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AAC devices: What they are and how they work

As mobile speech pathology providers in Brisbane who work with adults and children, we often recommend our clients consider using Augmentative and Alternative Communication (AAC) devices. These tools can make a big difference when it comes to overcoming challenges with speech and communication. 

Take a look at the types of AAC devices available, how they support autistic children and the vital role parents and caregivers play in ensuring they can be used to achieve communication goals.

What are Augmentative and Alternative Communication (AAC) devices?

AAC refers to methods, tools or electronic devices used to support communication for individuals who do not speak or have difficulties communicating effectively. 

Several AAC tools and devices are available, and they fall into three main categories: low-tech, mid-tech and high-tech.

Low-tech AAC devices

Low-tech AAC tools are simple, non-electronic solutions that facilitate communication through visuals or symbols. Examples include picture boards, communication books, basic eye gaze boards, and PECS (Picture Exchange Communication System)

These tools are easy to use and are particularly useful in settings where technology is not accessible. They provide an effective means of communication without the need for an iPad or other connected device.

Low-tech AAC tools are handy to integrate into a daily routine, for example having a choice board on the fridge to allow children to communicate what they want to eat. There’s no need to switch on a device or hope the WiFi is working, and they are helpful for users who are not tech-savvy or aren’t motivated to use technology. 

Mid-tech AAC devices

Mid-tech AAC devices are slightly more advanced than low-tech options, incorporating electronic or mechanical features to aid communication. 

These devices often include switches with voice output and communication boards that offer auditory feedback. Mid-tech solutions are often similar to low tech AACs, with an added voice output feature, such as a choice board that can ‘speak’. Having the additional voice element can be helpful for users who don’t have the skills to use a tablet or device, and when out and about in noisy environments. 

High-tech AAC devices

High-tech AAC tools use connectivity and technology to enhance communication. These devices often include tablets or computers with specialised AAC apps, speech-generating devices and advanced eye-tracking systems. 

High-tech AAC devices are particularly beneficial for individuals with complex communication needs because they offer flexibility and easy accessibility. Users can customise their communication device at any time and anywhere to match their needs and preferences.

How do AAC devices support autistic children in improving their communication skills?

Autistic children often face unique challenges in language development but having the support of a specialist speech pathologist can pave the way to progress. 

AAC devices play a pivotal role in supporting children by fostering the ability to integrate various methods to convey messages and become ‘total communicators’ who can use gestures, facial expressions, body language, pictures and written words to connect with the people around them.

By providing an alternative means of communication, AAC devices help autistic children express their thoughts and ideas more effectively and the result is improved social interactions and better communication skills. As children become more proficient in using an AAC, they gain confidence in their ability to communicate, which reduces frustration and enhances their quality of life.

At Talk Health Therapy, our NDIS speech pathologists can support autistic children and their families to create functional and meaningful goals and use AAC tools to work towards them. 

Which AAC device is best for children?

Selecting the most appropriate AAC device is a collaborative process involving the child, their family and an experienced speech pathologist. Our Brisbane speech pathologists work closely with families under the NDIS framework to identify the best communication tools on a case-by-case basis.

The process to choose the best AAC device begins with an initial assessment. The speech pathologist will chat with the family, make observations and gather information about the child’s communication strengths and challenges. 

During this phase, the speech pathologist will evaluate the child’s skills across four main competencies: linguistic, operational, strategic, and social.

From there, different devices will be trialled to determine the most effective solution. Feedback from the family is crucial in this process, as they can provide insights into the device’s effectiveness and its integration into daily routines. 

A speech pathologist will continually review the device’s impact on the child’s communication abilities to make sure it remains suitable.

What role do parents and caregivers play in the successful implementation of AAC devices?

As a parent or caregiver, you are instrumental in the successful implementation and ongoing use of AAC devices. Between appointments with a speech pathologist, you play a vital role in consistently supporting the child’s use of the device. Regular practice is essential for mastering AAC, and effective communication is best learned through natural interactions, which often take place outside of therapy sessions.

Integrating an AAC device into activities such as mealtimes, helps the child use the device in practical, real-life situations. By fostering a supportive and encouraging environment, parents and caregivers can help to improve their child’s communication skills and confidence in using AAC devices.

Getting used to an AAC device can take practice and patience but consistency is key. 

AAC Device Case Study

Talk Health Therapy works with a range of NDIS participants across Brisbane, many of whom require the support of a speech pathologist. 

We recently supported one young girl who is a ‘gestalt language learner’, meaning she learns language in chunks or sentences rather than individual words. 

Before using an AAC device, this child’s efforts to communicate were difficult for others to understand. However, she demonstrated strong skills across the four competencies and was tech-savvy. 

After uploading Proloquo2Go on her iPad, our young client experienced a breakthrough, enabling her to share her feelings and talk about past events—something she had never done before. This development helped her family better understand her thoughts and emotions; a great result for everyone.

AAC devices are powerful tools that can improve the lives of children and other individuals with communication difficulties. By working closely with a Brisbane speech pathologist who visits regularly, NDIS participants and their families can find the right AAC device or tool to meet their needs.

We look forward to exploring the use of AAC devices as part of your NDIS speech pathology services package. Reach out to Talk Health Therapy today.

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