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AAC. Augmentative and Alternative Communication Systems

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  1. AAC. Augmentative and Alternative Communication Systems Hilary Kanaris Speech and Language Therapist

  2. Alternative and Augmentative Communication Systems • Alternative –Instead of speech • Augmentative-as well as speech • Low tech –Pictures, signs etc • Hi Tech –A range of electronic aids • Choice will depend on the individual’s level of both physical and mental ability, and on the environment they are in.

  3. Do Symbols make any difference?

  4. Do Symbols make any difference?

  5. Who will use these systems? • Those with limited physical control – • For example –Cerebral palsy, paralyisis, hemiplegia, facial anomalies • Hearing Impairment • Specific Language Disorders • Learning Disabilities –e.g: Downs Syndrome, Severe developmental delay etc • Autistic Spectrum Disorders

  6. Signing Systems • Makaton • Signalong • British Sign Language (BSL) • Paget Gorman • Amerind • Langue des signes Quebecoise • Gestuno (World Federation of the Deaf)

  7. Objects of Reference • Used with people with Learning Disabilities who cannot access other systems • ‘Real’ Objects used initially • Used to let them know what will happen • And for them to communicate with us • May be a step towards a more symbolic system

  8. Visual Pictorial Systems • Large photos of actual objects • Smaller actual photos • Coloured pictures • Black and white pictures • Symbols (Makaton, Signalong, Mayer-Johnstone, Boardmaker, Widget) • Written words with pictures

  9. Makaton Symbols • These are produced by the same body as the sign system and consist of a set of black and white line drawings. • WIGIT software can be used

  10. Mayer Johnson Symbols • These consist of a set of black and white line drawings. They are more pictorial than makaton. • They were developed in the 1980’s in the USA

  11. Visual Timetables • To let the child know:- • What they have to do • How long to do it for • When will it be finished • How will they know it’s finished • What will happen next • To reduce anxiety and enable independence

  12. Picture Exchange Communication System (PECS) • For children at a pre-intentional and pre-verbal level of communication • Teaches Cause and Effect • Means you have to make contact • Starts at a one word level • Uses motivating items • Can build up to phrases if appropriate

  13. Hi Tech Communication Aids • For a range of abilities • Create messages for individual needs • Mostly portable • Enable the child to develop communication skills • Enable child to communicate independently • Cardiff Research Project