About 2 million people in the U.S. have a severe communication disorder that impairs their speech. Augmentative and alternative communication (AAC) gives these individuals a way to connect with others when traditional means are not viable options. It comes in several different forms, and it may include assistance from electronic devices. Let’s take a look at some of the dos and don’ts you should keep in mind when utilizing an AAC system.

Do Provide Enough Wait Time

This may be especially necessary if you are working with an aided communication system. With an aided communication system, an individual will be utilizing a secondary resource to communicate, such as a text-to-speech device. He or she should be given an ample amount of wait time to communicate, especially if the tools or methods being used are relatively new.

Don’t Limit the Means of Communication

Those who use devices or tactics specifically designed for AAC should not be limited to the tools they have on hand. For example, an individual who is utilizing speech-to-text software may also use a wide range of methods to send messages, ranging from facial expressions to hand gestures. While working with people who can implement multiple AAC tactics, it’s critical to be receptive to all methods during the communication process.

Many individuals adopt a multi-modal communication approach when traditional communication techniques are no longer options. Multi-modal communication means that everything used to communicate is accepted as a means of translation. In the event that an individual is utilizing a multi-modal communication system, you will need to be open to using a wide range of methods for discussion.

Do Keep AAC Devices Widely Available

This is especially essential when it comes to working with individuals who use more than one tool to communicate. Whether it’s a speech-to-text device or a set of cards, keep them readily available. An individual who uses a multi-modal communication may feel more inclined to use one tool over another, and you can ensure that he or she can do so by making these devices readily available.

Don’t Forget About Accommodations

Working with an individual on his or her communication skills may be an extended process. As you sit down to engage in the learning process, ask yourself the following questions:

· Is the individual utilizing the AAC system comfortable in his or her position?

· What could be added to create the best possible environment for AAC learning?

· What is the emotional level of the individual? Is he or she fatigued?

These questions are especially helpful while working with children, who may perform better when they are in a comfortable, distraction-free environment. Depending on how long you are focusing on a specific lesson, you might want to consider some factors more than others (e.g., fatigue, attention span for children).

Do Add Variety to Your Teaching Plans

Despite the wide range of AAC devices on the market, learning a system can become tedious and repetitive over time. To keep individuals engaged, they should be encouraged to apply what they learn along the way. Rather than asking a generic batch of questions after every lesson, try some of these methods.

· Ask questions during a communication session, rather than at the end.

· Encourage individuals to ask questions and engage during the lesson.

· Go beyond verbal instructions; incorporate tools and techniques, such as flash cards, to encourage more engagement.

Don’t Forget About the Benefits of AAC

Some individuals may be further along in terms of their use of an AAC system than others. Depending on the situation, a person may also change their form of communication over time. However, it’s important to remember that AAC is always beneficial, regardless of how much a particular system is utilized for communication.

With an AAC system, individuals can maintain their independence after losing the ability to traditionally communicate with others. AAC can allow people to:

· Introduce themselves in social situations.

· Greet others.

· Negotiate with other people.

· Ask for help.

· Express emotions, such as happiness or frustration.

Final Thoughts

Every speech-language pathologist approaches AAC learning differently. However, these dos and don’ts can give you a better idea of where to start as you begin working with new clients. On the opposite end of the spectrum, you can also use these tips to enhance existing lesson plans you have in place.

Don’t forget that AAC is extremely versatile. For instance, you may come across individuals who work with several electronic devices, while others prefer to use low-tech methods, such as pen-and-paper. One commonality that every AAC system shares is that it does not have to be difficult to grasp or implement. Speech-language pathologists can simply go from what an individual already knows and build off of it over time.

With a strong foundation and a willingness to evolve as needed, you can make any AAC system work for you and others.

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