Teletherapy for Early Intervention

Practical Speech Therapy Tips That Actually Work

Teletherapy for early intervention can feel overwhelming at first—for therapists and families. Sessions look different than traditional therapy, progress can feel slower, and the pressure to “get it right” can be heavy.

The good news? Teletherapy can be incredibly effective for early intervention when it’s caregiver-centered, routine-based, and realistic.

This page shares practical tips to help teletherapy sessions run more smoothly, reduce stress for families, and keep therapy focused on what matters most. Be sure to read to the end—there are free handouts included.

Teletherapy For Early Intervention Tips

Top Teletherapy for Early Intervention Tips

1. A Caregiver Must Be Present (Non-Negotiable)

In early intervention teletherapy, the caregiver is the primary change agent.

Because therapy happens through the caregiver:

  • A caregiver must be present for the entire session
  • Coaching and modeling matter more than direct child performance
  • Progress happens between sessions—not during them

Teletherapy works best when the caregiver understands what to do and why it matters.

2. Use a Computer or Tablet With a Stand

Hands-free setups make sessions calmer and more productive.

Encourage caregivers to:

  • Use a computer or tablet instead of a phone
  • Place the device on a stable surface or stand
  • Avoid holding the screen during play

This allows caregivers to focus on interacting with their child—not managing technology.

3. Review a Strategy Before the Session

Teletherapy for early intervention is as much about review and problem-solving as it is about play.

Whenever possible:

  • Share a strategy or activity ahead of time
  • Ask caregivers to try it during the week
  • Use the session to reflect on what worked and what didn’t

This keeps sessions focused and meaningful.

This way, you can discuss how the practice went! As part of the membership program, I like the handouts below!

4. Plan Practice for the Coming Week

While guiding play during the session, jot down ideas for the week ahead.

Effective practice planning includes:

  • Choosing everyday routines (meals, bath, playtime)
  • Keeping strategies simple
  • Limiting expectations

Written plans help caregivers feel confident and supported once the session ends.

5. Brainstorm Toys and Activities in Advance

Ask caregivers to send you a short list of:

  • Favorite toys
  • Daily routines
  • Preferred activities

Encourage them to gather these items before the session begins. This allows you to:

  • Structure play naturally
  • Coach strategies more effectively
  • Reduce downtime during sessions

Early intervention teletherapy works best when play is intentional, not improvised.

6. Give Yourself (and the Family) Grace

Teletherapy for early intervention is new for many therapists and families.

Sessions won’t be perfect—and they don’t need to be.

Caregivers appreciate:

  • Clear guidance
  • Reassurance
  • Practical strategies they can actually use

Your coaching matters more than a flawless session.

Members

As part of Speech Therapy Talk's Membership, I have many materials, handouts, and data tracking sheets. At the moment, I have: 

Blank Sheet For Home Practice

  • Strategies for specific activities (create your own)
  • Brainstorm times of day for practice

Handouts at Beginning of Treatment

  • Top 5 Tips
  • Late Talker Overview
  • Late Talker Strategies

Set The Scene For Strong Communication

  • Set The Scene Games (How to Talk To Your Child)
  • Set the Scene (With scripts)

How To Simplify Language While Talking to Child

  • Simplify Language (Parent Overview)
  • Simplify Language Practice Games For Parents - Blocks
  • Simplify Language Practice Games For Parents - Food

Imitation Games

  • Not Imitating Game - Meals
  • Not Imitating Games - Cars

Imitating Gestures Games

  • Imitating Stuffed Animal Game
  • Imitating Puppet Games

How To Encourage First Words

  • 3 Strikes & You Win Overview
  • 3 Strikes & You Win- Meals
  • 3 Strikes & You Win Playtime

How To Ask Questions Correctly

  • How To Ask Questions - Overview
  • Asking Questions Games - Toys
  • Asking Questions Games - Meals

How To Expand First Words

  • Repeat-Expand-Repeat - Meals
  • Repeat-Expand-Repeat - Reading
  • Repeat-Expand-Repeat - Walking

Measure Progress

  • Common First Words
  • Milestones 0-5

Access Teletherapy For Early Intervention Materials

Members

If you want to access these pages and you are already a member, please click this link: 

Non-Members

If you want to join and access the Google Slides flashcards, please click this link:

I will even take requests! If there is something that you need, please let me know. 

A Free Language Resource Each Month

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Free Speech & Language Materials

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Free Speech and Language Materials

Benefits of Teletherapy

This blog post from TherapyWorks does a great job reviewing the benefits. Check it out here!

About

Hi,

I'm  Bridget Giraldo, MS CCC-SLP

I've been a speech-language pathologist since 2006 — in schools, hospitals, preschools, and private practice. I created Speech Therapy Talk because I kept making materials I couldn't find anywhere else: research-based, bilingual, no-prep, and built for real caseloads. Now, I share them here.

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