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Augmentative and Alternative
Communication
What? Who? Where? When? Why? and How?
Kim Singleton, MS, CCC-SLP
Mowat-Wilson Syndrome 2017 International Family Conference
June 29 – July 1, 2017 Washington, DC
Disclosure: Kim Singleton has no
relevant financial or non-financial
relationships to disclose.
Kim Singleton, MS, CCC-SLPDirector of Assistive Technology @ Institute on Disabilities@ Temple University
Kim Singleton, MS, CCC-SLP
Mowat-Wilson Syndrome 2017 International Family Conference
June 29 – July 1, 2017 Washington, DC
Key Concepts Definitions
Key Concepts
lan·guageˈlaNGɡwij/nounthe method of human communication, either spoken or written, using words in a structured and conventional way.
speechspēCH/noun.the expression of or the ability to express thoughts and feelings by articulate sounds.
Definitions
Key Concepts
sym·bolˈsimbəl/nouna mark or character used as a conventional representation of an object, function, or process, e.g., the letter or letters standing for a chemical element or a character in musical notation
Definitions
Key Concepts
Communication
Sym
bo
ls
Holding Up
Symbol
A symbol “stands for” something else
Objects TV remote = activity of watching show
Parts of objects keys = go for ride
Textures/Fabrics soft fabric of blanket = sleep
Gestures/Signs pantomime throwing = play ball
Pictures photo of Grandma = Grandma
Sounds “kiss sound” = Grandma
Spoken names “Grandma” = Grandma
Symbol Type
– Letters, pictures, objects, gestures
– Depend on person’s vision, motor skills, & learning/understanding
– Depend on environment (partners, setting, culture)
Teaching Symbol Use
- Models, Models, Models
- Use and see symbols being used
Symbol
Language
Language requires combining symbols for concrete and abstract communication.
- When motor planning is an issue, telegraphing verbal messages occurs.
- When telegraphing occurs, language development suffers.
Communication
AAC
• Augmentative
– Enhances
– Makes (speech) greater or better by adding to it
• Alternative
– Different from the usual or conventional
– Offering or expressing a choice
• Communication
– the imparting or exchanging of information or news.
– means of connection between people or places
Key Concepts
Key Concepts
Key Concepts AAC Things• Things you already have
• Things you can easily get or make
• Things you can acquire with resources
Key Concepts AAC & MWS
• Children with Mowat-Wilson Syndrome often understand more than they expressive communicate.
• When comprehension is better than speech ability it is imperative to look for ways to develop communication using non-verbal ways such as signing or using an AAC system.
What do you have with you?Discussion
What is your name?
Where do you live?
How are you feeling?
What do you want to do?
How many people live in your house?
What did you do last night?
Core Vocabulary
Core vocabulary is a small set of simple words, in any language, that are used frequently and across contexts. Approximately 80% of the words in a sample of 100 total words will be core, but many of the core words will be used repeatedly, so the number of different words is small.
Core Vocabulary
Interjections (social words)
yes no thank you please hi / hello good-bye
Pronouns
I me my mine you it he she we they
Question Words
what when where who why how
Preverbs (helping words)
be is am are was were do did can have will
Verbs (action words) go stop turn make look see
find put open close eat drink get help want need
say tell come read like feel color ‘let’s work’ play
finished / ‘all done’
Adjectives (descriptive words) more one big little
fast slow same different pretty red blue yellow good
bad new old happy sad
Prepositions (placing words) on off in out up down
to for under with
Determiners (pointer words) this that some all
Conjunctions (connecting words) and but
Adverbs (tell when, where, how) not / don’t now
here there away again
attributed to prenrom.com
100 Core Word List based on:
• Banajee List of Toddler Vocabulary
• Dolch Pre-Primer & Primer
• Gail Van Tatenhove First 50 Words
• LAMP Starter Words
• PRC Core Starter Sets • Clinical Judgment
AAC Modeling• Would we expect children to learn to talk
if they never heard speech?
•Would we learn a new language if no one around us used it?
Why do we expect children to robustly use AAC if we don’t model it?
Key Concepts AAC UsersALL of us AUGMENT our speech with
other forms of communication. (saying +)
ALL of us use ALTERNATIVES to speech
at times (texting, smiling, gesturing).
Some of us use Augmentative or Alternative
Communication ALL of the time.
AAC Example
Kim’s Personal Video
Resources AAC Resources
https://www.ataporg.org/programs
AAC Funding• Private Funding
– Insurance
– Private foundations, charitable organizations
• Pilot Club, Lions Club, etc.
– Crowd-funding
– AT Loans
– “Previously owned” or recycled equipment
• Public Funding
– School System (EI, IUs)
– Medicaid (including waivers)
– Office of Vocational Rehabilitation (OVR)
– Medicare
– Telecommunication Device Distribution Programs (TDDP) *exceptions process*
– Skilled Nursing Facility
AAC TipsConnect! Engage! and Keep the Connection
Model. Model. Model. And Model some more…
Use multiple ways of communicating yourself.
Relax and take your time.
Admit when you don’t understand and work together to clarify.
Assume competence and ability.