Speech Activities by Age

10-Minute Speech Practice That Doesn't Require Sitting Still

If you searched for speech practice for toddlers, this page gives you the parent-level answer: what the concern usually means, what.

Parent and toddler using picture cards and toys during home speech therapy practice

Last updated 2026-07-09

TL;DR

A speech therapy toolkit is the set of materials, strategies, and apps a child uses between formal therapy sessions to keep language growing. The core items are picture cards, simple toys for modeling language, a communication book or AAC device, and a consistent daily routine for practice. Most parents can build a solid home toolkit for under $100.

What is a speech therapy toolkit, exactly?

A speech therapy toolkit is whatever a child and their caregivers use to practice communication outside of appointments with a speech-language pathologist (SLP). It's not a product box you buy. It's a curated collection of physical objects, digital tools, and repeatable routines that support the specific goals an SLP has set for your child.

That distinction matters. A toolkit built around a child working on requesting words looks different from one built around a child who needs help with articulation. One child's essential tool is another child's useless clutter. The goal is always the same though: more communication opportunities per day, not more stuff.

The American Speech-Language-Hearing Association (ASHA) describes speech-language pathology practice as covering prevention, assessment, and treatment of communication disorders, and it points to family-centered approaches as central to carryover of skills learned in therapy [1]. That's the gap your toolkit fills: carryover. The hour a week (or even three hours a week) your child spends with an SLP is not enough on its own. Research on early language intervention consistently finds that frequency and intensity of practice in natural environments predicts outcomes [2].

So think of the toolkit as the vehicle for that practice.

What are the core items in a speech therapy toolkit for kids?

There's no single official list, but working SLPs tend to cluster tools into four categories: visual supports, language modeling tools, AAC (augmentative and alternative communication) tools, and structured play materials. Here's what each means in practice.

Visual supports are things like picture cards, communication boards, and first-then boards. They give a child a way to understand language before they can produce it, and they give you a way to point at meaning rather than flood a child with words. You can print picture card sets from free sources (see the section on free resources below), buy pre-made sets from Teachers Pay Teachers for a few dollars, or use laminated photos of your child's own life.

Language modeling tools are really just objects that make it easy for you to model words naturally. Simple cause-and-effect toys (a pop-up toy, bubbles, a wind-up car) are the gold standard because they create a natural pause where you can say the word and your child has a reason to want to say it back. A book with one or two words per page works better than a dense storybook for most late talkers.

AAC tools range from a paper communication board with eight symbols to a full speech-generating device (SGD) that costs several thousand dollars. Many children who aren't yet verbal benefit from a low-tech picture communication board as an immediate bridge. Research supports offering AAC early; it does not suppress speech development, and the most recent systematic evidence suggests the opposite [3].

Structured play materials are whatever toys reliably produce turns in a back-and-forth interaction. Puzzles, shape sorters, farm sets, and train tracks all work because they have a natural sequence (put the piece in, make the animal sound, push the train) that creates slots for language.

One thing to skip: expensive "educational" electronic toys that talk at a child. They produce language, but they don't wait for a response. They fill the very pauses that a child needs to attempt communication.

How much does a speech therapy toolkit cost to build?

The honest range is $0 to several thousand dollars, depending almost entirely on whether AAC technology is part of the picture.

For a home practice toolkit with no dedicated AAC device:

ItemTypical cost
Picture card sets (printed at home)$0
Commercial picture card sets (e.g., Boardmaker symbols)$0-$20 for printable sets
Simple cause-and-effect toys (bubbles, pop-up toy)$5-$20 each
A first-then board (laminated card)$0-$5
A dedicated tablet app for AAC$0-$300/year depending on app
An SGD device (hardware)$3,000-$8,000 without insurance

Most families don't need the SGD out of pocket. If an SLP documents medical necessity, insurance coverage under the Affordable Care Act's essential health benefits and many state Medicaid programs can cover a dedicated speech-generating device [4]. Medicaid in particular is required to cover SGDs for children who qualify under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, which mandates medically necessary services for enrolled children under 21 [4].

For a tablet-based AAC app like Proloquo2Go or TouchChat, prices run roughly $200-$300 as a one-time iOS purchase (as of 2024). Snap Core First runs a subscription model closer to $300 per year. LAMP Words for Life is around $299 one-time. Free options with fewer symbols include LetMeTalk (Android) and Cboard (web-based, free, open source) [5].

For the non-AAC items, you can genuinely build a useful practice toolkit for under $50 if you're willing to print, laminate, and shop secondhand.

Approximate cost of common speech therapy toolkit items Ranges for families building a home practice toolkit (USD, 2024) Printed picture boards (DIY) $0 Commercial picture card sets $15 Simple cause-and-effect toys $20 First-then board (laminated) $5 GoTalk recorded device (low-tech… $175 Tablet AAC app (e.g., Proloquo2Go) $250 Tablet to run AAC app $400 Dedicated SGD device (without ins… $5,500 Source: Medicaid.gov EPSDT guidance [4]; app publishers' listed prices; Cboard.io [5]

What AAC tools should be in a toolkit for a nonverbal or minimally verbal child?

For a child who isn't yet using words reliably, AAC is the most important single category in the toolkit, and it's the one parents most often hesitate on. The hesitation usually comes from a fear that giving a child a device or picture board will let them off the hook for learning to talk. That fear is not supported by evidence.

A 2014 systematic review published in the American Journal of Speech-Language Pathology examined 23 studies of AAC interventions for children with autism spectrum disorder and concluded that "AAC did not impede speech production and in many cases was associated with some improvement in speech" [3]. That finding has held up in subsequent research.

Practically, there are three AAC tiers to know about:

Low-tech: A PECS binder (Picture Exchange Communication System), a GoTalk device (a simple button-based recorded voice device, around $100-$250), or a printed core word board taped to the table. These require no charging, no troubleshooting, and no subscription. They're often the right first step.

Mid-tech: A tablet running a full-featured AAC app (Proloquo2Go, TouchChat, LAMP Words for Life). The tablet costs $300-$500, the app $200-$300. This is what most families end up using long-term because the vocabulary can grow with the child.

High-tech SGDs: Dedicated devices like a Tobii Dynavox or PRC-Saltillo device. These are built to survive daily use, often have eye-gaze features for children with motor limitations, and are what insurance typically covers when documentation is thorough.

Your SLP should be the one recommending which tier fits your child right now. If your SLP hasn't brought up AAC and your child is 18 months or older without reliable communication, it's reasonable to ask directly.

For a deeper look at device options specifically for autism, see our guide to alternative augmentative communication devices for autism.

What low-tech visual tools are actually worth making or buying?

Low-tech tools are underrated. They're fast to access, don't run out of battery, and can go anywhere.

A core vocabulary board is a single laminated page with 30-50 high-frequency words (go, want, more, stop, help, yes, no, I, you, like, don't, that). Core words make up roughly 80% of what we say day to day, and they're the same words regardless of context [6]. A child who can point to "more" and "stop" has more real communication power than a child who has pictures of 200 specific objects.

A first-then board has two slots: a picture of what's happening now (first, eat) and a picture of what comes next (then, iPad). It reduces anxiety about transitions, which reduces the behavior that eats into communication time.

A visual schedule shows the day's sequence in pictures. Morning routine, therapy, lunch, play, bath, bed. The American Academy of Pediatrics recommends predictable routines as a support strategy for children with developmental differences [7].

A feelings chart with photos or cartoon faces helps a child label emotions before the behavior escalates. This is relevant for communication because dysregulated children don't practice language well.

What to skip: Commercial flashcard sets with isolated nouns (apple, ball, cat). Noun-heavy teaching mirrors a 1970s behaviorist model that modern SLPs have largely moved past. Functional vocabulary in context beats naming drills for most late talkers.

How do you use a speech therapy toolkit at home between sessions?

Having the tools is maybe 20% of the work. Using them consistently is the rest.

The most effective home practice model most SLPs use is called incidental teaching or naturalistic developmental behavioral intervention (NDBI). You don't set up a formal drill session. You insert language practice into the routines that are already happening: mealtime, bath time, getting dressed, going to the car.

A few principles that actually work:

Follow the child's lead. If your child is interested in the toy train, that's where language happens right now. Don't redirect to the flashcards.

Offer, wait, model. Hold up what the child wants. Wait a beat (longer than you think you need to, six to ten seconds). If they don't attempt communication, you model the word or point to the symbol. Give them the item regardless. The goal is the attempt, not perfect production.

Repeat, repeat, repeat. Children learn words after roughly 10 to 15 meaningful exposures in context, though for children with language delays that number is often higher [2]. One exposure doesn't teach a word. Your toolkit gives you vehicles for repetition without the child noticing it's repetition.

Keep sessions short. Five to ten minutes of genuine engagement beats thirty minutes of drifting attention. Toddler attention spans are real. Use them honestly.

Write down what works. A simple notebook where you track which words your child attempted this week, what context prompted them, and what didn't land is more valuable than any app. It also gives your SLP real data to work with.

Parents often ask how much time they should spend on this. There's no perfect number, but a realistic target based on how early language intervention research is structured is two to four intentional practice opportunities per natural routine, across four to six routines per day [2]. That sounds like a lot, but a bath time routine might have a dozen natural moments to model "in," "out," "wet," and "wash."

If you're looking for a structured way to practice between sessions, Little Words offers an AI-guided companion that tracks your child's communication attempts and surfaces the words they're almost ready to use next.

What free speech therapy toolkit resources are available?

Plenty. You don't have to spend money to build a meaningful practice environment.

Boardmaker Share (now part of Tobii Dynavox's platform) has a free library of symbol-based activities. Teachers Pay Teachers has thousands of free speech-language printables. The ASHA public resources page [1] has parent guides. Autism Speaks has a free AAC guide download. The CDC's developmental milestones pages [8] are free and accurate for checking where your child is compared to typical ranges.

Cboard (cboard.io) is a free, open-source, web-based AAC board you can use on any device. LetMeTalk is free on Android. TouchChat Lite and Proloquo2Go have limited free trials.

For books, your public library likely has copies of "It Takes Two to Talk" (Hanen Program), which is one of the most widely recommended parent-training programs in early language intervention [9]. You can also find the Hanen Centre's free parent tip sheets online.

For children who qualify for early intervention services under the Individuals with Disabilities Education Act (IDEA), services from birth through age two are free under Part C, and school-age services are free under Part B [10]. The materials and strategies used in those sessions should come home with you. Ask your SLP explicitly at every session: "What should we be doing at home this week, and do we have what we need to do it?"

See also our article on early intervention speech and language therapy for a full breakdown of how to access free services.

How does a speech therapy toolkit differ for autism vs. a speech delay?

The overlap is big, but so are the differences.

For a child with a speech delay who has typical social interest, the toolkit usually leans heavily on naturalistic language modeling: responsive book reading, cause-and-effect toys, and following the child's lead to build vocabulary. AAC is sometimes part of the picture, but often not if the delay is mild and early intervention starts promptly.

For a child on the autism spectrum, the toolkit usually needs to do more. Social motivation for communication may be lower, so the tools need to reduce the effort of communicating, more than increase the vocabulary. AAC is more consistently recommended and often earlier. Visual supports for routine and transitions matter more. Joint attention activities (getting a child to share attention with you toward a third object) become explicit goals in a way they usually aren't for a typical late talker.

Autism spectrum speech therapy also places more emphasis on pragmatics: the social use of language, turn-taking, initiating versus only responding. The toolkit for an autistic child who has words but doesn't use them to connect with people looks different from the toolkit for a child who wants to communicate but hasn't found a reliable way to do it yet.

There's also a sensory layer. Many autistic children find certain textures, sounds, or visual inputs aversive. A good toolkit accounts for that: some children can't tolerate the tactile experience of certain toys, which limits your play material options in ways you'd want to know before buying.

Nobody should be diagnosing from a toolkit article. If you're unsure which category your child is in, that question belongs with a licensed SLP and, where relevant, a developmental pediatrician.

What should you bring to a speech therapy session, and what should come home?

Going to a session prepared makes the whole thing more useful.

Bring a short written note (even just three bullet points on your phone) covering: what communication attempts you noticed at home this week, what situations triggered frustration or meltdowns around communication, and any new words or sounds that appeared. SLPs work from data. Your observations are the only data from the 167 hours per week when your child isn't in the clinic.

Also bring whatever device or AAC tool your child uses at home. The session should model language on the same system your child will use at home. A child who uses Proloquo2Go at home but whose SLP models on a paper board during sessions has to do extra translation work.

What should come home: a written or verbal summary of what was worked on, the specific strategy the SLP wants you to practice, and ideally a short video of the SLP doing the technique so you can replicate it. Many SLPs will let you film on your phone during part of the session. Ask if they haven't offered.

For parents looking for more on what the therapy session itself looks like, our piece on speech therapy for kids covers session structure in detail.

How do you know if your toolkit is actually working?

Progress in early language development is real but it's rarely linear, and it's often slower than parents want it to be. A few things to track.

Communication attempts per hour. This is more telling than word count. Any intentional communication counts: pointing, reaching, vocalizing with intent, using a picture, pushing a symbol. The number of attempts should climb before the quality of the attempts improves.

Vocabulary size. For children under 30 months, total vocabulary (words used consistently across contexts) is the most tracked metric. Typical development puts a 24-month-old at around 200-300 words [8]. A child at 24 months with fewer than 50 words is the common clinical threshold for referral. What matters for your toolkit is whether that number is moving, not whether it's typical.

Spontaneous use vs. prompted use. A word a child uses only when you prompt it is weaker than a word they pull out on their own. Over time, you want to see the spontaneous column growing.

Initiation vs. response. Can your child start a communicative exchange, or do they only respond to yours? Initiations are harder and they matter more for functional communication.

If you've been running consistent home practice for three to four months and none of these metrics are moving, that's worth a direct conversation with the SLP. Not because the toolkit is wrong necessarily, but because the goals or strategies may need adjusting. Stagnation for more than two to three months is a signal, not a verdict.

Also worth knowing: the intensity of formal speech therapy matters. A 2010 Cochrane review found that children receiving more sessions showed greater gains than those receiving fewer, which is one reason the home toolkit isn't optional [11].

What does an SLP actually recommend putting in a starter toolkit?

Every SLP has their own preferences, but when you read parent-facing guidance from ASHA, the Hanen Centre, and AAP, a few items show up repeatedly as evidence-based starting points [1, 7, 9].

The Hanen Centre, whose "It Takes Two to Talk" program has the strongest research base for parent-implemented language intervention for toddlers, emphasizes three starting points: reducing your own talking, waiting expectantly, and adding just one word above what the child currently produces (sometimes called "one-up" modeling) [9].

From that starting framework, the minimal physical toolkit looks like:

1. A small set of highly motivating toys (the child already loves them, not educationally "correct" ones). 2. A core vocabulary board with 20 to 30 words, tailored to the child's daily routines. 3. A simple first-then board. 4. A notebook for tracking attempts.

If AAC is indicated, add the appropriate tier of system. If articulation is the focus (rather than language), add a mirror (self-monitoring of mouth position), some minimal pair picture cards (see vs. sea, boat vs. coat), and possibly an articulation app your SLP recommends.

For families building a toolkit for older children or adults with acquired communication challenges, the tool set shifts significantly. Our piece on speech therapy for adults covers that ground separately.

And if in-person therapy isn't accessible, many of these tools translate to telehealth contexts. Online speech therapy has good evidence for school-age children, though data for toddlers under 30 months is thinner. Ask your provider specifically about platform and parent coaching during sessions.

If you want help knowing which words to target first, Little Words can run a short quiz to match your child's communication level and suggest a priority word list.

Frequently asked questions

What is a speech therapy toolkit for toddlers?

It's the set of materials, routines, and strategies a family uses at home to support the language goals an SLP has set. For toddlers, that usually means simple cause-and-effect toys, a core vocabulary board with high-frequency words, a first-then board for transitions, and a consistent set of routines where language is modeled. You don't need to spend much; a useful toddler toolkit can cost under $50.

Do I need a speech-generating device for my child to have a toolkit?

No. Many children make strong progress with low-tech tools: printed picture boards, PECS binders, and recorded button devices like GoTalks. A speech-generating device (SGD) becomes important when a child needs a larger and more flexible vocabulary than a static board can provide, or when an SLP has specifically recommended one. Insurance, including Medicaid's EPSDT benefit, often covers SGDs when medically documented.

What toys are actually useful for speech therapy at home?

Simple cause-and-effect toys work best: bubbles, pop-up toys, wind-up cars, shape sorters, and farm sets with animal sounds. They create natural pause points where you can model a word and the child has a reason to respond. Avoid electronic toys that talk continuously with no pause for the child to respond. The child's genuine motivation matters more than the toy's educational label.

How is a speech therapy toolkit different from speech therapy itself?

A toolkit supports practice between formal sessions. Speech therapy itself is provided by a licensed SLP who assesses, sets goals, and runs structured intervention. The toolkit is the vehicle for carryover, the hours of natural-environment practice that research shows predicts outcomes. Think of therapy as where the strategy gets built and the toolkit as where it gets used.

Can a speech therapy toolkit replace actual speech therapy?

No. A toolkit is a support tool, not a substitute. ASHA is clear that assessment and treatment of communication disorders require a licensed SLP. A 2010 Cochrane review found that children with more formal therapy sessions showed greater gains than those with fewer. Use the toolkit to extend and reinforce what a licensed SLP has prescribed, not to replace that prescription.

Are there free resources for building a speech therapy toolkit?

Yes. Free options include printable core vocabulary boards, ASHA's public parent guides, CDC developmental milestones pages, the Cboard web-based AAC tool, and LetMeTalk (free Android app). For children under age two, IDEA Part C funds free early intervention services, including SLP services and often the materials used in sessions. Ask your early intervention coordinator what comes home with you.

What AAC apps are recommended for a home toolkit?

SLP-recommended apps include Proloquo2Go, TouchChat, LAMP Words for Life, and Snap Core First. Prices range from around $200 as a one-time purchase to roughly $300 per year for subscription models. Free options with more limited vocabulary include Cboard (web-based) and LetMeTalk (Android). The right app depends on your child's motor skills, vocabulary level, and your SLP's specific recommendation.

How often should parents use the toolkit at home?

Aim for two to four intentional practice moments per natural routine, across four to six routines per day. That's not formal drill time; it's brief intentional language modeling during bath, meals, getting dressed, and play. Five to ten minutes of genuine engaged practice beats thirty minutes of drifting attention. Research on early language intervention consistently links frequency of naturalistic exposure to vocabulary outcomes.

What goes in a speech therapy toolkit for a child with autism?

An autism-focused toolkit typically includes a core vocabulary board or AAC device, visual schedule strips, a first-then board, cause-and-effect toys matched to the child's sensory preferences, and materials for joint attention activities. AAC is recommended earlier and more consistently than for typical late talkers. The toolkit may also address pragmatic language through structured turn-taking games. Your SLP should customize this to your child's specific profile.

How much does a good speech therapy toolkit cost?

Without an AAC device, most families can build a solid home toolkit for under $100 by printing picture boards, sourcing simple toys secondhand, and using free AAC apps. If a speech-generating device is needed, costs run $3,000 to $8,000 for hardware, but Medicaid's EPSDT benefit covers medically necessary SGDs for enrolled children under 21, and many private insurers cover them too with documentation.

What is a core vocabulary board and why does it matter?

A core vocabulary board is a laminated card or page showing 30 to 50 high-frequency words: go, want, more, stop, help, yes, no, I, like. These words make up roughly 80% of everyday communication and are relevant across all situations, unlike noun-based picture cards tied to specific objects. Teaching core words gives a child more flexible, functional communication than teaching object names alone.

When should I talk to an SLP about building a toolkit?

At your child's first session. Ask specifically: what materials do I need at home, what routines should I use them in, and can you show me the technique so I can replicate it? If your SLP doesn't routinely provide home program guidance, it's reasonable to request it. Parent-implemented practice is a central mechanism of outcome in early language intervention, not an optional add-on.

Does using AAC tools mean my child will stop trying to talk?

No. This is one of the most common concerns parents have, and the evidence consistently goes the other way. A 2014 systematic review in the American Journal of Speech-Language Pathology found that AAC did not suppress speech production in children with autism, and in many cases was associated with some improvement in speech. Offering a reliable way to communicate reduces frustration, which typically increases rather than decreases verbal attempts.

Can I build a speech therapy toolkit if we don't have an SLP yet?

You can start with low-risk basics: simple motivating toys, following the child's lead, modeling one word above what they currently say, and reducing verbal pressure. But a toolkit works best when it's targeted to specific evaluated goals. Getting an SLP assessment first means you're practicing the right things. Children under three may qualify for free assessment through IDEA Part C early intervention, which you can access by calling your state's early intervention program.

Sources

  1. American Speech-Language-Hearing Association (ASHA), Practice Portal: ASHA describes speech-language pathology as covering prevention, assessment, and treatment of communication disorders and supports family-centered approaches for carryover of skills.
  2. Yoder, P. & Warren, S. (2002). Effects of prelinguistic milieu teaching and parent responsivity education on dyads involving children with intellectual disabilities. Journal of Speech, Language, and Hearing Research, 45(6), 1158-1174.: Frequency and intensity of naturalistic language practice predicts outcomes in early language intervention; children require roughly 10-15 meaningful exposures for word learning, often more for children with delays.
  3. Millar, D. C., Light, J. C., & Schlosser, R. W. (2006). The impact of augmentative and alternative communication intervention on the speech production of individuals with developmental disabilities. Journal of Speech, Language, and Hearing Research, 49(2), 248-264. Also: Ganz, J. B. et al. (2014). AAC and children with ASD. American Journal of Speech-Language Pathology.: Systematic review found that AAC did not impede speech production and in many cases was associated with some improvement in speech for children with autism spectrum disorder.
  4. Medicaid.gov, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT): Medicaid EPSDT mandates coverage of medically necessary services for enrolled children under 21, including speech-generating devices when documented as medically necessary.
  5. Cboard, open-source AAC web app: Cboard is a free, open-source, web-based AAC communication board accessible on any device.
  6. Banajee, M., Dicarlo, C., & Stricklin, S. B. (2003). Core vocabulary determination for toddlers. Augmentative and Alternative Communication, 19(2), 67-73.: Core vocabulary words account for approximately 80% of everyday communication and are consistent across contexts and speakers.
  7. American Academy of Pediatrics, Developmental Surveillance and Screening: AAP recommends predictable routines as a support strategy for children with developmental differences; also provides developmental screening guidance.
  8. CDC, Learn the Signs. Act Early. Developmental Milestones: Typical development places a 24-month-old at around 50+ words as a minimum threshold, with many children using 200-300 words; fewer than 50 words at 24 months is a common clinical referral threshold.
  9. Hanen Centre, It Takes Two to Talk program: Hanen's parent-implemented language intervention program emphasizes reducing parent talking, waiting expectantly, and one-up modeling; it is one of the most widely recommended parent-training programs in early language intervention.
  10. U.S. Department of Education, Individuals with Disabilities Education Act (IDEA): IDEA Part C funds free early intervention services from birth through age two; Part B funds free services for school-age children, including speech-language services.
  11. Law, J., Garrett, Z., & Nye, C. (2004). The efficacy of treatment for children with developmental speech and language delay/disorder. Cochrane Database of Systematic Reviews.: Children receiving more speech therapy sessions showed greater gains than those receiving fewer, supporting the importance of intensity in early language intervention.
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