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A Simplified Process for AAC Assessment. Decision-Making and Device Selection

Learn about a simplified process for AAC assessment, decision-making, and device selection. Gain knowledge on various types of information required for quality evaluations and best practices in AAC intervention.

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A Simplified Process for AAC Assessment. Decision-Making and Device Selection

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  1. A Simplified Process for AAC Assessment. Decision-Making and Device Selection Debby McBride, MS, CCC-SLP Elizabeth (Libby) S. Rush, MA, CCC-SLP, CPM

  2. Five Types of Information for Quality AAC Evaluations • Knowledge of the overall process • Knowledge of assessment resources • Knowledge about device/systems • Knowledge of procedures for documentation/decision-making • Knowledge about best practices in AAC intervention.

  3. I. Knowledge of overall process • ID what is known • ID what is not known • Do evaluation • Summarize skills • ID Features for communication tool/devices • Other considerations (clinical/team input, funding, local resources, etc.) • Final recommendations / report • Funding paperwork as required

  4. II. Knowledge of assessment resources • Appropriate tools (low-tech to high-tech) • Protocols • Strategies • Additional resources (vendors, AAC/AT specialists, web, etc.) • How to utilize them

  5. Pre-Assessment Preparation • Questions at Initial Contact • Preservice Questionnaire • Information that can be obtained prior to assessment session • Pre Evaluation Questionnaires • Obtaining previous reports, evaluations and supplemental information • Communication Questionnaire • Case History

  6. TOOLKIT - • Dry erase board • Objects, photos and symbols • Display board with Velcro sensitive fabric • Sequencer • Progressive communicator • Auditory choice making communicator or auditory scanning device • Switch activated devices (toy or fan or vibrating Pillow) . . . . . continued

  7. TOOLKIT - continued • Battery adaptor • Array of Switches • Switch Interface • Switch Mounting system • Laptop computer or tablet computer • Touch Screen Dynamic Display Software Download AAC software demos PowerPoint

  8. TOOLKIT additions for access Can do as low-tech assessment • Keyguard • Pointing light • Eye gaze • Positioning (motor – visual) • Participant ideas ? ? ?

  9. Symbol Useage • Objects • Textures • Cut out photos (COPPS) • Photographs • Realistic pictures • Abstract pictures • Semantic Compaction (Minspeak) • Alphabet/Spelling

  10. Symbol organization Cognitive & sensory-perceptual considerations • Size • No. per page • Single overlay • Navigation abilities

  11. Message Formulation • Single message • Combine vocabulary • Alphabet (word/letter/phrase, etc.) • Semantic compaction) • Premade applications (Gateway, SDPro WordPower, Unity, demo vocabulary, etc.)

  12. Evaluation Notes • Form to provide consistent means of recording information during the evaluation session • Use of form helps to promote an organized method for keeping work records • Mechanism to measure progress • Summary of Observations • Evaluation Notes Form

  13. III. Knowledge about device/systems • Type of device (digitized, dynamic display, text-to-speech/keyboard, integrated) • Access method • Symbols used • Rate enhancers • Accessories required • Medicare version required • Cost • Physical components • Etc.

  14. IV. Knowledge of Decision-Making • Attempt to talk with all participants at the end of each evaluation session • Provide written summary at the conclusion of each session • Means of sharing information that helps everyone to understand what was done • Way to communicate what will happen next • Method of recording information to use for report writing • Evaluation Consult Summary • Demo of The Paperwork Assistant

  15. Funding • 3rd party medical funding (Medicaid, Medicare, Private Insurance) • Educational • Vocational • Independent living • Private pay or donations • Funding form • Questions to ask insurance funding

  16. Trialing equipment • Vendors – local resources • Manufacturers • Loan equipment • Rental options • ASHA – list of questions to ask manufacturers

  17. Knowledge about best practices • Evidence-based practice refers to an approach in which current, high-quality research evidence is integrated with practitioner expertise and client preferences and values into the process of making clinical decisions. • Web list • To download handouts, go to www.aacTechConnect.com go to EVENTS click on Closing the Gap 2006

  18. Workshops • AAC Evaluation Workshop (1 day seminar providing effective strategies and resources for doing comprehensive AAC Evaluations). • Vendors and local resources to be included in day 2 • For information on “hosting” this event, contact debby@aacTechConnect.com or 1.866.4U.AAC.RX • Come to booth #107 for more information

  19. Thank you for your interest in A Simplified Process for AAC Assessment: Decision-Making and Device Selection

  20. Debby McBride, MS, CCC-SLP 866.4U.AAC.RXdebby@aacTechConnect.com www.aacTechConnect.com866.4U.AAC.RX ( 866.482.2279) Elizabeth (Libby) Rush, MA, CCC-SLP Independent AAC/AT Consultant 424 Bywood Drive Durham, NC 27712 libbyrush@aol.com 919-471-2819

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