Goal Bank for Adult Speech Therapy (150 SLP Goals!)

Have you ever stared down at your computer in frustration because you have no idea how to write your speech therapy goal?

What actually needs to go in the goal? And once you have the perfect goal, how do you change it as your patient makes progress?

In this article, you’ll find these answers—plus your very own Goal Bank for Adult Speech Therapy! The goals are organized from mild to severe impairments. And cover all major treatment areas, from aphasia to voice.

Ready to crush your goal writing? Keep scrolling!

How To Write Speech Therapy Goals

Formula for Writing SMART Goals

“ 1 will 2 at 3 accuracy given 4 to 5 by 6 .”

1 = The patient’s name
2 = Specific, Attainable task your patient will complete
3 = Measurable accuracy
4 = Measurable amount of cueing provided
5 = Specific, Relevant area of weakness
6 = Time to reach the goal
* Add the purpose of the goal

For Example:

Jin (1) will safely drink single cup sips of thin liquids sans overt s/sx of aspiration (2) in 80% of opportunities (3) given minimal verbal cues for use of safe swallowing strategies (4) in order to increase ability to consume the least restrictive diet (5) within 2 weeks (6).

*Purpose. It’s best practice to include the purpose of every goal. This is often written as: “in order to …” For example, “in order to eat by mouth.”

About the Goal Bank for Adult Speech Therapy

The Goal Bank for Adult Speech Therapy covers all major treatment areas, including dysphagia, memory, dysarthria, aphasia, apraxia of speech, voice, fluency, and AAC goals.

Use them as a starting point to write your own excellent patient-centered goals.

Accuracy Level

The Goal Bank uses an accuracy level of 80% for most goals.

Below 65% accuracy borders on chance levels for some goals. While above 95% gets into mastery territory, which often isn’t the goal of speech therapy.

That said, there are many exceptions, especially when it comes to safety. Do what’s best for your patient.

Cues

• For Severe Impairments, we use “frequent, maximal cues.”
• For Moderate Impairments, we use “intermittent, moderate cues.”
• For Mild Impairment, we use “occasional, minimal cues.”

…most often! Again, use the Goal Bank as your starting point, then adjust them for each patient.

More Goal-Writing Articles

• How to Write Excellent Speech Therapy Goals
• How To Modify Goals

Dysphagia Goal Bank for Adult Speech Therapy

Dysphagia Goals for NPO

1. The patient will complete an instrumental evaluation (MBSS or FEES) within 1 week in order to evaluate swallowing safety.
2. The patient will complete the Frazier Water Protocol at 100% accuracy given occasional minimal verbal cues for adherence to all protocol steps in order to increase hydration and adherence to diet modifications.
3. The patient will consume 1/3 cup ice chips (cut into 1/2″ pieces or smaller) within 30 minutes sans overt s/sx of aspiration in 70% of trials for pleasure.
4. The patient will complete trials of puree textures (8 oz or more) sans overt s/sx of aspiration in 80% of trials given minimal verbal cues to utilize safe swallowing strategies.
5. The patient will complete trials of honey thick liquids (4 oz or more) sans overt s/sx of aspiration in 80% of trials given minimal verbal cues to utilize safe swallowing strategies.
6. The patient will consume 80% of his meal sans overt s/sx of aspiration in 80% of trials given minimal verbal cues to utilize safe swallowing strategies in order to increase nutrition by mouth.

Goals for Severe Dysphagia

1. The patient will consume puree textures sans overt s/sx of aspiration in 80% of opportunities given frequent maximal verbal and frequent maximal tactical cues to utilize safe swallowing strategies.
2. The patient will consume moderately thick (honey thick) liquids sans overt s/sx of aspiration in 80% of opportunities given frequent maximal verbal and frequent maximal tactical cues to utilize safe swallowing strategies.
3. The patient will consume 70% of his meal in a quiet environment sans overt s/sx of aspiration in 80% of opportunities given frequent maximal verbal and frequent maximal tactical cues to utilize safe swallowing strategies.
4. The patient will self-feed spoon sips of mildly thick (nectar thick liquids) sans overt s/sx of aspiration given frequent maximal tactical cues to utilize safe swallowing strategies.
5. The patient will consume teaspoon bites of minced & moist food (dysphagia mechanical) presented by the caregiver sans overt s/sx of aspiration in 80% of opportunities given intermittent moderate verbal cues to utilize safe swallowing strategies.
6. The patient will complete 20 repetitions or more of lingual strengthening exercises (lingual press, Masako maneuver, etc.) given intermittent minimal verbal cues.

Goals for Moderate Dysphagia

1. The patient will consume cup sips of slightly thick liquids sans overt s/sx of aspiration in 80% of opportunities given intermittent moderate verbal cues and intermittent minimal tactile cues to utilize swallowing strategies.
2. The patient will consume soft & bite-sized food (mechanical soft) sans overt s/sx of aspiration in 80% of opportunities given intermittent moderate verbal cues to utilize swallowing strategies.
3. The patient will complete 20 repetitions or more of pharyngeal strengthening exercises (e.g. Mendelsohn maneuver, effortful swallow, etc.) given intermittent minimal verbal cues.
4. The patient will self-feed a soft & bite-sized meal (mechanical soft) sans overt s/sx of aspiration in 80% of opportunities given frequent moderate verbal cues to utilize swallowing strategies.

Goals for Mild Dysphagia

1. The patient will consume cup sips of thin liquids sans overt s/sx of aspiration given occasional minimal verbal cues for use of swallowing strategies in order to safely consume the least restrictive diet.
2. The patient will consume regular textures sans overt s/sx of aspiration given occasional minimal verbal cues for use of strategies.
3. The patient will complete 20 or more pharyngeal exercises given rare minimal verbal cues.
4. The patient will consume sequential cup sips of thin liquids (4 oz or more) sans overt s/sx of aspiration given rare minimal verbal cues for use of strategies.

How To Write Dysphagia Goals

Consider the following when writing dysphagia goals:

1. Liquid Textures

• Extremely thick or Pudding-thick
• Moderately thick or honey-thick
• Mildly thick or nectar-thick
• Slight thick or Natural nectar thick
• Thin

*Based on the IDDS (iddsi.org)

2. Diet Textures

• Liquidized (similar to honey thick liquids)
• Puree (similar to pudding thick liquids)
• Minced & Moist or Dysphagia Mechanical
• Soft & Bite-Sized or Mechanical soft
• Easy to Chew or Regular

*Based on IDDSI (iddsi.org)

3. Presentation

• Therapist fed
• Caregiver fed
• Self-feed
• Cup sips
  • Single-cup sips, sequential-cup sips
• Straw sips
  • Single straw sips, sequential straw sips
• Regulated straw sips (you will pinch the straw so that the patient doesn’t take too big of a sip)
• Teaspoon
• Spoon
  • Level spoonful
  • Heaping spoonful

4. Amount

• Ounces
• Meal amount
  • Entire breakfast/lunch/dinner/snack
  • Certain percent (%) eaten
• Food item

5. Muscle Groups

• Oral: to reduce spillage, reduce residue, increase mastication, increase bolus control
  • Labial
  • Lingual
  • Buccal
• Oropharyngeal
• Pharyngeal: to reduce premature spillage, laryngeal penetration, aspiration, residue, nasal regurgitation
• Pharyngoesophageal
• Esophageal: reduce reflux

6. Time Frame

• During a mealtime
• Within a certain number of minutes

7. Purpose

• Safely consume the least restrictive diet
• Meet all nutritional needs by mouth
• Avoid weight loss
• Increase PO intake and decrease the need for feeding tube
• Eat for pleasure

8. Strategies

• Safe Swallowing Strategies
  • Single bites and sips, bolus hold, alternating bites and sips, chin tuck, effortful swallow, dry swallow, head turn, super supraglottic swallow, slow pace
• Energy Conservation Strategies
  • Slow pace, frequent breaks, reduce distractions

More Dysphagia Articles

• Yale Swallow Protocol
• Dysphagia Diet Levels

Cognitive Goals

Memory Goals for Adult Speech Therapy

Goal Bank For Severe Memory Impairments

1. The patient will recall orientation information at 80% accuracy in immediate recall given use of visual aids and frequent minimal verbal cues in order to decrease confusion.
2. The patient will recall 4/5 memory strategies given intermittent moderate verbal and minimal written cues.
3. The patient will recall sentence-level information after a 30-minute delay using the spaced retrieval technique.
4. The patient will answer personal information using a memory book given intermittent moderate verbal cues.

Goal Bank For Moderate Memory Impairments

1. The patient will recall 5 or more items (i.e. grocery list, medication list, etc.) after a 30-minute delay given intermittent minimal verbal cues in order to increase independence during functional memory tasks.
2. The patient will recall 100% of memory strategies given occasional minimal verbal cues.
3. The patient will complete a daily journal given occasional moderate cues.
4. The patient will read paragraph-level information and answer questions about the material at 80% accuracy after a 5-minute delay.

Goal Bank for Mild Memory Impairments

1. The patient will recall page-level information and answer questions about the material at 80% accuracy given occasional visual cues after a 30-minute delay in order to increase independence.
2. The patient will recall medication names, purposes, times taken, and dosages at 80% accuracy given occasional visual cues.
3. The patient will recall 7 or more items at 80% accuracy after a 60-minute delay given minimal verbal cues.
4. The patient will utilize “write it down” while presented with auditory instructions and recall 80% of the information given use of written notes only.

Spaced Retrieval Goal Bank

1. The patient will recall and demonstrate using the call light when they need to use the restroom at first practice across 3 consecutive sessions.
2. The patient will demonstrate use of safe swallowing strategies when eating at first practice across 3 consecutive sessions.
3. The patient will recall to lock their wheelchair brakes before standing in 80% of opportunities.
4. The patient will recall to use a calendar to check daily appointments at first practice across 3 consecutive sessions.
5. The patient will take their daily medications on time in 80% of opportunities.

Attention Goal Bank for Adult Speech Therapy

Goals for Severe Attention Impairments

1. The patient will sustain attention to sentence-long written information in 80% of opportunities in order to increase attention to written instructions.
2. The patient will sustain attention to a 5-minute task in a quiet environment given frequent moderate verbal cues to attend.
3. The patient will sustain attention to a meal for 5 minutes given frequent moderate verbal cues and frequent moderate visual cues to attend.

Goals for Moderate Attention Impairments

1. The patient will selectively attend to auditory information for 10 minutes given intermittent moderate verbal cues to attend.
2. The patient will sustain attention to visual information for 20 minutes in a quiet environment given intermittent minimal verbal cues and intermittent moderate visual cues to attend.
3. The patient will require 10 or fewer minimal verbal cues to attend to a 10-minute task.

Goals for Mild Attention Impairments

1. The patient will require 5 or fewer minimal verbal cues to attend to a 30-minute conversation in a noisy environment.
2. The patient will selectively attend to visual information for 45 minutes given occasional minimal verbal cues to attend.
3. The patient will complete alternating attention tasks (e.g. take notes while the therapist dictates information) given 10 or fewer requests for repetition.
4. That patient will complete alternating attention tasks at 80% accuracy given intermittent minimal verbal cues to attend in a noisy environment in order to increase independence during functional tasks.

More Attention Articles

• Attention Activities for Adults

Problem-Solving Goal Bank for Adult Speech Therapy

Goals for Severe Problem-Solving Impairments

1. The patient will complete basic problem-solving tasks related to safety (e.g. use of call light) at 80% accuracy given frequent moderate verbal cues.
2. The patient will complete simple math problems at 80% accuracy given use of calculator and/or paper and pen and intermittent moderate verbal cues.
3. The patient will identify safe versus unsafe situations in 80% of opportunities given frequent moderate verbal cues in order to increase ability to problem-solve basic safety concerns.

Goals for Moderate Problem-Solving Impairments

1. The patient will complete moderate problem-solving tasks r/t money management (e.g., calculating totals, calculating days until bills are due) at 80% accuracy given intermittent moderate verbal and minimal written cues in order to increase independence during functional problem-solving tasks.
2. The patient will sort 3 or more medications into a pill box given use of medication list and frequent minimal verbal and frequent minimal visual cues.
3. The patient will generate solutions to unsafe situations in 80% of opportunities given occasional minimal verbal cues.
4. The patient will complete sequencing tasks with 5 or fewer steps at 80% accuracy given intermittent minimal verbal cues.

Goals for Mild Problem-Solving Impairments

1. The patient will sort all medications into a pill box at 100% accuracy given use of medication list and rare visual cues in order to increase ability to safely live independently.
2. The patient will solve complex money management (e.g. balance a checkbook) tasks at 90% accuracy given occasional minimal verbal cues.
3. The patient will generate 3 or more meal plans for one week given intermittent minimal verbal cues.
4. The patient will listen to and delete voicemails following the sequence at 80% accuracy given intermittent minimal verbal cues.

Visual Neglect Goal Bank for Adult Speech Therapy

Goals for Severe Visual Neglect

1. The patient will read phrase-level information aloud at 80% accuracy given intermittent minimal verbal cues.
2. The patient will complete a simple maze within 10 minutes given 10 or fewer moderate verbal and moderate visual cues.
3. The patient will complete a simple word search puzzle (6×6 or smaller) within 10 minutes given intermittent moderate verbal cues.

Goals for Moderate Visual Neglect

1. The patient will read sentence-level information aloud at 80% accuracy given intermittent minimal verbal cues in order to increase ability to safely live independently.
2. The patient will locate 5 or more items in a single-page grocery ad within 15 minutes given intermittent minimal verbal cues.
3. The patient will write phrase-level information from dictation using lined paper at 80% legibility given frequent minimal verbal cues.

Goals for Mild Visual Neglect

1. The patient will read paragraph level information aloud at 80% accuracy given occasional minimal verbal cues for use of strategies in order to increase ability to safely live independently.
2. The patient will complete written questionnaire at 80% accuracy given intermittent minimal verbal and occasional minimal visual cues.
3. The patient will navigate a building using a map at 80% accuracy given occasional minimal verbal cues.

How To Write Cognitive Goals

Consider the following when writing cognitive goals:

1. Complexity

• Simple
• Moderate
• Complex

2. Response Time (for Visual Neglect & Attention goals)

• Usually measured in seconds or minutes

More Cognition Articles

• Executive Functioning Activities
• How to Make a Memory Book: Free PDF
• How to Treat Visual Neglect

Aphasia Goals

Aphasia Goal Bank for Adult Speech Therapy (Expressive Language)

Goals for Severe Expressive Aphasia

1. The patient will name common household objects at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.
2. The patient will name body parts at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.
3. The patient will name simple line drawings at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.
4. The patient will complete sentences with an appropriate word at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.
5. The patient will name items from description at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues in order to increase ability to communicate basic wants and needs.

Goals for Moderate Expressive Aphasia

1. The patient will complete sentences with two or more appropriate words at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.
2. The patient will generate sentences with 3 or more words in response to a situation at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues in order to increase ability to communicate basic wants and needs..
3. The patient will name abstract words and phrases from description at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.
4. The patient will participate in simple conversation at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.

Goals for Mild Expressive Aphasia

1. The patient will describe visual scenes using 3 or more sentences at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.
2. The patient will participate in complex conversation at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues in order to increase ability to communicate complex thoughts, feelings, and needs.
3. The patient will generate a monologue from a prompt (e.g. “Tell me the pros and cons of living in Hawaii”) with 5 or more sentences at 80% accuracy given frequent maximum verbal and frequent maximum phonemic cues.

How To Write Aphasia Goals (Expressive Language)

Consider the following when writing expressive language goals:

1. Response Modality

• Spoken
• Written

2. Response Length

• Words
• Phrases
• Sentences
• Paragraphs
• Conversation
• Pages

3. Response Time

• Usually measured in seconds

More Aphasia Articles

• 55 Aphasia Treatment Activities
• Aphasia Treatment Approaches
• Photo Naming Cards – Free PDF

Aphasia Goal Bank for Adult Speech Therapy (Receptive Language)

Goals for Severe Receptive Aphasia

1. The patient will identify the correct word given 2 choices at 80% accuracy given frequent maximal visual cues in order to increase ability to comprehend simple instructions.
2. The patient will follow simple body commands presented auditorily at 80% accuracy given frequent maximal visual cues.
3. The patient will answer simple biographical yes/no questions presented auditorily at 80% accuracy given frequent maximal visual cues.
4. The patient will identify body parts at 80% accuracy given frequent maximal visual cues.
5. The patient will follow 1-step commands with 2 components (e.g., “place your hand on your knee”, “tap your foot twice”) at 80% accuracy given frequent maximal visual cues.
6. The patient will identify the correct picture in a field of 4 when presented with the word auditorily at 80% accuracy given frequent maximal visual cues.

Goals for Moderate Receptive Aphasia

1. The patient will answer abstract yes/no questions (e.g., “Is fire hot?”, “Are there 6 days in one week?”) at 80% accuracy given frequent maximal visual cues.
2. The patient will follow 2-step commands with 3 or fewer components (e.g. tap your right knee twice) at 80% accuracy given frequent maximal visual cues in order to comprehend instructions.
3. The patient will identify the correct phrase in a field of 2 when presented with the phrase auditorily at 80% accuracy given frequent maximal visual cues.
4. The patient will read 2 or more sentences and answer comprehension questions r/t the material at 80% accuracy given frequent maximal visual cues.

Goals for Mild Receptive Aphasia

1. The patient will follow 3-step commands at 80% accuracy given frequent maximal visual cues.
2. The patient will read paragraphs and answer comprehension questions at 80% accuracy given frequent maximal visual cues.
3. The patient will listen to 2 or more sentences and answer comprehension questions presented auditorily at 80% accuracy given frequent maximal visual cues.
4. The patient will participate in simple conversation at 80% accuracy given frequent maximal visual cues in order to increase ability to communicate thoughts, feelings, and needs.

How To Write Aphasia Goals (Receptive Language)

Consider the following when writing receptive language goals:

1. Presentation Modality

• Reading
• Listening
• Viewing pictures

2. Response Modality

• Gestures (pointing)
• Speaking

3. Question Complexity

• Single words
• Simple color drawings
• Phrases
• Black and white line drawings
• Sentences
• Visual scenes
• Conversation

Motor Speech Goals

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Dysarthria Goal Bank for Adult Speech Therapy

Goals for Severe Dysarthria

1. The patient will produce vowel sounds with appropriate voicing in 80% of opportunities given frequent maximal verbal cues.
2. The patient will produce phrases with 5 or fewer words in one breath in 80% of opportunities given frequent maximal verbal cues to utilize breathing strategies.
3. The patient will repeat phrases at 80% intelligibility given frequent maximal verbal cues to utilize clear speech strategies.
4. The patient will produce phrases with appropriate stress in 80% of opportunities given frequent maximal verbal cues.
5. The patient will complete prolonged “ah” for 4 or more seconds in 80% of opportunities given frequent cues to “talk loud” in order to build breath support.

Goals for Moderate Dysarthria

1. The patient will produce sentences with 7 or more words by placing pauses in appropriate places in 80% of opportunities given frequent maximal verbal cues in order to increase ability to communicate wants and needs.
2. The patient will produce sentences with 7 or more words at 80% intelligibility given frequent maximal verbal cues to utilize clear speech strategies.
3. The patient will produce sentences with appropriate stress in 80% of opportunities given frequent maximal verbal cues.
4. The patient will read 10 functional phrases at 80% intelligibility given frequent verbal cues to “talk loud.”

Goals for Mild Dysarthria

1. The patient will produce multiple sentences placing pauses in appropriate places in 80% of opportunities given frequent maximal verbal cues.
2. The patient will participate in conversation at 80% intelligibility given frequent maximal verbal cues to utilize clear speech strategies in order to communicate thoughts, feelings, and needs.
3. The patient will complete monologues at least 3 minutes long at 80% intelligibility given frequent maximal verbal cues to utilize clear speech strategies.

How To Write Dysarthria Goals

Consider the following when writing dysarthria goals:

1. Targeted Subsystem

• Respiration
• Phonation
• Articulation
• Prosody

2. Presentation Modality

• Verbal
• Written

3. Response Length

• Word
• Multisyllabic word
• Phrase
• Sentences
• Simple conversation
• Monologues
• Complex conversation

Apraxia of Speech Goal Bank for Adult Speech Therapy

Goals for Severe Apraxia of Speech

1. The patient will produce bilabial CV sounds (e.g., ba, pa, ma) at 80% accuracy given frequent maximal phonemic placement cues.
2. The patient will produce /b/ initial words at 80% accuracy given frequent maximal phonemic placement cues.
3. The patient will produce /s/ final words at 80% accuracy given frequent maximal phonemic placement cues.
4. The patient will produce /t/ medial words at 80% accuracy given frequent maximal phonemic placement cues.
5. The patient will say functional words (e.g., water, toilet) at 80% accuracy given frequent maximal phonemic placement cues in order to communicate ability to communicate basic wants and needs.

Goals for Moderate Apraxia of Speech

1. The patient will produce phrases containing /b/ medial words at 80% accuracy given frequent moderate phonemic placement cues.
2. The patient will produce phrases containing multisyllabic /s/ final words at 80% accuracy given frequent moderate phonemic placement cues.
3. The patient will say functional phrases (e.g., more water, hot food) at 80% accuracy given frequent moderate phonemic placement cues.
4. The patient will produce sentences in response to a question (e.g. what’s your favorite holiday and why) with appropriate articulation at 80% accuracy given frequent moderate phonemic placement cues.

Goals for Mild Apraxia of Speech

1. The patient will participate in simple conversation with appropriate articulation at 80% accuracy given intermittent minimal verbal cues in order to increase ability to communicate complex thoughts, feelings, and needs.
2. The patient will produce a monologue with appropriate articulation at 80% accuracy given intermittent minimal verbal cues.
3. The patient will participate in complex conversation at 80% accuracy given intermittent minimal verbal cues.

How To Write Apraxia of Speech Goals

Consider the following when writing apraxia of speech goals:

1. Presentation modality

• Verbal
• Written

2. Response Length

• Single phoneme
• Word
• Multisyllabic word
• Phrase
• Sentence
• Paragraphs
• Conversation
• Monologue

3. Phoneme and Word Position

• Initial
• Final
• Medial

More Motor Speech Articles

• Dysarthria Exercises
• Phonemic Word Lists
• Apraxia Worksheets for Adults

Voice & Resonance Goal Bank for Adult Speech Therapy

Goals for Severe Voice/Resonance Impairments

1. The patient will produce easy onset words (e.g. /h/ initial) with appropriate voicing in 80% of opportunities given frequent maximal verbal cues.
2. The patient will produce non-nasal words with appropriate resonance in 80% of opportunities given frequent maximal verbal cues.
3. The patient will repeat words at 70dB or higher speech loudness in 80% of opportunities given frequent maximal verbal cues in order to increase ability to communicate basic wants and needs.
4. The patient will produce tense vowels within single words (e.g., nay, cake, seat) with appropriate voicing in 80% of opportunities given frequent maximal verbal cues.
5. The patient will repeat minimal pair voiced/voiceless words with appropriate voicing in 80% of opportunities given frequent maximal verbal cues.
6. The patient will complete neck and shoulder exercises at 80% accuracy given occasional moderate verbal cues.

Goals for Moderate Voice/Resonance Impairments

1. The patient will read sentences loaded with tense vowels using appropriate voicing in 80% of opportunities given intermittent moderate verbal cues to utilize voice strategies.
2. The patient will read sentences with nasal and non-nasal words with appropriate resonance in 80% of opportunities given intermittent moderate verbal cues.
3. The patient will produce phrases in response to a question with appropriate voicing in 80% of opportunities given intermittent cues to utilize ‘open mouth’ technique.
4. The patient will read aloud for 5 or more minutes with an average of 70dB or higher speech loudness given frequent minimal verbal cues to “talk loud” in order to increase ability to communicate wants and needs.

Goals for Mild Voice/Resonance Impairments

1. The patient will read paragraphs with appropriate voicing in 80% of opportunities given occasional minimal verbal cues to utilize voice strategies.
2. The patient will participate in complex conversation with appropriate resonance in 80% of opportunities given occasional minimal verbal cues in order to communicate complex thoughts.
3. The patient will complete monologues that are 5 minutes or longer with an average of 80dB or higher speech loudness given occasional minimal verbal cues to “talk loud.”

How To Write Voice & Resonance Goals

Consider the following when writing voice and resonance goals:

1. Targeted Subsystem

• Respiration
• Phonation
• Resonance

More Voice & Resonance Articles

• Voice Therapy Exercises
• Resonance Treatment Activities
• Vocal Function Exercises

AAC Goal Bank for Adult Speech Therapy

Simple AAC Goals

1. The patient will repeat single words using a speech-generating device in 80% of opportunities given frequent maximal verbal and maximal visual cues.
2. The patient will type single words with 7 or fewer letters at 80% accuracy given frequent maximal verbal and maximal visual cues in order to communicate basic wants and needs.
3. The patient will answer simple biographical questions at 80% accuracy given frequent maximal verbal and maximal visual cues.
4. The patient will produce automatic phrases (e.g., days of the week, counting) using an eye gaze system at 80% accuracy given frequent maximal verbal and maximal visual cues.

Moderate AAC Goals

1. The patient will add new vocabulary to speech generating device at 80% accuracy given frequent moderate verbal and moderate visual cues in order to communicate wants and needs.
2. The patient will initiate 3 or more times during a simple 5-minute conversation with a familiar communication partner given frequent moderate verbal and moderate visual cues.
3. The patient will generate a sentence with 5 or more words within 1 minute given frequent moderate verbal and moderate visual cues.

Complex AAC Goals

1. The patient will create a monologue (e.g., introduction, biographical information) with 3 or more sentences within 5 minutes given occasional minimal verbal and minimal visual cues in order to communicate complex thoughts and feelings.
2. The patient will initiate 5 or more times during a 5-minute conversation with an unfamiliar communication partner given intermittent moderate visual cues.
3. The patient will respond to a question posed by a familiar communication partner within 7 seconds using a switch system in 80% of opportunities given intermittent minimal verbal cues.

How To Write AAC Goals

Consider the following when writing AAC goals:

1. Underlying Impairment

• Aphasia
• Voice or Motor Speech Impairment
• Other physical impairment

2. Response Length

• Single words
• Phrases
• Sentences
• Paragraphs
• Monologues
• Conversation

3. Communication Partner

• Main facilitator (e.g., spouse, caregiver)
• Familiar listener
• Unfamiliar listener

4. Response Time

More AAC Articles

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• How Do You Make an E-Tran Board?
• How to Trial AAC Devices

Fluency Goal Bank for Adult Speech Therapy

Goals for Severe Fluency Impairments

1. The patient will produce single words containing /f/ medial at 80% accuracy using the breath curve and frequent moderate verbal cues.
2. The patient will produce phrases containing /s/ initial words at 80% accuracy using the breath curve and frequent moderate verbal cues.
3. The patient will produce “th” heavy sentences at 80% accuracy using the breath curve and frequent moderate verbal cues

Goals for Moderate Fluency Impairments

1. The patient will produce “j” heavy sentences at 80% accuracy given frequent minimal verbal cues.
2. The patient will produce two or more sentences in response to a question posed by an unfamiliar listener with appropriate fluency in 80% of opportunities given intermittent minimal verbal cues.
3. The patient will read paragraphs aloud with appropriate fluency in 80% of opportunities given intermittent minimal verbal cues.
4. The patient will participate in simple conversation with a familiar listener with appropriate fluency in 80% of opportunities given intermittent minimal verbal cues.

Goals for Mild Fluency Impairments

1. The patient will participate in complex conversation with an unfamiliar listener with appropriate fluency in 80% of opportunities given occasional minimal verbal cues.
2. The patient will order a meal over the telephone with an unfamiliar listener with appropriate fluency in 80% of opportunities given intermittent minimal verbal cues.
3. The patient will deliver a monologue (e.g. project update during work meeting) with appropriate fluency in 80% of opportunities given use of breath curve.

How To Write Fluency Goals

Consider the following when writing fluency goals:

1. Response Length

• Single word
• Phrase
• Sentence
• Paragraph
• Conversation
• Monologue

2. Dysfluency Occurrence

• Only on the initial sound of a word
• Only on certain sounds
• Only on certain sounds in certain positions
• Only on the initial sound of the initial word in a sentence
• Only on the phone
• Only with certain people
• Only during work meetings

More Fluency Articles

• How Do You Treat Adult Stuttering?

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