Complementary roles of AAC and speech. AAC and Speech AAC is useful for anyone who is unable to use...
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Transcript of Complementary roles of AAC and speech. AAC and Speech AAC is useful for anyone who is unable to use...
AAC and Speech• AAC is useful for anyone
who is unable to use speech to meet all communication needs– Across all partners– Across all contexts /
settings
• AAC is also useful to address barriers to language learning
AAC and Speech• AAC and speech are
NOT mutually exclusive.– Most people have some
ability to vocalize or speak
– FUNCTIONALITY is the key concept
Roles of AAC
• Augment existing speech• Serve as a primary output mode for
communication• Serve as both an input and output mode for
communication• Foster the development of language.
Relationship between AAC and speech: 4 categories
• No need for AAC• AAC as a back-up strategy• AAC as an equal partner with speech• AAC as a primary mode of communication
1. No need for AAC
• Able to meet all communication needs across partners and contexts using speech alone.– Speech, language, and communication skills may
or may not be “normal”– Person is able to use speech to participate at an
appropriate level in his or her life without any compensatory communication strategies.
2. AAC as a back-up strategy
• Able to meet most communication needs across partners and settings using speech alone– mildly reduced intelligibility that sometimes results
in difficulty in adverse communication situations. – AAC to supplement speech or as a back-up when
partners have difficulty – Speech is the primary mode of communication; AAC
is a secondary, supporting mode
What does a child who needs AAC as a back-up strategy look like?
• Talks reasonably well, but below age level expectations• Mild intelligibility problems• Language may be “normal” or impaired• Communication breakdowns may occur in adverse
environments• Participation is limited in adverse environments• Role of AAC:
– support language development– supplement speech– resolve breakdown situations– backup strategy
3. AAC as an equal partner with speech
• Able to meet some communication needs across partners and contexts using speech alone– moderately reduced intelligibility – speech may be functional with familiar
communication partners or in quiet situations– AAC used to enhance speech intelligibility; often
used simultaneously with speech – AAC and speech are both primary modes of
communication, depending on the partner and the setting.
What does a child who needs AAC as a partner with speech look like? • Talks in single words or multiword utterances
• Moderate to severe intelligibility problems– Different partners may be more or less skilled at understanding the child
• Language may be “normal” or impaired• Functional communication limited to familiar partners and settings• Participation limited without significant scaffolding• Role of AAC:
– Support language development– Support speech development– Supplement speech– Enhance functional communication and participation
4. AAC as a primary mode of communication
• Able to meet few or no communication needs across all partners and contexts using speech alone. – May produce a few idiosyncratic words or vocalizations
that very familiar communication partners can interpret – may use facial expressions, gestures, and vocal
intonation for communication– Comprehensive AAC systems needed for nearly all
communication interaction to enable social and educational participation.
What does a child who needs AAC as a primary mode of communication look like?
• Unintelligible speech • Language may be “normal” or impaired• Very limited functional communication abilities• Very limited participation• Role of AAC:– Provide expressive communication modality– Enhance functional and independent
communication– Enhance participation