A speech sound disorder characterized by consistent distortion, substitution, or omission of the /r/ phoneme and its vocalic variants across conversational contexts.
| Goal | |
|---|---|
| Patient will produce the /r/ sound in the initial position of words with 80% accuracy across 3 consecutive sessions given minimal verbal cues. | |
| Patient will produce the /r/ sound in the medial position of words with 80% accuracy given a visual model. | |
| Patient will produce the /r/ sound in the final position of words with 80% accuracy given minimal cues. |
| Goal | |
|---|---|
| Patient will produce vocalic /ar/ in two-syllable words with 80% accuracy across 3 sessions given auditory bombardment. | |
| Patient will produce vocalic /er/ in spontaneous phrases with 75% accuracy given self-monitoring strategies. |
| Goal | |
|---|---|
| Patient will produce /r/ blends (gr, br, tr, dr, fr, kr) at the phrase level with 80% accuracy given verbal and visual cues. |
| Goal | |
|---|---|
| Patient will produce the /r/ sound in structured sentences with 75% accuracy given minimal cueing. |
| Goal | |
|---|---|
| Patient will self-correct /r/ productions during reading passages with 70% accuracy given self-monitoring cues. |
| Goal | |
|---|---|
| Patient will produce the /r/ sound accurately during 5-minute conversational exchanges with 70% accuracy given indirect cues. |
Use the SOAP note templates on this page: build the Subjective, Objective, Assessment, and Plan sections from the ready-made articulation /r/ sound delay phrases. Each uses skilled-service, insurance-defensible language — document the patient's performance plus the skilled intervention you provided, then review and individualize before signing.
The articulation /r/ sound delay goal bank on this page provides SMART, measurable goals with a clear condition, target behavior, and mastery criteria. Copy a goal and adjust the specifics to your patient and setting (school/IEP or medical).
They are written with the skilled-service and medical-necessity language payers look for. The licensed clinician must always review and individualize each note before submitting it for reimbursement.
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