When speech alone is not enough...

Augmentative and Alternative Communication (AAC)

Augmentative and Alternative Communication (AAC) is an umbrella term for any type of extra method used:

  • to supplement speech or writing for those who are unable to speak or write effectively

  • to support the development of connected language 

  • to supplement comprehension for those with impairments in understanding or remembering spoken language.

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AAC is used by many people including those with Cerebral Palsy, Cognitive Impairment, Down Syndrome; Dyspraxia ; post Stroke; and Autism. AAC can be a permanent addition to a person's ways of communicating,  or a temporary aid eg: to boost early language development. 

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AAC may include:

  • Visual (picture and text) communication books

  • Visual strategies (picture and text)  such as visual schedules and timetables to support understanding and recall of spoken language and routines.

  • Adapted alphabets ; keyboards and word banks

  • Pragmatically Organised Dynamic Display (PODD) - language organised according to its use. 

  • Core Vocabulary Boards - language organised according to form (grammar) and
    categories of language.

  • Specialized communication apps for iPads and other tablets - word and/or picture based, and many with spoken voice output. 

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Some people have difficulty selecting (pointing by hand) to what they want to say from the list above due to physical; motor planning; sensory or visual difficulties.  More To Say can assess alternative ways of physically "accessing" the language method provided, using the expertise of a Specialist Occupational Therapist. Alternatives can include adapted keyboards/guards ; eye-gaze; headmouse; scanning and selecting ; switches ; as well as a range of auditory tools for the visually impaired.