The MacArthur Story Stem Battery is a structured method for engaging children in play narratives. The structure provided by the Mac Arthur Story Stem Battery can be very useful in the therapeutic process of working with young children and families. The structure enables some children to reveal areas that they are struggling with quickly, and helps the child engage with the therapist. The structure also helps to alleviate both the child’s and the clinician’s anxiety about therapy. Sessions can be videotaped and reviewed with relevant family as a means to engage family in supporting therapy with the child. Finally, the structure facilitates the formation of a comparative internal data base for the clinician to access both for diagnostic and therapeutic process purposes.