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Vocal hygiene IEP goals: 16 examples, plus vocal hygiene for kids

By the IEP Atlas editorial teamLast updated

Short answer

A vocal hygiene IEP goal targets a voice habit the student can change, such as yelling at recess or throat clearing, with a count or rating. Example: during 20-minute recess, Maya will use her signal instead of yelling, keeping to 3 or fewer yells on 4 of 5 days. Get an ENT exam and medical clearance before voice therapy starts.

Vocal hygiene means the daily habits that protect the voice: how loud a student talks, how often they yell, whether they clear their throat all day, how much water they drink, and whether they rest the voice after heavy use. For a student with a hoarse voice from vocal fold nodules, changing those habits is usually the core of school voice therapy. This page gives 16 goals and a plain list of vocal hygiene habits for kids that you can send home. The numbers are illustrations.

For the rest of this cluster, see the articulation goals examples pillar. Resonance problems, such as hypernasality, have their own page: resonance IEP goals.

ENT exam and medical clearance first

A hoarse, breathy or strained voice can come from nodules, but also from a cyst, a paralyzed vocal fold, reflux, or more serious conditions that need a doctor. The only way to know is to look at the vocal folds. ASHA's voice disorders guidance calls for a medical examination, typically by an ear, nose and throat doctor (otolaryngologist), as part of evaluating a voice disorder.[1] School practice is to have that exam, with a look at the vocal folds, before voice therapy starts.

In practice:

  • Share your observations and a short recording with the family, and ask them to see the child's doctor for a referral to an ENT.
  • Get the ENT's findings and a note that voice therapy is appropriate. Keep both in the IEP file.
  • Refer right away, not after a trial of therapy, if the voice changed suddenly, if there is pain, trouble breathing or swallowing, or if hoarseness lasts more than a few weeks with no clear cause.

Vocal hygiene education can start while you wait; it carries no risk. Direct voice therapy techniques should wait for clearance.

Vocal hygiene for kids: a habit list to send home

  • Use a signal, not a shout. Wave, clap twice or use a whistle at recess and sports.
  • Walk over instead of calling across the room or the house.
  • Drink water through the day. Keep a water bottle at the desk.
  • Swallow or sip instead of clearing the throat. A hard clear bangs the vocal folds together.
  • Rest the voice after a big game, a concert or a loud party. Quiet activities for an hour.
  • Skip character voices, growls and loud animal sounds for now.
  • Avoid forceful whispering. A soft, easy voice is gentler than a strained whisper.
  • Turn the music or TV down instead of talking over it.

ASHA describes these kinds of behavior changes as part of voice treatment.[1] Ask the student to pick the 2 or 3 that fit their day; a list of 10 rules gets ignored.

How to choose the right vocal hygiene goal

What you see nowSub-skill to targetMeasurement method
Student cannot say what hurts the voiceKnowing the planOpportunities: names misuse and alternatives out of 5
Yells at recess, sports or homeLoudness and yellingFrequency per recess or class period
Clears throat many times an hourThroat clearing and voice restFrequency per 30 minutes
Strains at the start of words or runs out of airEasy onset and breath supportOpportunities out of 10 sentences
Sings, acts or cheersSinging, performing and classRating; opportunities per rehearsal

Goals for knowing the plan

  1. When asked, Maya will name 5 situations where she strains her voice and a voice-saving choice for each, scoring 5 of 5 on 3 of 4 checks. Baseline: 1 of 5. Template.
  2. Each school day, Maya will complete her 4-step voice-care routine (water bottle filled, signal card on desk, quiet lunch choice, rest after recess) on 4 of 5 days, checked by her teacher. Baseline: 1 of 5 days. Template.
  3. When the SLP models 10 sentences in an easy voice or a strained voice, Jalen will identify which voice was used in 9 of 10 trials. Baseline: 5 of 10. Template.
  4. Each day for 2 weeks, Jalen will chart his own yelling episodes at recess and match the recess aide's count within 2 on 8 of 10 days. Baseline: no match. Template.

Weak: "Maya will learn about vocal hygiene." Measurable: The first goal in this section. It sets a task, a count and a schedule.

Loudness and yelling goals

  1. During 20-minute recess, Maya will use her signal instead of yelling, keeping to 3 or fewer yells on 4 of 5 days, counted by the recess aide. Baseline: median 14 yells. Template.
  2. Using a 5-level voice scale, Jalen will keep his voice at level 2 or 3 during small-group work in 8 of 10 checks across 3 weeks. Baseline: 3 of 10. Template.
  3. During PE games, Jalen will use a clap or hand signal to get a teammate's attention instead of shouting in 4 of 5 games, as noted by the PE teacher. Baseline: 1 of 5. Template.
  4. When reading to the class, Maya will project her voice so a student at the back hears her, without strain rated by the SLP, in 4 of 5 readings. Baseline: 1 of 5. Template.

Weak: "Maya will stop yelling." Measurable: The first goal in this section. It names the setting, the counter and a realistic number.

Throat clearing, rest and easy voice goals

  1. During a 30-minute class period, Jalen will swallow or sip water instead of clearing his throat, with 3 or fewer clears on 4 of 5 checks. Baseline: median 16 clears. Template.
  2. After a game, concert or other heavy voice use, Maya will follow her voice rest plan (quiet activities for 30 minutes) on 4 of 5 occasions, logged by her and a parent. Baseline: 0 of 5. Template.
  3. Given 10 sentences starting with vowels (such as "Andy ate apples"), Maya will start each with an easy onset rather than a hard attack in 8 of 10 sentences across 3 sessions. Baseline: 2 of 10. Template.
  4. When reading aloud, Jalen will say each 6 to 8 word sentence on one breath, taking a new breath at each phrase, in 8 of 10 sentences. Baseline: 3 of 10. Template.

Weak: "Jalen will reduce vocal abuse." Measurable: The first goal in this section. It names the habit, the replacement, the time window and the count.

Singing, performing and class goals

  1. During chorus rehearsal, Maya will sing at a comfortable loudness without strain on 4 of 5 rehearsals, as rated by the music teacher on a 3-point scale. Baseline: 1 of 5. Template.
  2. Before each performance or rehearsal, Jalen will complete a 3-minute vocal warm-up from his voice plan on 4 of 5 occasions. Baseline: 0 of 5. Template.
  3. During music class, Maya will sing class songs at a comfortable loudness, rated 2 or 3 on a 3-point scale, in 4 of 5 classes. Baseline: 1 of 5. Template.
  4. During class discussions, Jalen will answer in his easy target voice in 4 of 5 answers noted by the SLP during push-in, on 3 of 4 visits. Baseline: 1 of 5. Template.

Weak: "Maya will use a healthy voice in chorus." Measurable: The first goal in this section. It names the rater, the scale and the schedule.

How to measure vocal hygiene goals

Most vocal hygiene goals count a behavior: yells per recess, throat clears per 30 minutes. Use frequency recording on the frequency data sheet, and keep the time window the same every day. Recruit the adult who is there: a recess aide, the PE teacher, a parent. Give them a tally card with 5 boxes, not a full data sheet.

Self-charting is both data and treatment. When the student counts their own yells and compares with an adult's count, they start noticing the habit in the moment. Add a voice quality rating once a month: record the student reading the same short passage and rate it on a simple scale (0 normal, 1 mild, 2 moderate, 3 severe hoarseness). The how to measure voice goals guide has a full worked example.

Share data with the ENT at follow-up visits. A graph that shows yelling dropping from 14 to 3 per recess helps the doctor judge whether the vocal folds are getting the rest they need.

Adapting by age

Age or gradeWhat changesExample
K to 2Picture voice scale, one habit at a time, adult countsRecess signal goal with aide counting
Grades 3 to 5Self-charting, easy onset, rest planSelf-chart and throat clearing goals
Middle schoolSports, choir, phones and gaming at homePE signal and warm-up goals
High schoolPerforming, cheer, jobs that use the voiceChorus and projection goals

All voice templates are on the voice goals page. For voice problems that come with other speech needs, the speech therapy IEP goals pillar links every area. Paste any draft into the goal checker.

Frequently asked questions

What is vocal hygiene for kids?

Vocal hygiene is the set of daily habits that protect a child's voice: using a signal instead of yelling, drinking water, sipping or swallowing instead of clearing the throat, and resting the voice after heavy use. Pick two or three habits that fit the child's day.

Does a child need to see a doctor before voice therapy?

Yes. An ear, nose and throat doctor should examine the vocal folds before voice therapy starts, because hoarseness has many causes. Vocal hygiene education can begin while waiting, but direct voice therapy should wait for medical clearance.

How do you measure a yelling goal?

Count yells in a fixed time window, such as one 20-minute recess, using a tally card. Ask the adult who is present to count. Report the median of several days, and compare it with the student's own count.

Use it in IEP Atlas

Sources

  1. Voice Disorders, ASHA

Written and checked by the IEP Atlas editorial team under our editorial policy. This guide describes general practice and federal rules. It is not legal advice; your state may add requirements, and the IEP team makes the decisions for each student.

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