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Using the Toolkit. AAC Evaluations Simplified: Tools & Resources. Review. Name 1 new thing you learned yesterday Ideas Resources Equipment. Review process – so far. Person with complex communication needs (CCN) 1. Determine what you know about them

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using the toolkit

Using the Toolkit

AAC Evaluations Simplified:

Tools & Resources

review
Review
  • Name 1 new thing you learned yesterday
    • Ideas
    • Resources
    • Equipment
review process so far
Review process – so far

Person with complex communication needs

(CCN)

1. Determine what you know about them

Case History / Case History Summary

2. Evaluate skills - with your toolkit

3. Summarize skills

4. Look at device features

agenda
Agenda
  • Evaluation Examples: 3 types of communicators
  • Work through your individuals with complex communication needs (CCN)
  • Feature matching
  • Device selection options and research
  • Trialing equipment
  • Vendor Presentations
  • Questions and Summary
evaluation examples
Evaluation Examples
  • 3 types of communicators
    • Emerging
    • Context – dependent / situation dependent
    • Independent
emerging
Emerging

No RELIABLE means of EXPRESSIVE communication through SYMBOLIC language

  • Have some functional non-verbal communication (gestures, vocalizations, other nonsymbolic communication)
  • Able to attend, even briefly, to individuals, conversations, pictures, or symbols
  • Yes/no (acceptance/rejection) depicted with body language; i.e. no reliable yes/no for more complex communication
case study 1 rm
Case Study #1 - RM
  • Age 23
  • TBI at age 18
  • Quadriplegic, no functional movement
  • Can turn head but unclear to what degree
  • Limited arousal/attention
forms
Forms
  • Vocalization
  • Body movement
  • Facial expressions
  • Inconsistent eye contact
  • Blinks for yes/no (inconsistent)
  • Attends to family, friends, TV
function
Function
  • Make request
  • Make choices
  • Continue
  • Stop
  • Protest/reject
  • Help
  • Pain/discomfort
toolkit items
Toolkit items
  • Pictures (black/white, color)
  • Velcro Board
  • Eye gaze board
  • Switch
  • Switch mount
  • Single message voice output
  • Computer with switch interface and communication software
outcome
Outcome
  • Eye gaze f/2
  • Single switch hits
  • Single message voice output
  • Partner-assisted scanning
context or partner dependent
Context- or Partner-Dependent

Has SYMBOLIC communication that is RELIABLE but limited to particular CONTEXTS or PARTNERS

  • Rely on partners to provide limited response set
  • Need frequent instruction and cueing
  • Difficulty with initiation
  • May only be functional in particular settings
  • Wide range with regard to # of partners and # of settings
case study 2 jm
Case Study #2 - JM
  • TBI age 7
  • Age 15 at evaluation
  • Power w/c, drives with left non-dominant hand
  • Can point to objects
  • Has Delta Talker but doesn’t really use it
  • Receptive vocabulary worse than most give credit for
  • Rarely initiates communication
  • Answers specific questions if he knows the sequence
  • Uses some signs
functions
Functions
  • Make requests / choices
  • Indicate continue / stop
  • Greet and simple interactions
  • Answer questions
  • Make comments
  • Ask questions
  • Relate personal events
  • Participate in class
  • Communicate physical problems
toolkit items1
Toolkit Items
  • Communication devices –
    • Dynamic display
    • Picture-based
    • Minspeak
    • Icon prediction
  • Keyguards
outcome1
Outcome
  • Vantage
    • Small (can mount to w/c and not hit doors)
    • Dynamic display
    • All pages fit keyguard
    • Minspeak
  • Training seminar for school
  • Imitation to increase verbal speech
  • Learn to string icons together
independent generative
Independent (Generative)

Can communicate ANYTHING on ANY TOPIC to ANYONE in ANY CONTEXT

  • Locate, select, and convey messages on their own
  • Can interact with familiar / unfamiliar partners equally well
  • Can sequence symbols or letters to generate novel messages
case study 3 lu
Case Study #3 - LU

Independent communicator

  • ALS
  • Computer literate
  • Physical access – degenerative
  • Verbal speech still good
functions all
Functions - all
  • Including computer access
toolkit
Toolkit
  • Access
    • Headpointing
    • Eye gaze
    • Scanning – single / double switch
  • Language Representation method
    • Spelling
    • Word-based
    • Pre-stored messages
    • Conversation facilitation
outcome2
Outcome
  • Intake form
  • V Max with EyeMax
  • AlphaCore
  • May use direct touch for now
  • Continued use of computer for written communication
  • MDA funding
slide23
Augmentative Communication Strategies for Adults with Acute or Chronic Medical Conditions

Beukelman, Garrett, & Yorkston, eds.

Paul H. Brookes Publishing Co.

your turn
Your turn
  • Decide on groups
    • Emerging communicators
    • Context – depending communicators
    • Independent communicators
  • Decide on 1 person the group will focus on
  • Get out your forms
    • Summary of Observations (CD)
    • The Communicator
    • The Device
    • Toolkit list
your process
Your process

1) Look at known skills of person with

CCN (complex communication needs)

2) Look at items in toolkit to continue

assessment

3) Speculate on possible devices or

communication tools which would

meet communication needs

summary
Summary

Pertinent background

  • Medical, etc.
  • Hearing/Vision
  • Physical
    • Ambulatory
    • Access: direct select, scanning, switch placement, etc.
known skills summary
Known skills summary
  • Cognitive
  • Pragmatics/Behavioral
  • Receptive
  • Expressive
    • Current communication methods
    • Verbal Speech
    • Symbols used
    • Message Formulation
functions why are they communicating
Functions – WHY are they communicating?
  • Attend to environment/others
  • Express wants/needs
  • Make requests / choices
  • Continue/stop
  • Request attention / help
  • Protest
  • Greet
slide29
Answer / ask questions
  • Direct actions of others
  • Initiate – maintain – end conversation
  • Make comments
  • Relate personal experiences/events
  • Repair communication breakdowns
  • Express novel thoughts / ideas
communication needs who and where
Communication Needs – WHO and WHERE
  • Communication partners

“With WHOM are they communicating?”

  • Communication situations

“ WHERE are they communicating?”

toolkit items to use for evaluation
Toolkit items to use for evaluation
  • No – tech
  • Lite – tech
  • Digitized
  • High-tech
    • Access
    • Additional features
look at features required
LOOK at FEATURES REQUIRED
  • No – Tech (no voice) vs. Higher Tech (voice output)
  • Input features to be addressed (on next slides)
  • Output features to be addressed ( on next slides)
input features
INPUT FEATURES
  • Selection Technique;
    • Direct select (modifications?)
    • Scanning (type)
    • Switches (number, type, etc.)
  • Symbol features
    • Pictures (type – photos, drawings)
    • Alphabet
input features continued
Input Features continued:
  • Use of multiple pages:
    • Understand navigation
    • How to change pages
    • Who changes pages . . . Etc.
  • Rate enhancement:
    • Prestore messages
    • Dynamic display required
    • Premade vocabulary
    • Word / phrase / character /grammatic prediction
output features
OUTPUT FEATURES
  • Voice output
    • Synthesized
    • Digitized
    • Other languages
    • Text – to – speech
  • Visual display
    • Static display – or dynamic screen
    • Size of screen – small, med., large
    • Other considerations:
output features continued quick review
OUTPUT FEATURES (continued – quick review)
  • Message key characteristics
  • Message bar characteristics
  • Other device requirements (computer access, printer, telephone, etc.)
  • Accessories
  • Environmental controls
  • Accessories (mounts, carry bags, etc)
  • Device style: keyboard vs. tablet
how do you proceed
How do you proceed?

. . . . . Know user’s skills

. . . . . . . . Know device features

. . . . .now what?

device selection options
Device Selection Options
  • Catalogues
    • AAC TechConnect – contact manufacturers
  • Manufacturer websites
    • Go to individual ones – AAC TechConnect has list
  • AAC TechConnect – free resources
    • Pictures (thumbnails of 85+ devices)
    • Free flyers
  • Vendors
trialing equipment
Trialing equipment
  • Vendors – local resources
  • Manufacturers
  • Loan equipment
  • Rental options
  • ASHA – list of questions to ask manufacturers
explore programming of the device
Explore Programming of the device
  • Try the actual programming – see how it feels
  • Communication partners need to feel comfortable with the programming
  • Sales representatives can assist
  • Ask what support options include
accessories list on cd
Accessories (list on CD)
  • Carry bags
  • Keyguards
  • Access hardware (switches/head controlled device, joystick, etc.)
  • Mounting systems/componants
  • Extra power (if required)
  • Internet/computer access (hardware/software)
  • Environmental controls
  • Software to make overlays (for digitized devices)
  • Others?
completing the paperwork
Completing the paperwork
  • Gather
  • Summarize
  • Write report
  • Get quote / info from manufacturer
  • Complete funding paperwork (packets from each company)
funding
Funding
  • Medicare, Medicaid
  • 3rd party medical funding (Private Insurance – BCBS, AETNA, Cigna, etc.)
  • VA
  • Vocational Rehab
  • Independent living
  • Private pay
  • Auto Insurance
slide52
MDA
  • Charitable Organizations
    • Animal Shelters (Elks, Moose, Lions, etc.)
    • Kiwanis
    • Rotary Club
    • JCs
    • Make-a-Wish
    • Religious organizations
  • Work with your local device representatives
free templates
Free templates
  • CD
  • www.aac-rerc.org
  • Report Coach: aacfundinghelp.com
  • Dynavox – funding manager
  • Templates on www.aactechconnect.com
vendors
Vendors

30 minute stations

do you
Do you . . .

Have some new strategies to try?

Have some things in your closet you will dig out for use?

ceu s from aac institute follow instructions on form
CEU’s from AAC Institute: Follow instructions on form

How did we do?

What else include next time? ? ?

  • Please complete survey – we make changes based on your input
  • Testimonials – greatly appreciated
aac institute
AAC Institute
  • Find our workshop listed
  • Fill out attendance form and evaluation form (on website)
our goals were
Our goals were . . .
  • Explain the process of obtaining an AAC tool/device
  • Describe tools/techniques used to determine the AAC candidate’s skills
  • Complete many of the components with templates provided for gathering, compiling and reporting the results.
  • Identify components on AAC devices such as common features and categories of devices (i.e. dynamic display, digitized, integrated, etc.)
  • Identify local resources and consultants for trials, support, and funding assistance for AAC devices.
review your goals
Review your goals

How did we do?

Place a check mark by the ones you accomplished.

What else to include next time? ? ?

  • Please complete survey – we make changes based on your input
  • Testimonials – greatly appreciated and will be posted on website
thank you
THANK YOU

for helping others

get their voice

slide65
866.4U.AAC.RXinfo@aacTechConnect.com

www.aacTechConnect.com866.4U.AAC.RX ( 866.482.2279)

www.aacTechConnect.com