Naturalistic Approach

Naturalistic approach uses speech recasting in naturalistic play-based activities to target words.

Who It's For:

Children with co-occurring speech and language disorders who are unlikely to participate in drill-based therapy or children with severe SSD. It is most often used with toddlers and preschoolers. It can also be appropriate to implement with autistic children and children with Down Syndrome.

How It's Practiced:

You can use speech recasting to natural play activities. This is a flexible approach that allows you to choose a variety of targets. Your focus is getting the child to engage with the targets. You can focus on specific words, clusters, vowels or phonological processes. This approach also you to have fun and get creative with it!

Download Naturalistic Handout Here


Duration varies.


Camarata, S.M. (2021). Naturalistic Recast Intervention. In A.L. Williams, S. McLeod, & R. J. McCauley (Eds.) Interventions for Speech Sound Disorders in Children (2nd ed., pp. 337-362). essay, Paul H. Brookes Publishing Co. .

Kaiser, A. P., Scherer, N. J., Frey, J. R., & Roberts, M. Y. (2017). The Effects of Enhanced Milieu Teaching With Phonological Emphasis on the Speech and Language Skills of Young Children With Cleft Palate: A Pilot Study. American Journal of Speech-Language Pathology, 26(3), 806–818.