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All About AACs

For our parents of younger children, you may not have heard of an Augmentative and Alternative Communication device, otherwise known as an AAC Device. You may have seen other people carrying an AAC device around, usually an iPad, but this could be a different device. The AAC device is a tool for autistic people to utilise as their “voice” which can convey needs or wants and is a form of communication that others around the child can use to understand the messages that the autistic person is sending.


There are many different forms of AAC as mentioned above. Usually an iPad is used, but there could be other devices such as Pocket Go-Talk 5-Level Communication Device or Enabling Devices Tactile Symbol Communicator, or you may also see something that is paper-based such as Picture Exchange Communication System (PECS) where a child will give a picture to communicate. A speech pathologist typically makes the recommendation for an AAC device, though others can refer your child to a speechie to discuss the AAC’s practicality for your child. Speechies also have access to a range of different apps or devices to trial with your child, such as Proloquo2go, LAMP Words For Life or Spoken – Tap to Talk AAC. This will help to determine which device or app is most suited to your child so that they have the best chance of success with the AAC.




So, what most people think, including me at one point in time, is that a child with an AAC device will not learn to speak. However, the research surrounding AAC devices shows improvements in communication, such as with the following:

- Communication skills

- Language development

- Social interactions and participation

- Expressive language abilities


For those that would like to see the research supporting the above, here are a few studies you can review yourself in support of AAC's:


1. Augmentative and Alternative Communication (AAC) FOR Children with Autism: A Review by Shane R., et al.

2. A Meta-analysis on the Effects of AAC Interventions on Communication Outcomes for Individuals with Autism Spectrum Disorder by Kagohara D.M., et al.

3. Augmentative and Alternative Communication Intervention for Persons with Rett Syndrome: A Systematic Review by Roche L., et al.

4. A Systematic Review of AAC Intervention Research for Adolescents an


d Adults with Autism Spectrum Disorder by Alzrayer N., et al.

5. Effectiveness of AAC Technology in Enhancing Communication Abilities for Individuals with Developmental Disabilities: A Systematic Review by Boesch M.C., Wendt

O.


To get an AAC device, you may be able to pay out of pocket, but you can also request one from the NDIS. Here is the link to find out more about what you need to provide for evidence of need:

I suggest speaking with your speech pathologist if you are interested in AAC and determining whether there is a device and/or app that is suitable for your child. Your speech pathologist can then write a letter to support the device being put into your plan.


If your goal is to help your child improve communication, then an AAC can assist your child to develop new skills or even become their voice!



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