Augmentative and Alternative Communication (AAC)
Forms of AAC Low Tech High Tech Sign Language http://www.youtube.com/watch?v=CC3RlTJanwU Picture pointing system http://www.youtube.com/watch?v=XSvY4jdKMxk Picture Exchange Communication System (PECS) http://www.youtube.com/watch?v=TxNR_jePRj8&feature=fvwrel High Tech Static Voice Output Device http://www.youtube.com/watch?v=0EulS1MTqDo 1 choice (I want that), 2 choice, 4 choice, 8 choice, etc Dynamic Voice Output Device http://www.youtube.com/watch?v=Ijf3nFQ1G2o http://www.youtube.com/watch?v=tYytxwixBNo&feature=related Select categories that lead into new pages
Sign language Prerequisites First Signs Next Signs Clap hands, Wave, Point First Signs More, eat, milk, all done, go, open Next Signs Snacks, favorite activities, favorite animals
Benefits of AAC Enhance expressive and receptive language Empower child to have some control over environment Increase social interaction Decrease Behavioral Issues Without AAC, this is the form of communication they are using! Research supports the use of AAC to enhance development of speech!
Teaching a communication system Understanding of Cause and Effect Make it meaningful Follow through with what child communicates Immediate reinforcement of requested item Start with VERY motivating items Favorite foods, toys, actions 1 preferred item, 2 preferred items, 1 preferred item & 1 non-preferred item, etc. Communicate with child using the system PRACTICE, PRACTICE, PRACTICE!!!
Considerations with AAC Tactile feedback , visual feedback iPad vs. jellybean switch Level of abstractedness Real pictures vs. picture symbols Real voice vs. computerized voice Does the child respond more positively to one of these?
Considerations with aac (continued) Position of device Mounting Angle Consistent placement Availability of device throughout day Ability to communicate with familiar and unfamiliar communication partners
Aac-levels of prompting Hand Over Hand Assistance Model Tactile Cues (Nudge elbow) Visual Cues (Open hand) Verbal Prompt (“Tell me what you want!”) Repetition of question (“What do you want?”)
Illinois Assistive technology program Offers free loaner devices: http://www.iltech.org/funding.html