1. Teach an alternative means of communication to relieve frustration and take the pressure off of his speech production (AAC like sign language, pictures, or speech-output devices)

2. Work on simple imitation activities.  Start with actions and move toward sounds with the mouth.

3. Encourage child to use any type of communication (including AAC and body language) and respond to any communication attempts as if the child had spoken.  Reinforce any sounds that the child makes with his mouth.

4. Provide tactile and visual cues for sound production and specific feedback about what sound the child made or didn’t make

5. Encourage the child to combine two words together as soon as he has enough automatic words to do so