Alternative and Augmentative Communication​

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Augmentative communication is about enhancing or adding to someone's existing speech abilities, helping to make their communication clearer or fuller. For example, a small portable amplifier can increase speech volume and help those with limited vocal capacity communicate effectively. On the other hand, alternative communication offers a different route altogether for those who might not be able to use traditional speech effectively. For example, a communication board or a keyboard text-to-speech program. Some individuals might rely on AAC for their entire lives, while others might turn to it for just a brief period. 

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Speech-language pathologists are instrumental in guiding individuals and their families through the AAC journey. They assess personal communication needs to find the best AAC approach, tailor training for the chosen methods, and support language development using these tools. Their goal is to ensure that every person, regardless of their speech or language skills, has the ability to express themselves, engage in conversations, and connect meaningfully with the world around them. By providing customized AAC solutions and ongoing support, SLPs empower individuals to communicate their thoughts and feelings, enhancing their independence and participation in all aspects of life.

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High-tech AAC includes gadgets like iPads and computers equipped with text-to-speech software, along with devices that can play pre-recorded messages. These are considered 'dynamic' because they can produce a wide range of words, phrases, or messages to fit what the user wants to communicate at any given time. They're especially handy for offering immediate, versatile communication solutions.

 

Low-tech AAC involves simpler tools such as picture symbols, drawing tools, communication boards, and picture books. These devices are 'static', meaning their display options are fixed and don't change dynamically. Despite their simplicity, they play a crucial role in facilitating communication for those who prefer or require less complex aids.

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No-tech AAC covers the most fundamental forms of communication: sign language, gestures, facial expressions, body language, and various non-verbal sounds. This category relies on no devices or tools but remains a vital communication method for individuals with limited verbal abilities.

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Regarding what an AAC user can express: the sky's the limit! A crucial component of AAC is ensuring users have access to the vocabulary they need. Speech therapists might teach or set up devices with specific vocabularies tailored to their patients' needs, categorized into core and fringe vocabulary.

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Core vocabulary encompasses the everyday nouns, pronouns, verbs, and question words that we use all the time. Given their frequent use, high-tech AAC devices often include shortcuts or autofill features to make these common terms easily accessible.

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Fringe vocabulary consists of words tied to specific, less routine activities. For instance, someone watching a football game might need sports-related terms, while a visit to Disneyland might call for the names of various princesses, heroes, and villains. This ensures that AAC users can talk about absolutely anything that interests them, from daily activities to special events and hobbies.