How to Plan for Successful Preschool Therapy

How to Plan for Successful Preschool Therapy

Planning for preschool therapy means lots of activities!  Switching to preschoolers can be a challenge at first. Especially so if you are used to working with students who can read and who can pay attention a little longer!

One of my readers asked me to help out with a post about how I planned for preschool. So if you need a little help, too, try out these tips!

preschool speech therapy planning tips

I worked in preschool for 13 years and loved it. Kids that age have short attention spans and lots of energy, so you have to plan more than you think you will need, but they can make such noticeable progress!

Back then, I was lucky enough to have Sesame Street magazine, which had wonderful activities that I could adapt for therapy. It isn’t available now, unfortunately, but if you know anyone who is a packrat or you go to garage sales, it is worth picking the old magazines up! Since it isn’t available any longer, I made my own versions of some of my favorite types of activities in a book companion for It Looked Like Spilt Milk.

I collected materials on each theme I used whenever I saw something. I also made a lot of pages from coloring books and preschool workbooks into interactive games. You might want to check these out at the Dollar Store or Target, where they are inexpensive. Over time, I came up with a pattern that worked for preschool planning.

Plan Many Activities

Plan more than you think you will need, although I found 3 activities to usually be the magic number for a 30-minute session.

planning for preschool speech therapy

Use variety and combinations of:

  • themes
  • literacy activities
  • games
  • crafts
  • songs or fingerplays
  • movement activities
  • thematic play with backup materials (like bubbles or playdoh)
  • plans for when you want to take data

How to Plan Preschool Speech/Language Therapy

1. Start with a theme

It can run for 1-2 weeks, depending on how many activities you come up with, and how frequently you see each group per week. Preschoolers do well learning about what is currently going on in their lives, so preschool curriculums tend to include weather, holidays, and basic category themes. Whenever your rainy time is, a theme of clouds and rain is great for this age.

It Looked Like Spilt Milk theme, PreK, speech therapy

2. Get a great book!

Literacy activities are the best! My all-time favorite book for clouds is It Looked Like Spilt Milk by Charles G. Shaw. It incorporates negatives (“but it wasn’t”) which is a difficult language form for special needs preschoolers. It also works on visual perception skills and promotes creative thinking. It has lots of activities and it is fun!

3. Have a simple game!

Preschoolers like simple games where you take cards and talk or match. They like games more when there aren’t any winners.  Just have fun playing and congratulate everyone for following the rules. If you need to have winners, have lots of them! Download this free color matching game and let there be a winner for every color!

It is so easy to use simple laminated shapes to make games. You can make them as easy as having happy and sad faces, with the sad faces being set aside and happy faces being kept. You can make one side have pictures or colors that can be matched, or you can even tape other pictures on the shapes. Get a free happy and sad clouds activity download here.

In the photo, the cloud shapes have pieces from a Sesame Street Rainy Day picture to put together. I tacked them on with fun tac, which ended up leaving those dark spots on the clouds over time since they aren’t laminated. So I would suggest taking whatever you stuck on the shapes off before storing them!

4. Have a simple craft!

There are so many ideas on Pinterest.  Come follow me there for great ideas! There are two boards just for this book linked at the end of this post.

My favorite craft for clouds is fun and easy. Put a small blob of white paint in the fold of a blue piece of construction paper and have the child press on it. Open the paper up and see what shape you made! What does it look like? What does it look like it isn’t?

5. Use songs and fingerplays!

Kids remember words best if they are put to song- think about how you learned your ABC’s. I did a quick online search and found this simple song about clouds that includes sign language. I’m not advocating showing preschoolers YouTube videos, but you can easily re-create this activity to do with your groups. Check it out here.

6. Use movement!

When your students start to get very fidgety, it is a good time to wrap up what you were doing and switch to a movement activity. These are great for following directions and can be used to elicit language, too. It can be as easy as cutting large cloud shapes out of different color construction paper and taping a picture on the other side.

Give directions to get each student to go to a different shape. When they have all had a turn, they bring their cloud back to the table to tell about the picture they found.

7. Have backup plans!

See if you can adapt your favorite activity to relate to the theme. Sometimes, all of our best plans just don’t go over that day, or maybe didn’t last as long as expected, so a backup plan is always a good idea. Playdoh is easy to incorporate into a cloud theme. Have your students smash it into different shapes and talk about what it is, or isn’t.

Get out your old playdoh can and a spray bottle of water. First, try using the old playdoh and elicit language like hard, in both meanings. (ex. It feels hard. It is hard to roll.) Then have the students pretend to be rainclouds and squirt a little water on their playdoh. Talk about how it changed when you added some water and mixed it in.

8. Plan which activities to use based on needs and how to take data.

As you are planning your activities to use over the week, think about the specific needs of the children this year and which activities are best suited to their goals. Start with those first! It isn’t possible to do all of these activities in one week of therapy time, but different activities will lend themselves better to modeling and eliciting different speech and language needs.

Don’t get yourself crazy trying to do all of the activities with all of the kids. If you take data for 1-2 kids during one activity and data for the others in the second activity, it is easier to keep things moving more smoothly.

9. Use free resources and ideas to add to your themes very year!

My Pinterest board

YouTube Song –  Very slow-paced with signing for young kids.

A YouTube Read Aloud

Free patterns

If you start your planning the first year with 2 or 3 activities for the theme and add to it every year, it really is quite manageable!

TpT, book companion, speech therapy

Of course, you are welcome to stop by my store and get my resource for It Looked Like Spilt Milk!

Then you will have a fun resource that addresses a variety of goals to make your planning for mixed groups easier!


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I’m Linda, an SLP who loves helping you build effective communication skills for your students using strategies and visuals. Pictures are time consuming, so let me make your life easier!

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