Introduction to Alternative and Augmentative Communication (AAC)

As a parent, navigating the world of Speech and Language Therapy can be overwhelming, especially when your child is not using mouth words to communicate.

One powerful tool that can support your non-speaking, minimally-speaking, or unreliably speaking child to communicate is Alternative and Augmentative Communication, commonly referred to as AAC. Here we demystify AAC, explore the different types and guide you on how to get started with AAC at home.

What is AAC?

AAC is the term used to describe any method in which a person can communicate other than mouth words (speech). It includes unaided and aided AAC.

Unaided AAC

These forms of AAC do not require any physical tools or devices:

Body language: Moving our bodies communicates, for example moving away from something might indicate we don’t like it.
Facial Expressions: Using facial cues to express emotions and responses.
Signing: Using hand shapes and movements such as Makaton or British Sign Language (BSL).
Gestures: Simple movements like pointing, waving, or nodding.

Aided AAC

These forms of AAC require a physical tool or device:

Paper-based AAC:
- Aided Language Boards: A visual communication tool which
  helps children express themselves using symbols and pictures. We have aided language boards available with games in our shop.
- Communication Books: A paper-based book with pictures or symbols that children can point to in order to express themselves.
- Choice Boards: A board which supports choice making e.g removable pictures of favourite foods, toys, people, places to go etc.
- Visual Scene Displays: A board which usually has a photograph in the centre and symbols and words around the outside
- Spelling charts: an alphabet chart which is used to spell out words and phrases
- Talking Mats: a published communication system for expressing feelings about certain topics
- E-Tran Frames: a frame positioned between the communicator and their partner where they use eye pointing to select a symbol or letter on the frame.
Electronic AAC:
- Speech-Generating Devices: Electronic devices that produce speech when the user selects symbols, pictures, or types text. These devices can range from dedicated communication devices to apps on tablets and smartphones.
- Eye-Tracking Systems: Advanced technology that allows individuals to control a computer or communication device using only their eye movements.

Benefits of AAC for Children who have Speech, Language and Communication Support Needs (SLCN).

AAC can be life-changing for children. Here are some of the key benefits:

Enhances Communication

AAC provides children with alternative ways to communicate their needs, thoughts, and feelings, which is crucial for their overall development and well-being. It helps bridge the gap when using mouth words is not a reliable form of communication.

Supports Language Development

Contrary to some misconceptions, AAC does not hinder speech development. In fact, it often supports and enhances language development by providing children with a means to practice and develop their communication skills. We often find that when a child has access to AAC they start using mouth words alongside this.

Reduces Frustration

Difficulty in communicating can lead to frustration and distressed behaviours in children. AAC helps reduce these challenges by giving children effective tools to express themselves, thereby improving their emotional and social interactions.

Promotes Independence

AAC empowers children by giving them the ability to make choices and express their preferences independently. This promotes self-confidence and a sense of autonomy.

Facilitates Social Interaction

With the help of AAC, children can engage more easily with their peers, family, and community. This fosters social connections and helps build meaningful relationships.

AAC at My Journey SLT

At My Journey SLT, we are committed to providing comprehensive support for children who use AAC. Our services include:

Assessments: Detailed evaluations to determine the most appropriate AAC tools and strategies for each child.
Therapy Sessions: Regular sessions to support the use of AAC and develop communication skills.
Training for Parents and Educators: Workshops and training sessions to equip parents, teachers, and support staff with the knowledge and skills to effectively use AAC.
Resources: A range of AAC tools, including aided language boards, available for purchase through our website to support communication at home and in the classroom.

Additional Resources

Communication Matters: An organization that provides information and support on AAC in the UK. Visit Communication Matters for more information.
The National Autistic Society: Offers resources and guidance on AAC for Autistic children. Visit The National Autistic Society for more information.
West Sussex Libraries: The "Understand Me - The Communication Library" offers AAC resources for borrowing. Visit West Sussex Libraries for more information.
NHS Services: Information on accessing AAC through NHS services can be found on the NHS Speech and Language Therapy page.