'Augmentative and alternative communication' (AAC) refers "to an area of research, clinical, and educational practice. AAC involves attempts to study and when necessary compensate for temporary or permanent impairments, activity limitations, and participation restrictions of individuals with severe disorders of speech-language production and/or comprehension, including spoken and written modes of communication" (ASHA, 2005, p. 1).
Individuals with severe communication disorders and for whom gestural, speech, and/or written communication is temporarily or permanently inadequate to meet all of their communication needs use AAC.
Speech may be replaced or augmented by:
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gesture and
body language;
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manual sign;
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handwriting; and
★ communication aids.
Communication aids are devices developed or adapted for use by people with severe communication
impairments. Because these people have very varied skills, needs, and problems, there is a large range of communication aids.
Some people with severe communication impairments can use their hands; others cannot, and have to use alternatives, such as mouth sticks, headsticks, switches or eye-pointing. Some can read and spell; others cannot, and need communication aids on which language elements are represented by pictures or graphic symbols such as
Picture Communication Symbols (PCS) or Blissymbols. Some individuals use
wheelchairs which can accommodate large communication devices; others walk and need small, light aids. Some have the funds to purchase high tech equipment such as Dynamyte (a speech generating device); others do not.
A communication aid may be as simple as a piece of cardboard with an empty potato chips-bag stuck on it to represent a desire for chips, or as complex as a
laptop computer, controlled with a switch which speaks and allows the user to talk on the phone, access the
Internet, or type an essay.
The best non-speech communication strategy (or combination of strategies) is the one which allows the person with severe communication impairment to communicate as freely as possible, in as many situations as possible, to the maximum number of people.
Terminology Used in AAC
''Symbol'': Something used to represent another thing or concept. For example, a picture or line drawing of a dog to represent dog.
''Symbol Set'': A set of symbol that is closed in nature; symbol set can be expanded, but it does not have clearly defined rules for expansion (e.g.,
Picture communication symbols).
''Symbol System'': A set of symbol; includes rules or a logic for the development of symbols (e.g.,
Blissymbols).
''Speech Generating Device'': An electronic assistive device that produces speech (e.g., Dynamyte).
''Assistive Communication Device'': Electronic or non-electronic aid or device that provides external assistance for communication.
''AAC System'': An integrated network of symbols, techniques, aids, strategies, and skills.
Symbol Selection Techniques
''Direct Selection'': An individual points to the desired symbol using a finger or a headstick.
''Scanning'': An individual is offered choices of symbol, and he or she indicates choice by performing a pre-determined signal that informs the listener that desired symbol has reached or selected.
''See also'':
Blissymbolics
Devices
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Ablenet
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Adaptivation, Inc.
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Paca-Paca (Pocket PC)
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VocalNoise (web-based,multi-device)
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Lingraphica
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Assistive Technology, Inc. (Mercury, MiniMerc, Link, L
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★ O)
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Blink Twice (Tango)
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DynaVox Technologies
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The Great Talking Box Company
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Mayer-Johnson
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Prentke Romich Company
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QCharm(portable and visual cuing system)
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Saltillo Corporation
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Toby Churchill Limited (Lightwriters)
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Words+
References
★ American Speech-Language-Hearing Association. (2005).
' 'Roles and responsibilities of speech-language pathologists with respect to alternative communication: Position statement.'' ASHA Supplement 25, 1-2.
★ Beukelman, D, & Mirenda, P (2005)
''Augmentative & Alternative Communication: Supporting Children & Adults With Complex Communication Needs '', Paul H Brookes, Baltimore
External links
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Rehabilitation Engineering Research Center on Communication Enhancement (AAC-RERC)
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Barkley Memorial Augmentative & Alternative Communication Centers
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AT Wiki on Assistivetech.net
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DEAL Communication Centre
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LetsChat.Info: University at Buffalo's Center for Excellence in Augmented Communication
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AACFUNDINGHELP/COM
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AAC Institute
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Australian Group on Severe Communication Impairment
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Personal Alternative Communication Aid Software
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Augmentative Communication Inc.
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International Society for Augmentative and Alternative Communication
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United States Society for Augmentative and Alternative Communication