PROMPT Therapy

It is vital to use a PROMPT Certified Speech Pathologist. Lori is one of the only speech pathologist dually certified in articulation, Prompt, oral motor therapy, apraxia and stuttering.

Rigorous hands on training is required to become certified in PROMPT. Lori Melnitsky  received the title of PROMPT Certified from the PROMPT Institute over 12 years ago and has offered parent training workshops on the topic.

Lori has worked with Prompt extensively for apraxia, oral motor delays  hard to produce r and s sounds and articulation issues. 

Lori has over 25 years experience  with apraxia, feeding and language delays.  Lori is passionate about her profession and could not talk as a young child.  Her unique experience has made her an respected speech pathologist. She is also highly trained in fluency and oral motor disorders. 

Call 516-776-0184 today to schedule an evaluation.


Apraxia, developmental delays, articulation disorders, and oral motor disorders and lack of progress.

PROMPT IS AN ACRONYM FOR “PROMPTS FOR RESTRUCTURING ORAL- MUSCULAR PHONETIC TARGETS”. It is a tactile-kinesthetic approach that involves touch cues to the individual’s articulators (jaw, tongue, lips) to manually guide them through the targeted word, phrase or sentence. It stresses motor control and precision of oral muscle movements. It eliminates unnecessary muscle movements, such as jaw sliding and inadequate lip rounding..

PROMPT is a process that involves working upwards on a motor speech hierarchy (Hayden, 1986). It involves tactile-kinesthetic hands- on cues to the face to heighten awareness and precision of muscle movements. It does not involve working on individual sounds or using horns or whistles. For example, how many children can produce a word like “dad” with seemingly perfect sound productions, but will move their jaw while saying it? This will affect higher level speech productions. It will be difficult to transfer this into connected speech and will sound “sloppy”. Another example is the word, “boot”. What if this sounds correct to the listener, but is produced with inadequate lip rounding?

This is one of the most commonly asked questions. The PROMPT Institute offers three courses. A SLP is considered trained after taking the first introductory course. They are also continued to be considered trained after taking the second course (Bridging) which deals primarily with writing goals using the PROMPT approach. The third course is a 4 month videotaped project. This is the only time where hands- on tactile cues are used for an extended period of time. The project is then graded by the Institute to determine if certain criteria were met for Certification. Although there are many PROMPT trained clinicians, the Certification is the only way of determining that the SLP has met specific criteria at various skill levels to warrant the certification status.

YES!! I have worked with a multitude of children and observed PROMPT to be highly effective and produce results. I have heard intelligibility improve significantly. I have observed children to be quite receptive to this tactile approach.

Written Articles

Interviews and other media about All Island Speech Therapy & Rehabilitation, Lori Melnitsky’s personal challenges with stuttering, and how All Island Speech can help people dealing with stuttering and fluency issues.

PROMPT Therapy

THE BENEFITS OF PROMPT THERAPY (03/2013)– discussing the benefits and practical application of PROMPT therapy in infants, toddlers and school age children.