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https://bilinguistics.com/catalog/spe... Improving the communication of a child with a cleft lip or palate or velopharyngeal insufficiency is difficult for two main reasons. One, speech pathologists typically treat speech sound disorders at the level of the syllable or the word, or maybe at the sound level, but with cleft lip and VPI, we have to deep dive into the physiological constraints and the motor abilities actually creating speech. How long can the child support breath support? How is their phonation. what vowels and consonants are they actually able to produce? Secondly, even if you get a handle on VPI or cleft, it can be a long time between clients. And by the next time you're working on this, it seems like you have to relearn. That's why we created this course maximizing treatment effects with cleft lip and palate and VPI because it showcases the VPI pyramid, which we developed to serve our students and clinic clients better. And it's also helped us on the cleft palate surgical trips that our team has joined in Mexico and central America. In this course, we walked through how to assess and write great goals around the eight motor building blocks that lead to speech. And it is packed with video examples. So you can see exactly what to do. I can tell you from experience that even if you don't need this information immediately, learning about low intelligibility and how to treat it at this foundational level makes treating any speech sound disorder like articulation or phonology a lot easier.