AAC Flashcards
Access Barriers
Limitations in current communication capabilities
- Lack of Mobility
- Manipulation of Objects
- Management of Objects
- Cognitive Functions
- Literacy Problems
- Sensory-Perceptual Impairments
Opportunity Barriers
Imposed by others & not eliminated by AAC
- Policy - legislative or regulatory
- Practice - family or school conventions
- Knowledge - facilitator with lack of info
- Skills - diff. with implementation
- Attitude - beliefs
Communication Bill of Rights 1992 by National Joint Committee for Committee Needs of Persons with Severe Disabilities
- Request obj/action etc.
- Refuse obj/action etc.
- Express preferences & feelings
- Be offered choices
- Reject offers
- Request attention
- Ask about routine changes
- Intervention to improve comm. skills
- Receive response to requests
- Access to functioning AAC & AT at all times
- Accepting comm. environment
- Spoken to with respect
- Spoken to directly, not in 3rd person while present
- Meaningful, C&L appropriate
Impact of AAC on children’s language development
- Semantics: Spoken to less so they have lower vocab - Hart & Risley (1995, 1999)
- Syntax: 1-2 word messages, simple clauses, word omission & overextensions, diff. word order
- Morphology: low test scores poss. due to: unavailable symbol, choose efficient over accurate answer, not taught morph. rule
- Pragmatics: seldom initiate convos, constrained utterances
Etiologies associated with individuals with CCN
prepare for alphabet soup
CP, PD ASD, AOS, ID, ALS, MS, TBI, CVA, PPA, Aphasia, & Guillian-Barre Syndrome
Team Members in AAC approach
SLPs, Educators, PTs, OTs, nurses, Rehab engineers, Technicians, Researchers, Shapers of public policy & funding, AAC finders, facilitators, specialists & experts
Balanced Approach to Intervention
- Meet CURRENT & FUTURE communication needs
2. Meet MEDICAL & SOCIAL model
Aided AAC Techniques
- Tangible, manipulable symbols & objects
- Used with visual or dual sensory impairments & severe cognitive disabilities (& other populations)
Unaided AAC Techniques
- Gestures
- Vocalizations
- Pictorial Symbols (photos, drawings)
- Proxemics (seating arrang.)
- Can repeat, contradict, substitute for, complement, accent or regulate verbal behavior.
Multi-tier approach for CAS
5 tiers
- Traditional AAC
- AAC for Supplementation
- AAC for Comm. Breakdowns
- AAC for Academics & Literacy
- AAC for Practice
Partner-Dependent
[types of communicators]
Require communication partner to manage informational demands & provide comm. choices with highly familiar contexts.
Emerging
[types of communicators]
Extreme difficulties speaking using symbols & responding.
May have profound AOS.
Contextual Choice
[types of communicators]
Points to indicate basic needs. Easily recognize visual symbols.
Don’t have linguistic ability to initiate or add to convos.
Transitional
[types of communicators]
Use external symbols & strategies (fluent or nonfluent)
Some gestures, draw or speak.
Begin to search through notebooks. Increasingly know answers before choices presented.
Hallmark: need cues from partner to use an external strategy!
Independent
[types of communicators]
Cognitive & Linguistic Competence to converse independently.
Intentionally share ideas using variety of strategies & modalities.
Comprehend most of what is said with little contextual support.