This practical manual presents many therapy ideas which can be used on a wide range of clients with speech difficulties arising from a cleft palate or velopharyngeal disorders. The authors have provided photocopiable exercises, reference word and sentence list, as well as programme and activity sheets for teachers and parents. Contents include: pre-speech and early speech development; moving from pre-school to speech; therapy for articulation problems; velopharyngeal closure problems; resources, programme and advice sheets.