The speech-language pathologist has many options regarding the course of action they deem the most efficient in remediating a phonological disorder. The purpose of this case study was to research the efficacy of using the Cycles Phonological Remediation Approach (Cycles Approach) as written by Hodson and Paden (Hodson & Paden, 1983; Hodson & Paden, 1991; Hodson, 2006; Hodson, 2007) on a six-year-old child with a moderate-to-severe phonological disorder with low intelligibility. This study included three phases: initial assessment, intervention, and the final assessment. One cycle of intervention over the course of approximately two semesters was administered to target three of the most prominent phonological processes as determined by the Cycles Approach protocol. The targets selected to remediate cluster reduction, syllable deletion, and gliding were /s/ blends, multisyllabic words, and initial /l/ and /l/ blends. Following completion of the targeted intervention cycle, a follow-up assessment was completed. Results demonstrated progress with severity ratings changing from moderate severity to mild severity as indicated on initial assessment results. While the client’s phonological skills improved to a point of single-word accuracy in practice, generalization was not maintained or facilitated for conversational level with the Cycles Approach
