Augmentative & Alternative Communication (AAC)

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 Helping Nonverbal and Minimally Verbal Children Express Themselves 

 AAC refers to tools and strategies used to support or replace spoken communication. It helps individuals who have difficulty speaking express their thoughts, needs, and emotions.

AAC can range from low-tech options like picture cards and choice boards, to high-tech devices like tablets and speech-generating apps.

Your child may benefit from AAC if they:

• Are nonverbal or minimally verbal
• Use gestures or behaviors instead of words to communicate
• Struggle to form words due to a physical or neurological condition
• Are frustrated by not being understood
• Have autism, cerebral palsy, apraxia, or developmental delays
   

AAC is not a last resort. It can be introduced early and used alongside speech development.

•  Low-tech: Picture exchange systems (PECS), choice boards, communication books
• Mid-tech: Simple voice-recorded devices or single-message buttons
• High-tech: Tablets with communication apps, speech-generating devices (SGDs)

1.  Evaluation by a Speech-Language Pathologist (SLP)
   Your child’s communication strengths and needs are assessed.
2. Trial period with different tools
   The goal is to find the most effective, easiest-to-use system.
3. Training for child and family
   Everyone learns how to support and model AAC use.
4. Ongoing support to adjust as your child’s skills grow

•  “If they use AAC, they’ll never talk.”
  ➤ False. AAC often supports and encourages spoken language development.
   
• “It’s only for older children.”
  ➤ False. AAC can be introduced to toddlers and even babies showing communication delays.

 AAC devices can be expensive — but there are options:

• Medicaid & TEFRA often cover devices with proper documentation
• Private insurance may fund all or part of the cost
• School districts or early intervention programs may provide equipment
• Grants and foundations can help families without coverage

•  Ask your child’s speech therapist about AAC options
• Request an AAC evaluation through your child’s therapy provider
• If your child is in First Connections (under age 3), AAC may be included in your IFSP
• For school-aged children, request an evaluation through your IEP team