aac process
DESCRIPTION
AACTRANSCRIPT
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 1
An Overview of the AACAssessment Process
Patricia Ourand, MS, CCC-SLPAssociated Speech & Language
Services, [email protected]
Speaker Disclosure
• Financial Disclosures:
– Received financial compensation fromASHA for this presentation
• Nonfinancial Disclosures:
– Past president of the United States Societyfor Augmentative and AlternativeCommunication (USSAAC)
– Advisory board member of theRehabilitation Engineering Research Centers(RERC) on Communication Enhancement
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 2
HumanFactors
FeatureMatching
AAC AssessmentAAC Assessment
Video: Expressive CommunicationVideo: Expressive Communication
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 3
Goals of AACGoals of AAC
•Temporarymeans ofcommunication
Temporary
•Long-termmeans ofcommunication
Long-Term•Facilitate
development ofnatural, spokencommunication
Therapeutic
Goals of AAC
• Communicate self care needs
• Communicate emotional status
• Engage in social communicativeinteraction with familiar communicationpartners (friends and family)
• Carry out communicative interactions inthe community
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 4
Systematic Selection Process
• Initial interview
• Needs assessment
• Individual strengths and limitations
• Access methods
• Feature match
• Trial mock-up
• Final system analysis
• Purchase
• Follow-up
Initial InterviewInitial Interview
Demographic info
Background info
Caregiver interview
Client observation
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 5
Needs AssessmentNeeds Assessment
Env ironment
Messages
Modes
Partners
(Adaptedfrom Dowden et al., 1986)
Assessment DataAssessment Data
Cognition Language
Motor Sensory
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 6
TeamTeam
• Client, family, andcaregivers
• Speech-languagepathologist
• Medical staff
• Rehabilitation nursing
• Occupational therapy
• Psychology
• Physical therapy
• Social services
• Vocational counseling
• Audiology
• Ophthalmology
• Orthopedics
• Neurology
• Pharmacist
• ______________
• ______________
• ______________
• ______________
• ______________
Assessment Data: Cognition
• Include a clinical assessment
– Formal and/or informal
– Discussing and describing the severity ofcognitive impairment, if present
– If no impairment is present or suspected,state such
– Where available, include a statement fromthe neurologist, pediatrician, primary carephysician (PCP), etc.
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 7
Video: CognitionVideo: Cognition
Assessment Data: Language
• This may include results from subtests,standardized tests, or informal specifics
– Yes/no reliability
– Following directions
– Comprehending conversation
– Ability to recognize and comprehendsymbols (e.g., objects, photos, line drawings,written words)
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 8
Meet Chip…Meet Chip…
• Pictures • Text
Video: IconVideo: Icon
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 9
Video: KeyboardVideo: Keyboard
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 10
Assessment Data: Language
• As appropriate, address, discuss, and/ordescribe the individual’s ability to:
– Locate target messages by searching ornavigating through multiple displays
– Associate, categorize, and sequencesymbols
– Combine symbols (e.g., singlewords/pictures) to generate language
Video: Range of MotionVideo: Range of Motion
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 11
Choosing an InterfaceChoosing an Interface
Volitionalcontrol
ConsistentlyConsistentlyaccurate
Limitedinvoluntary
reflex
Range ofmotion
Speed
Force
Comfort
Anatomic Site/Action
Positioning and MountingPositioning and Mounting
Change
Status
Environment
Technology
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 12
Lying in BedLying in Bed
At a ComputerAt a Computer
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 13
Assessment Data: Sensory
• Describe the individual's visual skills
– Consider the communication partner
– Provide subjective assessment based on theindividual using an actual device
RFS’s copy of a B, which he is able to see clearly, and an 8, which he sees only as ajumble of lines with color in the background.
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 14
Assessment Data: Sensory
• Describe the individual's auditory skills
– Consider communication partner
– Provide a subjective assessment based oninteraction with the individual using adevice
The Bottom Line?The Bottom Line?
Needsassessment
Writtenreport
Datacollection
An Overview of the AAC Assessment Process
Case Studies by ASHA Professional Development 15
Web Resources
AAC Funding Help
www.aacfundinghelp.com
AAC TechConnect
www.aactechconnect.com/
Patient Provider Communications
www.patientprovidercommunication.org/
AAC Rehabilitation Engineering Research Center
www.aac-rerc.com/