Course Description

This session, led by Pam Marshalla, MA, CCC-SLP, explores the critical topic of carryover in speech therapy—the ability for clients to maintain correct speech production outside the therapy room. Marshalla, a renowned expert in motor speech and articulation therapy, was celebrated as a “clinician’s clinician” for her ability to integrate research and clinical experience into practical, effective strategies. She authored multiple best-selling books and played a key role in advancing the field through her work with the Oral Motor Institute and other organizations.

In this course, Marshalla delves into why some clients struggle with carryover despite achieving correct speech sounds in therapy. She highlights the importance of self-monitoring, speech rate control, cueing techniques, and structured reinforcement strategies. The discussion emphasizes the need to move beyond word-level drills and ensure clients can generalize their skills into real-world conversations. Through case studies and interactive exercises, participants learn how to effectively scaffold speech practice from controlled environments to spontaneous communication.

By implementing Marshalla’s evidence-based techniques, speech therapists can bridge the gap between therapy and everyday communication. Whether using personalized cues, structured conversational prompts, or reinforcement systems, these strategies empower clients to achieve long-term speech success.

Key Learning Questions:
- Why do some clients struggle to generalize correct speech sounds into conversation despite mastering them in therapy?
- What role does self-monitoring play in successful carryover, and how can it be effectively taught?
- How can therapists use behavior management and reinforcement techniques to support long-term carryover success?


Other Courses from Pam Marshalla:
Frontal Lisp, Lateral Lisp
Successful "R" Therapy
Improving Intelligibility in Apraxia and Dysarthria

About Presenters

Pam Marshalla

MA, CCC-SLP

Pam Marshalla, MA, CCC-SLP, was an inspiration to many and played a vital role in launching this company. Her guidance, mentorship, and dedication continue to shape our work, and we remain profoundly grateful for her lasting impact. Though she is no longer with us, her legacy lives on in the countless speech-language pathologists she taught, mentored, and inspired. A practicing speech-language pathologist for over 30 years, Pam worked with children of all ages and ability levels in schools, hospitals, private practices, and university settings. She was a highly sought-after speaker, presenting at hundreds of conferences and seminars across the United States and Canada. Pam founded and led Innovative Concepts Inc., a continuing education company, for 15 years. She also co-founded the Oral Motor Institute and served on the advisory board of the Library of Speech-Language Pathology. To learn more about her work and enduring contributions to the field, visit pammarshalla.com.