Environmental factors continue to play a part in speech and language deficits. Be it parents/guardians that are struggling to balance it all, low IQ, low resources, age, socioeconomic differences, etc., the goal is to help the child at home. This is a large part of why Ohio and many other states went to the "Coaching Model" for Early Intervention. We need to be able to increase the exposure in the home to help the child excel at a faster rate. In the outpatient setting, 30 minutes 1-3 times a