Augmentative Communication

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When considering augmentative communication options, the process should begin with a comprehensive assessment. It is most often a team approach. Clients and their families collaborate with speech-language pathologists, occupational therapists, augmentative communication specialists, medical staff, and education staff to evaluate:

• participation needs

• motivation

• linguistic competencies

• cognitive competencies

• physical competencies

• sensory competencies

• environment

• opportunities and barriers for success

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After the assessment, if the client is a candidate for augmentative communication, a trial with a system will be set up. More than one system may be trialed. These trials involve training of the client and those who will be supporting them with their system.

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In addition to the initial purchase and set-up of the system, ongoing maintenance and updating of vocabulary/messages is necessary. It is recommended that a specific person be identified who will take on this responsibility.

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Augmentative communication can have an incredibly positive impact in a person's life. To be successful, however, it is essential to have:

• client motivation to communicate

• a system that meets the person's specific participation needs

• buy-in from communication partners

• vocabulary that is relevant for the person's needs

• a thorough assessment and trial process

• a plan for initial and on-going training

• accountability and responsibility for system support 

• a system that is age-appropriate

• features that reduce the effort required to use the system

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Apps for Communication

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Text-to-Speech

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Text-to-speech applications allow a person to type or select a pre-programmed message to then be spoken by the device. They can be accessed directly (e.g., finger tapping) or indirectly (e.g., with an external switch). Text-to-speech is also a feature that may be included in pictoral augmentative systems.

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