well as for students entering their clinical practicum or preparing for certification and licensure. It is also a beloved go-to resource for practicing clinicians who need a thorough guide to effective intervention approaches/strategies.

This detailed, evidence-based book includes complete coverage of common disorder characteristics, treatment approaches, information on reporting techniques, and patient profiles across a wide range of child and adult client populations. The text is divided into two sections. The first part is focused on preparing for effective intervention, and the second part, the bulk of the book, is devoted to therapy strategies for specific disorders. Each of these chapters features a brief description of the disorder, case examples, specific suggestions for the selection of therapy targets, and sample therapy activities. Each chapter concludes with a set of helpful hints on intervention and a selected list of available therapy materials and resources.

New to the Sixth Edition

This new edition includes updated citations and references throughout as well as current information on treatment efficacy in all disorder chapters to reflect recent developments in the field. In addition, the authors have added the following:

  • A new chapter on Contemporary Issues including critical thinking, telepractice, simulation technologies, and coding and reimbursement 
  • New tables on skill development in gesture, feeding, and vision
  • New information on therapist effects/therapeutic alliance
  • Coverage of emerging techniques for voice disorders and transgender clients
  • Expanded information on:​​​​​​
    • Childhood Apraxia of Speech
    • Cochlear Implants
    • Cultural and Linguistic Diversity
    • Interprofessional Practice
    • Shared Book-Reading
    • Traumatic Brain Injury
    • Treatment Dosage/Intensity
    • Vocabulary Development

Key Features

  • Bolded key terms with an end-of-book glossary
  • A multitude of case examples, reference tables, charts, figures, and reproducible forms
  • Lists of Additional Resources in each chapter
  • Access to a PluralPlus companion website containing PowerPoint lecture slides and quizzes for each chapter, and all of the forms from the book in digital format for easy duplication and customization to specific experiences


"Named to Doody's Core Titles in the Health Sciences - Speech, Language & Hearing 2020 list."
Doody's (May 2020)

"This is an excellent resource for clinicians in speech-language pathology, whether beginners or seasoned experts. It has a plethora of helpful forms and ideas for therapy. There are books that focus on clinical methods, but this is a one-of-a-kind resource manual that has no real competitor. I have used it for years in an undergraduate clinical methods class and the students have commented that it is easy to read and helpful. When they get into the clinic, I often see them using it to prepare for their therapy sessions. The authors have updated citations and references throughout to keep up with changes in the field. They also have added a new chapter on contemporary issues, which includes topics like telepractice and simulation technologies and new information in existing chapters (e.g., transgender voice therapy in the chapter on voice). These additions and updates justify a new edition. ...Clinicians in the field should consider this book a core title in their libraries, and training programs should have it on hand for their student clinicians to reference."
—Matthew H. Rouse, MS, SLPD, Biola University, in Doody's Book Reviews


“The sixth edition of the Treatment Resource Manual for Speech-Language Pathology is a practical summary of interventions available to Speech and Language Therapists (SLTs), referring to the evidence base to outline key interventions available as well as practical tips for implementation.
The first two chapters of this book cover the core skills needed for practising SLTs, including
target setting, therapy approaches, session design and report writing. Key factors of intervention
planning are discussed, including group size, session design, dosage and discharge criteria. In particular, the accessible summary of how to write targets is very helpful for student SLTs on placement and Newly Qualified Practitioners (NQPs)….
The main body of the textbook looks in detail at interventions for specific client groups, such as
speech sound disorders, language difficulties, Autism, dysfluency and voice disorders, which are all appropriate for SLTs working in paediatric settings. The chapters summarising speech sound disorders and dysfluency are particularly comprehensive, summarising a variety of different intervention types to support the development of a holistic therapy plan. The sample activities outlined are very appropriate for student SLTs and NQPs designing initial session plans, giving practical advice on how to deliver therapy.
A strength of this textbook is the use of case studies within each chapter, which gives an overview of a client and outlines the clinical decision making behind target setting and intervention delivery. Some case studies include multiple examples of what intervention can be delivered, giving confidence to student SLTs and NQPs when designing a therapy plan. The Appendices also provide helpful reference guides to support practitioners becoming familiar with terminology and developmental norms. Each chapter also contains “helpful hints”, summarising key advice that can be given to others as well as considerations to be made during therapy delivery. These sections can support student SLTs and NQPs in giving advice to other agents of change, such as teachers and parents, which can help to develop NQP competencies.
The final three chapters consider key ideas to ensure client-centred care, including family counselling and cultural competency. In particular, the chapter on cultural competency introduces important themes within inclusive practice, giving summaries of linguistic differences found within client groups and describing different types of multilingualism. This is a very important chapter that can help student SLTs and NQPs ensure they are making client-centred clinical decisions, and provides an initial reference point for further reading into an important competency.
… This textbook is recommended for student SLTs or NQPs that are being introduced to paediatric intervention, as it supports a variety of aspects of clinical decision making, from target setting to practical implementation of intervention sessions to advice that can be given to other agents of change…”

–Hayley Smith, NHS Trust, London, UK from Child Language Teaching and Therapy (December 2022)

Case Examples by Disorder

List of Tables

List of Forms and Figures



About the Authors


Part One. Preparing for Effective Intervention


Chapter 1. The Essential Ingredients of Good Therapy: Basic Skills


Universal Design Principles for Learning: An Overarching Framework

            General Principles of Intervention


            Selection of Therapy Targets

            Sequencing of Therapy Targets


            Termination of Therapy

            Formulation of Behavioral Objectives

Theories of Learning

            Innateness Theory/Biological Model

            Behavioral Model

            Constructivism/Interactionist/Integrative Model

Behavior Modification

            Types of Reinforcement

            Positive Behavioral Interventions and Supports

            Schedules of Reinforcement

Key Teaching/Scaffolding Strategies


Session Design

            Basic Training Protocol

            Task Order

            Dynamics of Therapy

            Group Therapy

Data Collection

            Recording Session Data


Collaborative Service Delivery Models

Multitiered Systems of Support/Response to Intervention

            Current Challenges of RTI

            Treatment Efficacy/Evidence-Based Practice

            Treatment Intensity and Dosage

Setting Specific Professional Terminology

Troubleshooting Tips for Therapy Sessions


Additional Resources

Appendix 1–A: Therapy Observation Checklist

Appendix 1–B: Worksheet for Identifying Behavioral Objectives

Appendix 1–C: Worksheet for Formulating and Writing Behavioral Objectives

Appendix 1–D: Sample Daily Therapy Plan

Appendix 1–E: Daily Therapy Plan

Appendix 1–F: Report of Observation Hours

Appendix 1–G: Instructions for Using Data Recording Forms

Appendix 1–H: Sample Positive Behavior Intervention and Support Plan


Chapter 2. Information Reporting Systems and Techniques


Technical Writing Style

Report Formats

            Initial Therapy Plan

            Session Notes

            Progress and Final Reports

Tips for Proofreading Clinical Reports

Individualized Education Program

            Due Process

Individualized Family Service Plan

            504 Plan

Professional Correspondence

Health Insurance Portability and Accountability Act

Additional Resources

Appendix 2–A: Sample Initial Therapy Plan

Appendix 2–B: Sample Progress Report

Appendix 2–C: Health Insurance Portability and Accountability Act (HIPAA)


Part Two. Providing Treatment for Communication Disorders


Chapter 3. Intervention for Articulation and Phonology in Children

Treatment Approaches



            Distinctive Features

            Paired Oppositions–Minimal and Maximal

            Phonological Processes

            Cycles Approach

            Core Vocabulary


Oral-Motor Considerations

Treatment Efficacy and Evidence-Based Practice

Target Selection for Intervention Programming



            Helpful Hints (Functional Articulation Disorders)

            Helpful Hints (Phonological Disorders)

Organic Articulation Disorders

            Cleft Palate

            Helpful Hints

            Hearing Impairment

            Helpful Hints

            Childhood Apraxia of Speech

            Helpful Hints


            Articulation and Phonology

            Oral-Motor Dysfunction

Additional Resources



Appendix 3–A: Phonetic Placement Instructions for Difficult-to-Teach Sounds

Appendix 3–B: Diadochokinetic Rates for Children


Introduction to Chapters 4 and 5. Introduction to Language Intervention for Children and Adolescents

Classification of Language Disorders

Relationship Between Oral Language and Literacy

            Role of the Speech-Language Pathologist in Literacy

Theoretical Models of Intervention

Treatment Efficacy/Evidence-Based Practice


Chapter 4. Intervention for Language in Infants and Preschool Children

Intervention with Infants (Birth to 3 Years)

            ASHA Early Intervention Guidelines

            Prelinguistic and Early Language Therapy Targets

            Helpful Hints

Intervention with Children (3 to 5 Years)

Treatment Approaches for Infants, Toddlers, and Preschoolers

Emergent Literacy Intervention (Birth Through Preschool Years)

            Helpful Hints


Additional Resources

Appendix 4–A: Developmental Language Milestones: Birth to 5 Years

Appendix 4­­–B: Gross and Fine Motor Developmental Milestones

Appendix 4–C: Stages of Cognitive Development

Appendix 4–D: Gesture Developmental Milestones: 9 to 16 Months

Appendix 4–E: Development of Vision

Appendix 4–F: Feeding Developmental Milestones

Appendix 4–G: Stages of Play Development

Appendix 4–H: Developmental Toy List

Appendix 4–I: Examples of Lessons from “Promoting Awareness of Speech Sounds” (PASS)


Chapter 5. Intervention for Language in School-Age Children Through Adolescence

Characteristics of Students Ages 5 to 10 Years

Characteristics of Adolescents 10 to 18 Years

Intervention Considerations for School-Age Children and Adolescents

            The Common Core State Standards

Treatment Approaches for School-Age Children and Adolescents

            Instructional Strategies for Writing

            Helpful Hints


Additional Resources

Appendix 5–A: Types of Cohesion


Chapter 6. Intervention for Autism Spectrum Disorder (ASD)

Overview of Autism Spectrum Disorder



Characteristics of Children with ASD

            Social Communication

            Repetitive/Restricted Behaviors, Interests, and Activities


            Emergent Literacy and Literacy        



Treatment Efficacy/Evidence-Based Practice

Treatment for Autism

            Theoretical Models

            Treatment Approaches

            Helpful Hints


Additional Resources


Chapter 7. Intervention for Adult Aphasia with Introduction to Traumatic Brain Injury

Froma P. Roth, Colleen K. Worthington, and Emily DeAngelis


            Classification of Aphasia Syndromes

Treatment Efficacy/Evidence-Based Practice

Treatment for Aphasia


            Theoretical Orientations to Aphasia Treatment

            Guidelines for Programming and Implementing Therapy

            Specific Intervention Procedures

            Helpful Hints


Additional Resources

Traumatic Brain Injury


            Executive Functioning

            Attention and Memory


            Treatment Efficacy/Evidence-Based Practice

            Treatment for Traumatic Brain Injury

            Helpful Hints


Additional Resources

Appendix 7–A: Suggestions for Enhancing Verbal Interaction With a Family Member With Aphasia

Appendix 7–B: Guidelines for Conversational Coaching


Chapter 8. Intervention for Motor-Speech Disorders: The Dysarthrias, Apraxia of Speech, and Dysphagia

Treatment for Motor-Speech Disorders

            The Dysarthrias

            Treatment Efficacy/Evidence-Based Practice

            Treatment for the Dysarthrias

            Helpful Hints

            Apraxia of Speech

            Treatment Efficacy/Evidence-Based Practice

            Treatment for Apraxia of Speech

            Helpful Hints


Additional Resources


            Treatment for Dysphagia

            Helpful Hints


Additional Resources


Chapter 9. Intervention for Fluency

Categories of Stuttering Behaviors

            Core Behaviors

            Secondary Behaviors

            Developmental Disfluencies Versus Stuttering

Treatment for Fluency Disorders

            Treatment Efficacy/Evidence-Based Practice

            Intervention Techniques

            Helpful Hints


Additional Resources

Appendix 9–A: Sample Phrases, Questions, and Monologues


Chapter 10. Intervention for Voice and Alaryngeal Speech

Voice Disorders

            Classification of Voice Disorders

            Treatment Efficacy/Evidence-Based Practice

Treatment for Voice Disorders

            Intervention Techniques

            Transgender Voice

            Helpful Hints

Alaryngeal Speech

Treatment for Alaryngeal Clients

            Mechanical Devices

            Esophageal Speech

            Tracheoesophageal (TEP) Speech

            Helpful Hints


Additional Resources

Appendix 10–A: Additional Dialogue Scripts for Voice Therapy Activities


Chapter 11. Client and Family Counseling

Five Key Traits of an Effective Counselor

Stages of Counseling

            Establishing the Therapeutic Relationship

            Implementing Counseling Intervention

            Terminating the Therapeutic Relationship

Client and Family Emotional Reactions to Communicative Disorders

Counseling Techniques for Communicative Disorders

            Group Counseling

            Family Systems Counseling

            Helpful Hints


Additional Resources


Chapter 12. Multicultural Issues in Intervention

Cultural Competence

            Cultural/Ethnic Background

            Socioeconomic Status (SES)

            Linguistic Differences

Clinical Considerations for Children


            Patterns of Second Language Acquisition

            Educational Models

Clinical Considerations for Adult Populations

Clinical Considerations for Multilingual Populations with Language Disorders

            Helpful Hints


Additional Resources


Chapter 13. Contemporary Issues

Critical Thinking

            Components of Critical Thinking

            Strategies/Techniques for Promoting Critical Thinking


            Privacy and Regulatory Issues

            Basic Clinician Competencies With Technology

            Candidates for Telepractice Services

Simulation Technologies

            Standardized Patients (SPs)

            Computer-Based Learning Experiences (CBLEs)


Coding and Reimbursement

            CPT Codes

            ICD-10 Codes




Appendix A. ASHA Code of Ethics

Appendix B. International Phonetic Alphabet Symbols

Appendix C. Glossary of Selected Medical Terms

Appendix D. Schematic of the Vocal Tract




Froma P. Roth

Froma P. Roth, PhD, is a Professor Emeritus at the University of Maryland, College Park, Maryland, in the Department of Hearing and Speech Sciences.

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Colleen K. Worthington

Colleen K. Worthington, MS, is a Clinical Professor and the Director of Clinical Education in Speech-Language Pathology within the Department of Hearing and Speech Sciences at the University of Maryland, College Park.

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Purchase of Treatment Resource Manual for Speech-Language Pathology, Sixth Edition comes with access to supplementary student and instructor materials on a PluralPlus companion website.



To access the student materials, you must register the access code printed on the inside front cover of your book on the companion website in order to log in. 



To access the instructor materials, you must contact Plural Publishing, Inc. to be verified as an instructor and receive your access code.


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