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AAC education

AAC can include high-tech, low-tech, and no-tech communication.

Augmentative and alternative communication, or AAC, includes methods that supplement or compensate for speech and language difficulties. It can include gestures, signs, pictures, letter boards, communication boards, apps, and speech-generating devices.

What are nonverbal communication support tools?

Nonverbal communication support tools are methods a person can use to communicate without relying only on speech. Depending on the person, that can include gestures, signs, writing, pictures, choice boards, letter boards, communication cards, apps, speech-generating devices, or combinations of these methods.

What tools can help when speaking is difficult?

Start with the person's established communication methods. Simple options can include written choices, yes/no cards, picture or symbol boards, alphabet boards, text on a phone, gestures, or an AAC system the person already uses. The right support depends on the person and the situation; a new communication partner should not replace a familiar method merely because another tool is available.

AAC is broader than a device

The American Speech-Language-Hearing Association describes AAC as a broad area that can include unaided methods such as gestures and manual signs as well as aided methods such as objects, pictures, communication boards, computers, and speech-generating devices.

Low-tech supports can still be useful

A printed choice board, written yes/no options, a small communication card, or a letter board can be useful when a device is unavailable, battery power is limited, the environment is noisy, or a new communication partner needs quick guidance. “Low-tech” does not mean less legitimate; it describes the technology level, not the importance of the person's communication.

A support card should complement established AAC

If someone already uses AAC, a communication support card should not tell other people to ignore or replace that system. A better role is to explain how a new communication partner can support it, such as allowing enough time, keeping the device within reach, or asking before physically assisting.

Do not assume one method works for everyone

Communication methods are individual. Some people use several methods depending on fatigue, environment, communication partner, or task. The person's own preferences and established strategies should guide the interaction.

Professional assessment may be appropriate

When a person needs evaluation or treatment related to speech, language, communication, or AAC, a qualified professional can assess needs and recommend appropriate supports. General educational content cannot determine the right AAC system for an individual.

Primary sources and further reading

Educational information only. This page does not evaluate, prescribe, or replace an AAC assessment, speech-language treatment, emergency response, or another legally required communication aid or service.