1. Augmentative and Alternative Communication (AAC)

2. Forms of AAC Low Tech High Tech
Sign Language
Picture pointing system
Picture Exchange Communication System (PECS)
High Tech
Static Voice Output Device
1 choice (I want that), 2 choice, 4 choice, 8 choice, etc
Dynamic Voice Output Device
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3. 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

4. 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!

5. 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!!!

6. 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?

7. 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

8. 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?”)

9. Illinois Assistive technology program
Offers free loaner devices: