What is OPT - in english

OP … what?

Oral Placement Therapy is a speech therapy which utilizes a combination of: (1) auditory stimulation, (2) visual stimulation and (3) tactile stimulation to the mouth to improve speech clarity.

OPT is an important addition to traditional speech treatment methods for clients with placement and movement deficits.

It is a tactile-proprioceptive teaching technique which accompanies traditional therapy. Traditional therapy is primarily auditory and visual.

Clients with motor and/or sensory impairments benefit from tactile and proprioceptive components because speech is a tactile-proprioceptive act.

OPT is used to improve articulator awareness, placement (dissociation, grading, and direction of movement), stability, and muscle memory; all of these are necessary for the development of speech clarity.

Which clients are concerned?

OPT can be used with clients of many ages and ability levels. It can be incorporated into program plans for many types of speech disorders (e.g., dysarthria, apraxia of speech voice disorders, fluency disorders and post CVA clients, as well as clients with mild-to-profound levels of hearing loss).

Many of the clients who require these techniques have often received traditional auditory and visually based speech facilitation for a number of years, with minimal success. No one is at fault for the client’s difficulty in learning to produce target speech sounds.

Traditional speech facilitation has not been effective with these clients because there may be a movement or placement disorder. So, before introducing any of the OPT techniques, the client’s motor functioning for speech and feeding should be thoroughly assessed.

How does it work?

OPT teaches oral structural placement to clients who cannot produce or imitate speech sounds using traditional auditory or visual input. For these clients, it is critical to expand speech sound production from phonemes and other similar oral movements the client can already produce.

Once a client can produce a targeted speech sound using traditional auditory or visual input, speech therapy can progress in a more typical manner.

OPT is only a small part of a comprehensive speech and language program and should not be done in isolation. The activities are carefully selected to stimulate the same movements used in the targeted speech production. They can be completed in under 15 minutes and can be used to refocus attention and concentration from a sensory processing perspective


3-Part Treatment Plan for OPT (Oral Placement Therapy) (LEVEL1)

Learn how 40 highly motivating motor activities can be used to improve phonation, resonation, and speech clarity.
Course Description

This introductory course to OPT (Oral Placement Therapy)​ is the foundation for TalkTools training and is integrated throughout all of our courses. OPT is a type of oral-motor therapy that targets specific movements needed for speech and feeding. The "3 parts" of OPT are: auditory and visual sensory systems COMBINED WITH tactile -- and propioceptive -- sensory systems. TalkTools training applies a unique, hierarchical approach to OPT, focused on a measurable, results-driven path for both therapists and clients across all ages and diagnoses with the goal of:

  • speech clarity
  • improved feeding
  • independence
  • improved QUALITY OF LIFE

This interactive, hands-on course includes highly motivating activities targeting the abdomen, velum, jaw, lips and tongue. Techniques learned can be readily implemented across many therapy environments -- private practices, hospitals, schools and home.

Learning Outcomes

The participant will be able to:

  1. Assess oral placement/feeding/speech problems based on muscle systems.
  2. Integrate hierarchies for motor dissociation and grading (jaw-lips-tongue).
  3. Develop programs of therapeutic intervention to address physiological and motor-based speech disorders.
  4. Apply at least 10 new therapy techniques.
  5. Demonstrate oral placement techniques to improve individual speech clarity and production.

Content Disclosure: This presentation will focus on treatment methods related to the use of TalkTools® OPT resources. Other similar treatment approaches will receive limited or no coverage during this lecture.

The Illinois Early Intervention Training Program has approved this event for 9.75 hours of EI credential credit in the area of Atypical Development, Intervention, and Typical Development. 12 Instructional Hours. It is the responsibility of the individual to provide Proof of Attendance or Completion of this activity to Provider Connections.

TIMED AGENDA  ( viitteellisiä )
  • Theories of Oral Placement (Muscle-Based) Therapy (45 min)
  • Oral Placement Therapy: The “why”, “when” and “who” (60 min)
  • Muscle movements necessary for speech clarity emergence or correction (60 min)
  • Oral Habits: Prolonged Thumb Sucking, Pacifier Usage, Teeth Grinding & Drooling (60 min)
  • Oral Habits: What is the Commonality and How Can They Be Eliminated (60 min)
  • Overview of Feeding and How It Effects Speech Clarity (60 min)
  • Treatment: Muscle-Based Exercises for Speech Clarity (60 min)
  • Activities to Improve Abdominal Grading and Breath Support (60 min)
  • Improving Velo-pharyngeal Functioning Using Muscle-Based, OPT Interventions (45 min)
  • Jaw Exercises - Stability in the Jaw is Necessary for Mobility in the Lips and Tongue (60 min)
  • Lip movements necessary for Speech Clarity (60 min)
  • Tongue movements for Speech Clarity (60 min)
  • Program Planning: Putting it All Together (30 min)
Learn how 40 highly motivating motor activities can be used to improve phonation, resonation, and speech clarity.

Feeding Therapy: A Sensory Motor Approach (LEVEL 1)

This course explores and explains the complex issues surrounding feeding disorders and offers a comprehensive explanation of sensory processing and the impact on feeding.


Course Description

This up to date self-study online course explores and explains the complex issues surrounding feeding disorders. Offers a comprehensive explanation of sensory processing and the impact on feeding. Pre-feeding exercises designed to develop the motor skills for safe, effective, nutritive feeding and therapeutic feeding techniques are targeted. The class includes two live evaluations and program plans.

Learning Outcomes

Participants will be able to:

  • identify and define the developmental acquisition of feeding skills.
  • recognize individual oral-phase feeding deficiencies.
  • list at least four goals of an SLP-administered oral-motor feeding program.
  • explain the benefits of improved oral movement in cases of oral-phase feeding deficiencies.

The "Feeding Therapy..." course is an interactive, hands-on workshop. When taking this course as a self-study it is encouraged that you follow along with all of the activities.

The list of optional supplies indicates what is included and the recommended food items you will want to have on hand while watching and following along with the video course.

OPT: Assessment and Program Plan Development (LEVEL 2)

Course Description

One of TalkTools' core courses, participants will learn how to perform a comprehensive evaluation for clients with sensory, feeding and/or speech disorders following the principles of Sara Rosenfeld-Johnson’s hierarchical approach to oral-motor assessment and treatment using the techniques learned in “3-Part Treatment Plan for OPT (Oral Placement Therapy).”

This course will lead you, step-by-step, through the assessment process used with clients of varying ages and skill levels who evidence oral placement deficits. Participants will observe via videos, two complete assessment sessions and follow up treatment with clients from infancy to adult, and will learn how to identify oral-motor deficits that effect speech production.

Development of therapeutic program plans designed specifically to meet each client’s oral placement needs will be addressed. A live evaluation will be performed on the second day allowing participants to observe client skills, record observations on an assessment form and develop a therapeutic plan from these results. We are sure you will leave this session with advanced skills in assessment and program plan development for each client with oral placement needs.

Learning Outcomes

Participants will be able to:

  1. identify oral placement, sensory, feeding and/or speech deficits in a variety of clients and diagnoses.
  2. assess oral placement functioning of the jaw, lips, and tongue.
  3. design a step-by-step program plan based on the client’s oral-motor feeding and speech evaluation results.
  4. apply oral placement strategies, when appropriate, with infant, preschool, and school-aged children as a part of comprehensive speech and language therapy intervention.

Content Disclosure: This presentation will focus on treatment methods related to the use of TalkTools® OPT resources. Other similar treatment approaches will receive limited or no coverage during this lecture.