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SLP Course Details

Course # 5978
Effective Evaluation and Intervention Procedures for Frontal and Lateral Lisp Disorders

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This course is mobile compatible.

Disclosure: This Course is presented by SpeechPathology.com.

CEUs/Hours Offered: AG Bell - LSLS/1.0 Domain 3, CE-SPC-13-065; ASHA/0.1 Introductory, Professional; Kansas DHE, LTS-S1370/1.0; SAC/1.0

Course Abstract

This course will cover evaluation and intervention techniques for frontal and lateral lisp disorders. There are 22 variations or allophones for /s/ and /z/ which include initial and final /s/ blends, initial, medial and final /s/ and /z/. Evaluation is the key to discovering a “key” word or phrase which the student can produce successfully. This key word is the foundation for intervention. It is from this successful production that placement is achieved. The 2 tongue placements for /s/ and /z/ will be discussed along with tips for carryover and working with parents.
Disclosure: This learning event will focus on the "Entire World of S and Z" approach to frontal and lateral lisp disorders and will not include information on other approaches to /s/ and /z/ remediation.

This course was recorded on July 10, 2013


Handouts are available for this course. You must be signed in and registered for this event to access them.

Course Learning Outcomes

  • After this course, participants will be able to list the 22 variations of /s/ and /z/.
  • After this course, participants will be able to describe the two tongue placements for /r/ and /s/.
  • After this course, participants will be able to identify a key word/correctly produced word.

Time-ordered Agenda

0-5 Minutes Introduction
5-10 Minutes About /s/ and /z/
10-20 Minutes Frontal lisp disorders
20-30 Minutes Lateral lisp disorders
30-40 Minutes Evaluation procedures
40-45 Minutes Placement for /s/ and /z/
45-45 Minutes Intervention & Carryover
45-55 Minutes Working with parents and teachers
55-60 Minutes Conclusion; Q&A

Average Rating

(949 Ratings)

Most Recent Comments

Displaying 100 most recent comments out of 949 reviews

Review by: Marisol on November 24, 2015
It was practical.
Review by: Linda on November 23, 2015
She was easy to understand.
Review by: Diane on November 21, 2015
organized information
Review by: Member on November 17, 2015
Great examples of therapeutic techniques
Review by: chris on November 17, 2015
Expert advice from a practicing professional
Review by: Cindy on November 16, 2015
Provided suggestions on how to evaluate and treat! Immediately applicable
Review by: Member on November 12, 2015
I felt like she shared a great deal of useful information that I can take immediately to the therapy room
Review by: Member on November 12, 2015
This course didn't teach me anything I didn't already know about how to treat these sound errors when the child CAN correctly produce the sound in some contexts. However, in my experience, this does NOT happen very often! And I guarantee that it is not because my evaluation is not thorough enough. The kind of information she presented would be helpful for a college student who has never done articulation therapy before, not the seasoned SLP who already knows this basic information and wants more information on how to help a child who has a consistent difficulty with placement and production and has not shown significant progress with traditional placement/production techniques. She actually seems to have a limited view of oral motor skills needed for production of lateral /s/... for example not once, did she mention the fact that to get a good, non-lateral /s/ the lateral edges of the tongue need to be stabalized against the molars, thereby inhibiting the lateral escape of air and also allowing the tongue to rest more delicately on the alveolar ridge, so air can be pushed in a skinny stream through the front of the mouth. I learned nothing. :-(
Review by: Blanca on November 11, 2015
I am currently serving students with frontal and lateral lisp.
Review by: Jennifer on November 11, 2015
Very informative. Clear objectives.
Review by: Jennifer on November 7, 2015
Practical and easy explanations to help me brush up on my lisp knowledge.
Review by: Member on November 6, 2015
Great explanations and great therapy examples. Very easy to understand and practice
Review by: Kristen on November 4, 2015
I've been using "say it right" for a while, and I feel it works well. This is helpful.
Review by: Member on November 4, 2015
It confirmed what I already new and was a good refresher.
Review by: Daniella on November 2, 2015
Easy to understand and relevant to working in schools.
Review by: Member on October 28, 2015
Video clips of treatment sessions and techniques.
Review by: Member on October 27, 2015
The course was presented in a clear manner.
Review by: Member on October 24, 2015
It thoroughly discussed evaluation, treatment, and carryover
Review by: alison on October 23, 2015
She covered treatment and homework
Review by: Member on October 22, 2015
Just good basic reminders to check all types of /s/ or /z/ production for accuracy, including blends and in all word positions.
Review by: Janna on October 20, 2015
I feel like we encounter a lot of children who have difficulty with /s/ or /z/. It is nice to have some more guidelines.
Review by: Christy on October 12, 2015
I loved the authentically presented information. Great info.
Review by: Debra on October 12, 2015
The information is very applicable to my job as an SLPA.
Review by: Member on October 11, 2015
Nice updated, research based review for something I had received "formal " training on many years ago.
Review by: Member on October 10, 2015
words lists for determining if final /s/ makes an /s/ or /z/ sound
Review by: Melissa on October 9, 2015
very informative, exactly what I needed for lateral /s/.
Review by: Alisa on October 3, 2015
I really like how Ristuccia breaks down /s/ and /z/ into 22 variations to help with the evaluation process. I've used her Entire World of /R/ program and I think this same approach to /s/, /z/, and s-blends will be really helpful in my practice.
Review by: Roberta on October 2, 2015
Assessment much more extensive. Intervention ideas I'd like to try. Very interesting about the 2 tongue placements.
Review by: Member on September 25, 2015
Excellent strategies for placement. Very applicable to therapy with my students!
Review by: Member on September 23, 2015
Organized, great information, and good examples for evaluation and therapy!
Review by: Member on September 23, 2015
Therapy suggestions
Review by: Member on September 18, 2015
basic knowledge
Review by: Rebecca on September 17, 2015
It would have been excellent if an detailed informal screening for /s/ was included
Review by: Member on September 15, 2015
It was a large topic should have been two hours
Review by: Member on September 13, 2015
Assessment information regarding 22 allophones for /s/ and /z/, two tongue placements, plus the detailed description about treatment using coarticulation.
Review by: Member on September 13, 2015
Practical information for assessment and treatment of lisps. Partial review and some new information for me. Not something I see frequently, so this review was helpful.
Review by: DIOLA on September 12, 2015
Course was presenteded in a systematic way; making it easy to learn.
Review by: Member on September 7, 2015
Useful for therapy
Review by: kari on August 29, 2015
To basic, wanted more in depth information about evaluating and remediating the different lisps, for example airflow and other factors, placement is obvious.
Review by: sally on August 26, 2015
very informative and specific about how to remediate /s/ and /z/ errors
Review by: Doreen on August 15, 2015
nice review and reminder not to worry about lisps in very young children
Review by: Monica on August 13, 2015
Although I knew much of the content (I have 20 years of experience) it was a good refresher and would be very helpful to either a new clinician or a clinician with less experience treating this type of disorder. Very functional with actual ideas on how to start treatment.
Review by: Kathy on July 23, 2015
The instructor was specific about evaluation and treatment. Very helpful.
Review by: virginia on July 16, 2015
I have been a speech therapist a long time and the speaker gave good tips that I had not come across.
Review by: Sandra on July 15, 2015
The suggestions for planning intervention.
Review by: Lisa on July 6, 2015
This is a very difficult treatment area that I feel I can now treat with more success!
Review by: Kathy on June 21, 2015
Presenter is an accomplished clinician, and clearly covered the subject.
Review by: Samantha on June 21, 2015
Pace of presentation in general. Excellent examples and lists of target words I will now use in evaluation and treatment.
Review by: Shama on June 18, 2015
Comprehensive discussion of the topic, evidence based
Review by: Dianna on June 18, 2015
It is obvious that the presenter practices what she is teaching
Review by: Marlene on June 18, 2015
Good information on evaluation and remediation of /s/ and /z/
Review by: Wendy on June 17, 2015
Treatment strategies shared
Review by: Leanne on June 16, 2015
Very topical, good organization, useful
Review by: Anne on June 16, 2015
Very good practical information.
Review by: Amanda on June 11, 2015
Great topic area. Love the instructor.
Review by: Cecilia on June 10, 2015
The examples and strategies to use when remediating the /s/ sounds; also the different placements that may be used more comfortably by varying clients.
Review by: Ashley on May 28, 2015
Excellent speaker, organized information, informative
Review by: Jaimie on May 22, 2015
New strategies for evals and treatments.
Review by: Shannon on May 18, 2015
Examples and activities for participants to do
Review by: Megan on May 6, 2015
The organization and presentation of the information was easy to follow. I appreciated specific examples of techniques that she found effective in therapy.
Review by: Jane on May 1, 2015
The presenter was very knowledgeable.
Review by: Debbie on April 30, 2015
Very clearly presented.
Review by: Allison on April 29, 2015
I liked the break down of the 4 different types of lisps.
Review by: Jeannine on April 17, 2015
Easy to understand and use the info with children while educating their parents/teachers.
Review by: Catherine on April 15, 2015
A lot that was discussed was new information to me.
Review by: Ashanty on April 14, 2015
Very informative and interesting.
Review by: Ashley on April 7, 2015
Great examples were provided, I loved the techniques taught as well.
Review by: Ann on April 4, 2015
Informative and structured, a good review of materials as well
Review by: Veronica on March 27, 2015
clear and informative.
Review by: Vicki on March 25, 2015
I was just hoping for more therapy examples.
Review by: Annabel on March 11, 2015
This course was good because it gave very clear advice as to how to establish a baseline or starting point for natural tongue placement for /s/ and /z/ and how to proceed from there with similar phonemic forms, making the treatment truly individualized for each student. This was really helpful advice!
Review by: Maria on March 8, 2015
excellent information regarding homework
Review by: Ashley on March 1, 2015
The elicitation methods
Review by: Alizma on February 22, 2015
The different ideas to use during therapy to correct /s/ and /z/ lisp.
Review by: Makeda on February 19, 2015
She appeared knowlegible based experience
Review by: Denise on February 18, 2015
interventions are always welcomed info
Review by: Melanie on February 16, 2015
nice slides and presentation
Review by: Tatiana on February 4, 2015
strategies for tx
Review by: Karla on February 3, 2015
Presentation was excellent and the techniques were applicable.
Review by: Constance on February 2, 2015
The sequential order of diagnosis/assessment, intervention/treatment, and dismissal/carryover.
Review by: Erika on January 28, 2015
Organized and good ideas for treatment.
Review by: hazell on January 27, 2015
Presentation was highly organized. Thorough background knowledge and examples of variety of lisps encountered in children. Valuable assessment techniques and interventions that can be utilized immediately.
Review by: Judith on December 31, 2014
I learned new information. The presenter was knowledgeable and organized.
Review by: Diane on December 30, 2014
It was very well presented.
Review by: Theresa on December 29, 2014
The presenter was organized and provided information to evaluate and treat
Review by: Stasia on December 29, 2014
Information provided was excellent,graphs and data were very supportive.
Review by: Elizabeth on December 29, 2014
I am currently working with several students with frontal lisps. This course provided with me with more confidence with current treatment strategies as well as gave me new ideas for intervention.

Course Information

This is an audio recording of a Live Webinar.

Review Technical Requirements

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Course Presenter

christine ristuccia

Christine Ristuccia, M.S., CCC-SLP

Christine Ristuccia is an accomplished yoga instructor, Speech & Language Pathologist (SLP), and author who received her Master of Science degree in communicative disorders at the University of Redlands, Redlands, CA and a Bachelor of Science degree in health sciences from San Diego State University.

Christine is a registered yoga teacher (RYT) with over 800 hours of yoga training.  Her training includes work in alignment based yoga, Anusara, and children’s yoga.

As an experienced school-based speech-language pathologist, her work includes a wide range of communicative disorders  She has created an international reputation for her pioneering work consulting those struggling with the /r/ sound. Her work with /r/ includes speaking, consulting, and creating research-based  instructional materials. Her ground-breaking work with communicative disorders spans a broad range of conditions and includes treatment of these disorders in occurrences in patients from as young as preschool through adulthood.

Christine founded Say It Right in 1999, a company focused on delivering products based upon her research with communicative disorders.  Say It Right has as its mission the delivery of the results of her work through speech therapists to a broad range of people suffering from communicative disorders.

Her phonemic approach to /r/ remediation, "The Entire World of R", has set the standard for efficient, successful correction of /r/  articulation errors around the world. Christine is the author of several books on this and other subjects related to communicative disorders and has been invited to speak on these subjects throughout the United States and around the world. Christine works to create and capitalize on the synergy between yoga and the correction of speech disorders.

Disclosure: Financial: Christine Ristuccia was paid an honorarium by SpeechPathology.com for this presentation. She owns Say It Right, which produces/sells materials for the Entire World of S & Z approach discussed in this presentation. Nonfinancial: no nonfinancial relationships to disclose.

Continuing Education Information

CEUs/Hours Offered: AG Bell - LSLS/1.0 Domain 3, CE-SPC-13-065; ASHA/0.1 Introductory, Professional; Kansas DHE, LTS-S1370/1.0; SAC/1.0

Passing an online exam will be required to earn continuing education credit, where applicable.

Please Note: The exam and course evaluation must be completed within 30 days of course registration.

To participate in the course, complete the exam, and earn continuing education credit (where applicable), you must be a CEU Total Access member.

AG Bell - Listening and Spoken Language Credential

This course is offered for 1 hour(s) of CE Credit from the AG Bell Academy for Listening and Spoken Language. For an explanation of content areas, please view pdf listing all 9 "domains."

American Speech-Language-Hearing Assn.

This course is offered for 0.1 ASHA CEUs (Introductory level, Professional Area)

Kansas Dept of Health & Environment

Approved for 1 continuing education clock hour(s) for Kansas licensed Speech Pathologists by the Kansas Department of Health and Environment. Long-Term Sponsorship number: LTS-S1370.

California Speech-Language Pathology and Audiology Board: SpeechPathology.com is approved by the California Speech-Language Pathology and Audiology Board as a Continuing Professional Development Provider, approval number PDP 268. This course may meet the requirements for 1 hours of continuing education credit for SLPs as required by the California Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board. The responsibility for determining whether or not this specific course counts toward an individual's requirements for license renewal is up to the individual. Please refer to the CA state board rules regarding allowable topics and self-study limits: http://www.speechandhearing.ca.gov/licensees/ce_req.shtml. Live webinars on SpeechPathology.com do not count as self-study courses toward California professional development requirements.

Speech-Language and Audiology Canada

Clinically certified members of Speech-Language and Audiology Canada (SAC) can accumulate continuing education equivalents (CEEs) for their participation with SpeechPathology.com. One hour of coursework equals 1 CEE. All SAC members are encouraged to participate in on-going education.

If you have any technical questions or problems related to this course,
please contact SpeechPathology.com toll free at 800-242-5183