speech and language teaching concepts for using there was an old lady who swallowed some leaves in speech therapy

Frequent Speech Sounds:

/l/ initial and medial
/sw/ initial
/sn/ initial
/z/ final
/sh/ initial (she)



Book Details:

Diverse Characters: N/A
Age Recommendation: Early Childhood, Elementary

There Was an Old Lady Swallowed Some Leaves

By Lucille Colandro

Our favorite old lady is back and swallowing fall-themed items! What can you make from leaves, clothes, a pumpkin, and rope? That's right, a scarecrow!

This silly fall and leaves-themed book can be used in speech therapy to address rhyming. It is also great for working with kids who have speech sound disorders due to the repetitive and predictable textDiscover more of the speech and language teaching concepts for using There Was an Old Lady Swallowed Some Leaves in speech therapy below: 

Key Teaching concepts

Narrative Structure:

action sequence
cumulative tale

Narrative Concepts:

illustration study
verbs (action)
verbs (regular past tense)
phonological awareness
repetitive text
pronoun (subject)- “she”
Who and Why questions


order of fall items that the old lady swallowed


bumpkin, prop up, mope

Figurative Language:

“on a roll”


verbs (action)
verbs (regular past tense)
Why and Who questions
pronoun (subject)- “she”

Text Features:

repetitive text

Phonological Awareness:



What do you think she is going to swallow next?
Why do you think she swallowed                            ?

If you are interested in seeing other fall and leaves-themed books to use in therapy, then check out the Narrative Teaching Points Book List for a printable copy.