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Purpose of Communication. To indirectly control the environmentTo obtain or reject somethingTo regulate social interactionsTo express an emotion or interact with someoneTo receive and convey information and ideas. What happens when the words do not come?. Get an AAC EvaluationDetermine an alt
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1. Autism &Augmentative Alternative Communication (AAC)
Wendy Gahimer M.A. CCC-SLP
Speech Language Pathologist
Augmentative Communication Specialist
Easter Seals Crossroads
wgahimer@eastersealscrossroads.org
2. Purpose of Communication To indirectly control the environment
To obtain or reject something
To regulate social interactions
To express an emotion or interact with someone
To receive and convey information and ideas
3. What happens when the words do not come? Get an AAC Evaluation
Determine an alternative means of communication that will allow the child to get his/her immediate needs met.
Main goal is to teach the child that COMMUNICATION does work!
4. What is Augmentative Alternative Communication (AAC) AAC is any device, system or method that improves the ability of a child with a communication impairment to communicate effectively.
5. AAC Goal “To enable individuals to efficiently and effectively engage in a variety of interactions and participate in a variety of activities of their choice.” (Mirenda & Iacono, 2009, p.14)
6. Why AAC for Individuals with Autism? Visual
Relies on gross and fine motor movement
Prompting
It works!
7. Fears and Myths of Using Alternative Communication Does not impede speech development
Will decrease behaviors related to communication break downs
Bonus!!! May help with speech development
8. Early Intervention vs. Wait & See Approach Language years
Behaviors
Social development
Education
9. Things to consider when selecting alternative communication Age
Diagnosis
Physical Development
Cognitive Development
Environment
Family Support
Access method
Lifestyle
Behaviors
10. Types of AAC No Technology
Signs
Gestures
Light Technology (Static Displays)
Pictures (PECS, communication boards/books)
Voice output devices
High Tech (Dynamic Displays)
Speech Generating Devices
11. One size DOES NOT fit all!! Experienced evaluator
Try different methods of AAC
Keep an open mind
Do your research
12. Access and AAC Direct Selection
Key guards
Delay in acceptance or touch exit
Scanning with switch
Eye Gaze
Head Pointing
13. Digitized vs. Synthesized Recorded voice
Easy to generate
Sounds natural
Familiar voice Computer generated
Clear speech
Voice is same across pages
14. Category based AAC Pages based on categories like food, clothes, places, etc.
Less navigating=faster
Can be expanded to include “core words”
Requires generalizing vocabulary across contexts and environments
15. Core Words Make up 85% of expressive language
Consistent across topics, activities, environments and age
Around 500 words
Rarely nouns
16. Visual Scene -Provides familiar context for generating vocabulary
-Provides the “here and now” for presymbolic communicators
17. Developing Communication Skills with AAC Presymbolic Communication
Cause and Effect
Symbolic Representation
Making Choices
18. Behaviors Finding what caused the behavior
Replacing behavior with communication
Must be fast and effective means of communicating to work
19. Social Skills
Vocabulary
Opportunity
20. Team Efforts Individual with Autism
Parents
Caregivers
Teachers
Other family members
21. References AAC Institute. www.aacinstitute.org
Augmentative and Alternative Communication (AAC) Connecting Young Kids (YAACK). http://aac.unl.edu/yaack/.
DynaVox. www.dynavoxtech.com
Easter Seals Crossroads. www.eastersealscrossroads.org
Miranda, P. & Iacono, T. (2009). Autism Spectrum Disorders and AAC.
Prentke Romich, Co. www.prentrom.com