Augmentative and Alternative Communication (AAC)

Augmentative and Alternative Communication (AAC) 

Augmentative and Alternative Communication, or AAC, refers to methods of communication that supplement or replace spoken language for individuals who have difficulty with verbal expression. AAC can range from simple picture boards to sophisticated electronic devices with speech-generating capabilities. The goal of AAC is to enhance communication effectiveness, promote independence, and improve quality of life for individuals with complex communication needs. 

For example, a child with autism who is minimally verbal might use a tablet with a communication app to express their needs and thoughts. Another child with a physical disability affecting their speech might use a eye-gaze system to select words and phrases on a screen, which are then spoken aloud by the device. AAC is not just for those who cannot speak at all; it can also support individuals who have some speech but find it unreliable or difficult in certain situations. 

As speech pathologists, we assess each child's unique communication needs, abilities, and preferences to determine the most appropriate AAC solution. This process involves evaluating motor skills, cognitive abilities, literacy levels, and the child's daily communication requirements. We then provide training on how to use the chosen AAC system effectively, working not just with the child but also with family members, caregivers, and educators to ensure consistent support across all environments. 

Importantly, our practice can work with families to conduct AAC trials for approval from the National Disability Insurance Scheme (NDIS). These trials are crucial in demonstrating the necessity and effectiveness of specific AAC devices or systems, helping to secure funding for these often essential communication tools. 

Our approach to AAC intervention is holistic and person-centred. We focus on developing functional communication skills that enable the child to participate more fully in daily activities, express their thoughts and feelings, and engage in social interactions. We also emphasise the importance of multimodal communication, encouraging the use of any and all means of expression available to the child, including gestures, vocalisations, and AAC. 

Useful tip: If your child uses AAC, integrate it into all aspects of daily life, not just formal communication sessions. Model its use yourself, showing that it's a valued and natural way to communicate. Encourage all family members and caregivers to do the same. Remember, the goal is to make communication as easy and natural as possible for your child, regardless of the method used.