Augmentative Communication

Augmentative and alternative communication (AAC) refers to a variety of approaches used to support, enhance or augment the communication of individuals who are not independent verbal communicators in all settings. AAC includes both low-tech systems such as sign language and eye gaze, as well as high-tech systems such as voice output computer-based communication devices. Children with cerebral palsy, autism, intellectual disability, and neuromuscular disease all may benefit from the use of augmentative communication. Early intervention with AAC facilitates language development for children who are at risk for severe speech impairment. Several studies have shown use of augmentative communication does not interfere with acquisition of natural speech.

Augmentative communication evaluations are provided by a speech/language pathologist working with a team of other professionals. Low-tech strategies may be implemented beginning in early intervention programs. After a child enters the developmental preschool system, AAC services are provided in the school setting.

Utah school districts sponsor the Utah Assistive Technology Teams (UATT), which provides trained assistive technology teams for each district. A wide variety of augmentative communication devices are available for loan to schools through the Utah Center for Assistive Technology. Schools are required by law to provide appropriate augmentative communication systems for children to use at school. Unfortunately, many districts will not allow the school's high-tech AAC devices to go home with students.

Augmentative communication devices may be funded as durable medical equipment through Medicaid, Medicare, and private insurance: Medicaid (see NM providers [213]), Medicare Special Needs Plan (see NM providers [60]), and Medical Care Expense Assistance (see NM providers [319]).

Private augmentative communication evaluations and training can also be obtained through speech/language pathologists at hospitals or other outpatient therapy clinics: Speech - Language Pathologists (see NM providers [401]) and Hospitals (see NM providers [106]). Referral to a speech/language pathologist experienced with the use of AAC in children is recommended, and therapists and hospitals in our listings are not necessarily pediatric providers. Private speech/language pathologists may also assist families in implementing augmentative communication in home and community settings.

For examples of available high- tech augmentative communication systems, please consult the following websites:Assistiveware http://www.assistiveware.com/

• Tobii Dynavox
• Tobii (augmentive communication)
• Prentke Romich Company
• AbleNet
• Saltillo
• Assitiveware (augmentive communication)

For further information regarding assistive technology services in Utah, please contact:

• Utah Center for Assistive Technology (UCAT)
• Utah Assistive Technology Program (UATP)
• Utah Assistive Technology Teams (UATT)