Recorded Webinars

The Five R’s: Building Communication Through Connection | Regulation, Rapport, Reciprocity, Repetition & Reward in Early Communication Intervention
Presented by: Caroline L Mancuso, MA, CCC-SLP, RYT

Date:Available December 1 to December 15, 2026
Time: 60 Minutes

Registration
Members $5
Non-Members $25

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Non-Members Click Here To Register

Abstract: Communication development does not occur through exposure to language alone. Young children learn to communicate within dynamic interactions among their developing regulatory systems, relationships, social exchanges, repeated experiences, and the consequences of their communication. This session introduces the Five R’s of Communication Development—Regulation, Rapport, Reciprocity, Repetition and Reward—as an evidence-informed framework for examining the conditions that support communication learning. Drawing from research in self-regulation and developmental psychobiology, caregiver sensitivity, social interaction and language acquisition, statistical learning, and speech motor learning, participants will explore how these processes interact within early communication development. Particular attention will be given to a child’s availability for learning, adult responsiveness to communicative signals, contingent and reciprocal interaction, the role of repeated experience in detecting and refining patterns, and the naturally reinforcing consequences of successful communication. Participants will leave with a practical framework for analyzing interactions and making small, intentional changes to therapeutic environments and clinician behavior while maintaining appropriate communication goals.

Time-Ordered Agenda:
5 minutes: Introduction and presentation framework
5 minutes: Overview of early communication learning
35 minutes: The Five R’s framework: structure and supporting evidence
10 minutes: Clinical application activity
5 minutes: Questions, discussion, and key takeaways

Three Learner Outcomes:

At the conclusion of this presentation, the participant will be able to …

• Describe the roles of regulation, relational responsiveness, reciprocal interaction, repeated experience, and communicative consequences in supporting early communication learning.
• Differentiate between language exposure alone and responsive, contingent, and reciprocal communication experiences that support communication development.
• Apply the Five R’s framework to a clinical scenario to identify at least one modification to clinician behavior, interaction, or the therapeutic environment that may increase a child’s availability and opportunity for communication learning.

Presenter:
Caroline Mancuso, MA, CCC-SLP, is a pediatric speech-language pathologist and owner of aLINEment Therapy in the south Denver metro area. With over 20 years of experience across early intervention, preschool settings, and private practice, she specializes in supporting the communication development of very young children through play-based, family-centered care. Her work emphasizes early identification and intervention for children demonstrating signs of motor speech challenges, including suspected Childhood Apraxia of speech, with a strong focus on empowering caregivers. She is listed in the Apraxia Kids provider directory and is recognized for advanced training and expertise in Childhood Apraxia of Speech. Caroline’s approach is also informed by her background as a certified yoga teacher, supporting a whole-child, regulation-informed perspective. Outside of work, she enjoys skiing, hiking, paddleboarding, time with her family and dog, and learning about the brain and how it shapes connection and communication.

Continuing Education

Satisfactory Completion Requirements
Certificates of completion and ASHA CEUs will be reported will be awarded after viewing the entire presentation, submission of a completed evaluation and submission of a completed assessment of learning. There is no partial credit for this presentation. A link to the online assessment and evaluation will be provided.

Cancellation/Refund Policy
A full refund will be granted if the cancellation request is received 5 days after registration.

Professional Conduct and Discrimination Policy
All participants are expected to conduct themselves in professional manor. Please review the Association’s Professional Conduct and Discrimination Policy.

Complaint Policy
Questions and concerns should be emailed to the Association Office, csha@cshassoc.org. Complaints arising during or after an event can be filed by contacting the Association office.

Accessibility Policy
The Association is committed to providing an outstanding experience for all participants at its events. We strive for full access to the activities of these events and accommodations relating to mobility, hearing, vision or other areas may be provided. We ask that requests for reasonable accommodations at the event be made as early as possible, and well in advance of the event, so we may explore options to best meet the individual’s need or provide a resource/suggestion to help meet the individuals’ requirement.

Potential Barriers: Although we strive to make this event as accessible as possible to all members, some barriers may remain due to financial, logistical, facility, vendor or volunteer/staffing limitations. If the association is unable to provide an accommodation due to one or more of the reasons stated above and the individual feels attendance is no longer an option, the Association will provide a full refund of the event registration fee.

Disclosures
Relevant Financial Relationships: Caroline L Mancuso, MA, CCC-SLP, RYT, is a paid employer of aLINEment Therapy and will be referencing her placement of employment during the presentation.
Relevant Non-Financial Relationships: Caroline L Mancuso, MA, CCC-SLP, RYT, has no relevant non-financial relationships to disclose.