Aac for adults with complex communication needs
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AAC for Adults with Complex Communication Needs. David Beukelman University of Nebraska, Lincoln University of Nebraska Medical Center Research Institute for Rehabilitation and Engineering at Madonna Rehab. Hospital . Introduction.

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Aac for adults with complex communication needs

AAC for Adults with Complex Communication Needs

David Beukelman

University of Nebraska, Lincoln

University of Nebraska Medical Center

Research Institute for Rehabilitation and Engineering at Madonna Rehab. Hospital


Introduction
Introduction

  • Motor speech disorders: Wide spread use of multi-modal communication strategies involving AAC and natural speech

  • Aphasia: Much less use of multi-modal communication strategies---much more focused on restorative intervention


Meeting communication needs
Meeting Communication Needs

  • Legal Definition: Unable to meet communication needs

    • Documenting Communication Needs

    • Identifying Met Needs

    • Identifying Unmet Needs

http:aac-rerc.com Webcasts

Beukelman, Yorkston, & Garrett, 2007 AAC Forms


Planning for today and tomorrow
Planning for Today and Tomorrow

  • Implementing a strategy for TODAY

  • Preparing a strategy for TOMORROW

  • (Becomes Today)

  • Preparing a strategy for TOMORROW

  • (Becomes Today)


Compensatory vs restorative interventions
Compensatory vs Restorative Interventions

  • Restorative:

  • Compensatory:

  • Combined:


Integration of residual speech and aac
Integration of Residual Speech and AAC

  • Depends on the listener/partner

  • Circle 1: Family Members/Life Partners

  • Circle 2: Friends

  • Circle 3: Acquaintances

  • Circle 4: Paid Professionals

  • Circle 5: Unfamiliar Partners

Blackstone & HuntBerg: Social Networks


Integration of residual speech and aac1
Integration of Residual Speech and AAC

  • Depends on the Message

    • Face to face

    • Phone

    • Presentation

    • Narrative

    • Response to questions

    • Internet


Integration of residual speech and aac2
Integration of Residual Speech and AAC

  • Depends on the Environment

    • Noisy

    • Listener distance

    • Group discussion


Preparing the decision makers
Preparing the Decision-Makers

  • Identification: Who are they?

  • Information: What do they need?

  • Decision-making: How will they cooperate to make decisions?

  • Justification: How will they justify decisions to the extended family (community)?


Personnel framework
Personnel Framework

  • Finders:

    • Identify person with unmeet needs,

    • Aware of potential options,

    • Locate service providers,

    • Provide legal support (prescriptions)

  • General Clinicians:

    • Provide a range of different intervention services including some AAC


Personnel framework1
Personnel Framework

  • Facilitators:

    • Assist the persons who relies on AAC

  • Specialists:

    • AAC over 50% time

  • Experts:

    • Researchers, Faculty, Policy, Program Leadership



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