INTRODUCTION TO PROMPT:

TECHNIQUE
MODULE 5: PRINT MATERIALS
*Please print these materials. They will be used throughout the module.

10 1
9
PROMPT
Assessment and
PROMPT Overview,
Treatment
Physical-Sensory
Planning: Case
Domain: Key Concepts,
Study #3, Future
Planes of Movement
Treatment Planning: Case Learning,

2
Study #1, Case Study #2, Resources
Selecting Motor Phoneme
Links to Address Motor
Breakdowns at
|Stages III,

8
IV and V
PROMPT Assessment:

5
Case Study #1

3
Motor Phoneme Warm-Up,
Motor Phoneme Link
Requirements, Structured
Practice, On-Line Shaping
PROMPT
Assessment:
Case Study #2

7
PROMPT Application
Principles
Parameter
PROMPTs

4
Cognitive-Linguistic and
Social-Emotional Domain:
Key Concepts,
Uses of

6
PROMPT
Surface PROMPTs

Complex PROMPTs
Syllable PROMPTs

PROMPTS FOR RESTRUCTURING ORAL MUSCULAR PHONETIC TARGETS

 MY CLIENT DAY TWO

Thinking about the Conceptual Framework, look back at your client’s strengths.  Which domain
do you think is strongest for your client?  

Thinking about the Conceptual Framework, look back at your client’s weaknesses.  Which
domain do you think is weakest for your client?  

After day one how do you view your client differently?

How would you describe your client’s attractor state?

In PROMPT treatment we address the attractor state first. Based on your description, what is
your number #1 priority on the MSH?

Section Two 27
Name: ________________________ Date: __________________

MOTOR SPEECH HIERARCHY

(Hayden, 1986)

Stage VII Suprasegmentals Stage VII

PROSODY % No: __________
Priority #: ______

Stage VI Stage VI
Timing SEQUENCED MOVEMENTS % No: __________
(Co-articulated Multiple Planes) Priority #: ______

Stage V
LINGUAL CONTROL Stage V
(Anterior-Posterior % No: __________
Plane of Movement) Priority #: ______
Segmental
Production/
Timing &
Duration

Stage IV Stage IV
LABIAL/FACIAL CONTROL % No: __________
(Horizontal Plane of Movement) Priority #: ______

Beginning
Prosodic
Changes
Stage III Stage III
MANDIBULAR CONTROL % No: __________
(Vertical Plane of Movement) Priority #: ______
Voice Onset Time
(+voice-voice)

Stage I Stage II
PHONATORY
TONE BREATH CONTROL
SUPPORT

Stage I Stage II
% No: __________ % No: __________
Priority #: ______ Priority #: ______
Adapted and reprinted with permission from the Motor-Speech Treatment Hierarchy by D. Hayden (1993).
Unpublished manuscript, Toronto, Canada: Author.
Section Two 39
 Justin
Name: ________________________ Date: __________________

SYSTEM ANALYSIS OBSERVATION

Structure, Function, Integration
(Hayden 1995, revised 2013)

A. STRUCTURAL - Skeletal (view at rest)

YES NO COMMENT

1. The client’s face is symmetrical in shape.

2. The mandible and maxilla are in proper

alignment, height, shape and size.
3. Dental occlusion is within normal limits.
e.g., there is no open bite, Class II or Class III malocclusion

4. The palatal arch and oral/dental structures are

within normal limits.

B. FUNCTION - Neuromotor (view in movement)

STAGE I: Tone/Neuromuscular Integrity YES NO COMMENT
5. Body, trunk and facial tone are normal.
e.g., no hyper- or hypotonus noticeable in the body, upper chest
or facial muscles.

6. All reflexes are inhibited.

e.g., no observable reflexes when eating or performing verbal
tasks,
no tongue fasciculations

TOTAL /2

STAGE II: Valving and Phonation Control (view in single productions only)
YES NO COMMENT
7. Phonation and breath support are adequate.
e.g., 1-3 seconds of phonation
8. Single voiced, nasal and un-voiced phonemes,
//, //, //, can be produced.
9. Resonance is normal
e.g., There is no overriding hyper/hyponasality

TOTAL /3

Section Two 47
B. FUNCTION - Neuromotor (view in movement), continued
STAGE III: Mandibular Control (from this point on, view in connected speech)
10. Jaw movement shows: YES NO COMMENT
• G
 ood range and control
e.g., open-close; close-open; close-open-close

• N
 o lateral or anterior sliding

TOTAL /2

STAGE IV: L abial-Facial Control (view in connected speech)

11. Lip movements show: YES NO COMMENT
•S
 olid contact
e.g., medial one-third of labial surface

• I ndependent movement
e.g., lips independent of jaw

• I ndividual movement
e.g., independent lower lip movement

12. Labial-facial muscle movement shows:

 • Good retraction

• Good protrusion

TOTAL /5

STAGE V: Lingual Control (view in connected speech)

13. Tongue body moves independently from the
jaw in the following regions: YES NO COMMENT

• Anterior

• Mid

• Mid-back

• Back

TOTAL /4

Section Two 48
C. INTEGRATION - All systems + timing and prosody
STAGE VI: Sequenced movements across all planes
YES NO COMMENT
14. Voicing is adequate and can be supported/
maintained through a voiced three
phoneme unit.
e.g., bed, Dan

15. De-voicing is appropriate and can be main-

tained in the initial position without affecting
the remainder of the segment.
e.g., pig, pad, toad, etc.

16. All oral musculature moves appropriately

during connected speech.
e.g., no extraneous movements, sound additions or groping

17. Facial muscles show good combined

alternate movements.
e.g., retraction/protrusion

18. All muscle groups evidence adequate

tone, symmetrical movement, indepen-
dent and coordinated functioning.
e.g., jaw, facial, labial, lingual

TOTAL /5

STAGE VII: PROSODY

YES NO COMMENT
19. Timing for co-articulation is normal for age.
e.g., intonation and phrasing is marked

TOTAL /1

Section Two 49
 Name: ________________________
Justin Date: __________________

MOTOR SPEECH HIERARCHY

(Hayden, 1986)

Stage VII
Stage VII % No: __________
0
PROSODY Priority
#: ______

Stage VI Stage VI
Timing SEQUENCED MOVEMENTS % No: __________
60
(Co-articulated Multiple Planes) Priority #: ______

Stage V Stage V
LINGUAL CONTROL % No: __________
50
(Anterior-Posterior Priority
#: ______
Plane of Movement)
Segmental
Production/
Timing &
Duration

Stage IV Stage IV
LABIAL/FACIAL CONTROL % No: __________
100
(Horizontal Plane of Movement) Priority
#: ______

Stage III Stage III

MANDIBULAR CONTROL % No: __________
100
(Vertical Plane of Movement)
Priority #: ______

Voice Onset Time (+voice-

voice)

Stage I Stage II
PHONATORY
TONE BREATH CONTROL
SUPPORT

Stage I Stage II
% No: __________
50 % No: __________
0

Priority #: ______
Priority #: ______

Adapted and reprinted with permission from the Motor-Speech Treatment Hierarchy by D. Hayden (1993).

Section Two 53