A Speechmark core resource, this photocopiable manual provides practical ideas and material for speech and language therapists to use with clients whose speech difficulties arise from cleft palate and/or velopharyngeal disorders. This book enables therapists in the community to feel confident in dealing with the specific problems that cleft palate speech can bring, even if they have no experience of working with this client group. The therapy ideas can be used flexibly and are designed to cover all age-groups: pre-school, school-age and adult. The suggestions presented in this book help to determine the best approach for each client.