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How you can use AAC to
help your child use AAC


Staci Neustadt, M.S., CCC-SLP
September 25th, 2012
Today we will talk about…..

Basics of AAC devices
Roles in AAC
Using AAC
Goals in AAC
Myths about AAC
 Myth: AAC will inhibit a child from talking

     Truth: AAC can support and enhance speech
      production (Millar, Light, Schlosser, 2006)
 Myth: The child doesn’t need AAC, I understand him/her.

     Truth: When around peers or unfamiliar
      listeners your child may not be understood
      losing out on social opportunities.
 Myth: The child is too young for AAC

     Truth: Basic communication is learned in the
      first 3 years of life (Romski, Sevcik, 2005)
What most devices have in common?
 The words are organized by
  category
     Colors are either in
      school/art/activities/coloring, etc
     Food is under eat/kitchen/food
     Bath/wash are under
      tub/bathroom, etc
 All devices should all have core
  words
What most devices have in
common?
 Charger – need to be charged
  nightly
 On/off button – our goal is to teach
  the children how to access their
  voice
 Need a case/strap – comes with one
  from DDD or can order cases
  through AMDI, Amazon, etc
Troubleshooting

SEARCH – exploring a device can
 never hurt it
Support – most if not all devices
 have on-line access or a phone
 number for support
Contact me/your child’s DDD
 SLP
Take baby steps
Questions?

Questions about your
 child’s device?
Do you know how to turn it
 on/off?
Do you know where the
 food is or your child’s
 favorite activity is?
Everyone’s role is to……



Explore with your
    child and
   MODEL!!!!!
Everyone’s role is to teach/model the
power of AAC….
 Have devices out and with your child
  at all times.
 YOU use the device when you’re
  talking to your child
 Navigate and find pages/vocabulary
  (While the user is watching!)
 Ask or give commands using your
  child’s device
Encourage your child to own the
power communication!

They all have carriers so the
 children need to carry the device


This is their voice, teach them to
 bring it with at all times
Don’t make it your responsibility
 to carry.
Roles and Responsibilities of the
support TEAM………….
 Remember that one person
 doesn’t do it all.
A team approach is the most
 effective.
Designating roles and
 responsibilities to all of those
 working with the student will
 alleviate unwanted stress.
Parent/Guardian
 Programming new vocabulary into the
  device
 Identifying situations in which the student
  experiences
 Communication breakdowns to report to
  team for help in devising strategies
 Identifying successes and useful strategies
 Charging the student’s device on a daily
  basis
 Carrying over strategies implemented at
  school at home (i.e. reading weekly books
  at time)
Teacher’s, SLP’s, Aide’s roles….
(summarized)

Program
Provide language opportunities
Teach new vocabulary
Model
Provide and teach social
 language through social
 activities
Questions
How can you fulfill your role?
What help would you like from
 your team?
Where have you taken your
 child’s device or could you take
 their device to provide the power?
What have you programmed into
 your child’s device or what would
 you like to program?
This “box” “talker”
“voice” “computer”……
        is your child’s
VOICE TO BE HEARD!
 Your child’s “voice” should be used and with your child at ALL times
Ways we communicate
 Requesting (I want.. Can I have..)
 Commenting (I like that.. Cool…)
 Protesting (No, Don’t like)
 Greeting (Hi, good morning)
 Telling (Today at school I….)
 Questioning (what’s that…)
 Express discomfort or feelings (hurt, sick)
 Joke (knock knock, that’s an apple with eyes)
 Socialize (play with me)
What communication isn’t
Show me
Tell me
Say….
Do this
Where is….
What kind of communicator is your
child?
 Emergent communicator
    May use gestures or haven’t developed that
     skill yet
    Need a visual cue to communicate
    May have “lucky” hits
    Does not yet understand that a word has a
     meaning (ex. “no” means no or “chair” means
     chair)
 Context
    Communication is intentional but dependent on
     environment and communication partner
 Independent
    the ability to communicate anything on any
     topic to anyone in any context
Where is your child in language
 development?
 Brown’s Stages of Language Development
  Single words
  Two words or morphemes, use –ing, in/on, s-
   plurals (i.e. go car, walking)
  Irregular past tense, possessives, copular verbs
  Articles, regular past tense, third person, present
   tense
  3rd person irregular, uncontractable auxiliary,
   verbs contractable copular verbs

   Brown 1973
Teach communication and
language
Communication:
 By modeling and providing
  opportunities, teaching the
  cause/effect of AAC, children learn
  communication
Language:
 Reinforcing specific words (i.e.
  cookie gets cookie, car gets a car)
  teaches language/vocabulary
Moving beyond non-verbal
communication
 How to:
  Play dumb (i.e. sabotage)
  Model (Ex. Your child brings you a
    remote, you say “tv” with device)
  Provide visual cues
 Why:
  Words are easier than gestures
  Teaches vocabulary
  Beginning stage of language/speech
   development – single words
  Teaches expressive language
Sabotage
Betsy walks over to her teacher holding her
coat. (with the zipper stuck) Her teacher
says “Yes, that’s a nice coat.” Betsy pushes
the coat towards her teacher. “Oh, you want
me to wear your coat,” says the teacher.
Betsy grabs her coat back. The teacher
points to the Dynamyte that is lying nearby.
“I need to understand what you are trying to
tell me.” Betsy gets her device and presses
the button, “I need help.” “Yes,” says the
teacher. “Now I see that the zipper is
stuck.”
Language opportunities (see
     attached)
Activity :         Non-verbal          Inferred communication       Language that can be taught
             communication/intent               intent
Ex. Mom is   Pulling on mom’s shirt,    Child wants to vacuum                “my turn”
vacuuming     reaching for vacuum                                               “I do”
               and making noises                                            “I help you”

              Making upset noise       Child does not like vacuum         “stop” “don’t”
Teaching Language Acquisitions
 You have to provide the foundation, start
  where your child’s language development is
  at (i.e. single words, short phrases,
  developing syntax/grammar etc. )
 Don’t get stuck (i.e. “I want”)
 Model expansion (i.e. car-car go, cookie-
  yummy cookie, etc)
 Provide opportunities (i.e. missing spoon with
  cereal, commenting on fun activity, refusing
  undesirable food/toy)
 Model words that go together to make a
  phrase/sentence (I like that, she/he is +
  action)
Teaching powerful words - language

 Motivating words (i.e. food, sensory
  toys/activities, movies, etc)*Fringe words
 Core words:
In Banajee, M., DiCarlo, C., & Buras-Stricklin, S. (2003). Core Vocabulary
Determination for Toddlers, Augmentative and Alternative Communication,
   2, 67 – 73

  1. all done/finished     9.mine              17. that
  2. go                    10. more            18. the
  3. help                  11. my              19. want
  4. here                  12. no              20. what
  5. I                     13. off             21. yes/yeah
  6. In                    14. on              22. you
  7. Is                    15. out
  8. It                    16. some
Teaching phrases - language
 Model expansion (i.e. more-more that, go-
  you go)
 Carrier phrases (i.e. I like, I go, I play)
 Model what you say showing how you put
  the words together
 Talk at the same level as your child (amount
  of words)
 Model verbs that go with noun
    Ex. Your child says cookie, you model
     “eat cookie”
    Ex. You child says “car,” you model “play
     car”
Story
Josh enters the classroom each day as the other students
are circling around the teacher to tell some exciting thing
they did the night before. Today when Josh gets his
Dynamyte out of his backpack, he takes it up to the
teacher’s desk. Pushing a single button on the comments
page, he announces, “Guess what I did last night.”
(sentence based message). His teacher looks over and
responds, “Well, Josh, I don’t know. What did you do last
night?” Josh quickly navigates to his core page and
presses “I” “go”, then to the people page he presses
“Grandma”. (word based vocabulary) His teacher
responds again, “Oh, you went to Grandma’s house. What
did you do there?” Josh navigates again on the Dynamyte
and presses “eat” “popcorn” …back to the comments page
 “That’s yummy in my tummy.” His teacher says, “That
does sound like a good snack.” She then moves on to
another student who is seeking her attention. And Josh
walks happily to his seat, Dynamyte in hand. Today, Josh
had his chance to communicate too!!
Child/Home communication
 Please record what your child does the
  night or weekend before so he/she can
  share like his/her peers do in class
  (under “at school I…”)
 Personalize your child’s device with
  favorite items/activities, soothing
  activities or items, desired food/drink
 Use real pictures or pre-stored images of
  people in your child’s life
 Ask your child what he/she did at school,
  who they played with, etc
Beyond the basics (“my child
talks”)
“My child talks, why do I need AAC”?
Some of our kiddos think in pictures, can’t find word (Temple
Grandin)
YOU can model longer sentences/grammar with device to help
your child learn longer sentences
AAC is truly “alternative” communication, sparks the thought
Most often, won’t be needed long term

How to use AAC when they “say” the word?
Acknowledge what your child says, YOU support by repeating
and expanding on what your child says using the device
Don’t make them say it again, MODEL the next word or help
them be specific
    Ex. Child “says” ball…. You can find out if they want to
     “throw ball, bounce on ball,” comment “cool ball” by
     modeling the phrases with the device
Questions
When does your child “attempt”
 to communicate?
How can you start to use AAC at
 home?
What routines do you have
 common vocabulary in
 everyday?
What does your child love to do?
Goals
 Teach your child to be an
  independent communicator
 Help your child learn the power of
  communication
 Provide your child with a voice to
  comment, refuse, request,
  command
 Give your child a voice to tell us
  what they know or may want to
  learn
We are a TEAM!
We work TOGETHER!
We all take a step up to
teach your child to use
     their VOICE!

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How you can use AAC to help your child use AAC

  • 1. How you can use AAC to help your child use AAC Staci Neustadt, M.S., CCC-SLP September 25th, 2012
  • 2. Today we will talk about….. Basics of AAC devices Roles in AAC Using AAC Goals in AAC
  • 3. Myths about AAC  Myth: AAC will inhibit a child from talking  Truth: AAC can support and enhance speech production (Millar, Light, Schlosser, 2006)  Myth: The child doesn’t need AAC, I understand him/her.  Truth: When around peers or unfamiliar listeners your child may not be understood losing out on social opportunities.  Myth: The child is too young for AAC  Truth: Basic communication is learned in the first 3 years of life (Romski, Sevcik, 2005)
  • 4. What most devices have in common?  The words are organized by category Colors are either in school/art/activities/coloring, etc Food is under eat/kitchen/food Bath/wash are under tub/bathroom, etc  All devices should all have core words
  • 5. What most devices have in common?  Charger – need to be charged nightly  On/off button – our goal is to teach the children how to access their voice  Need a case/strap – comes with one from DDD or can order cases through AMDI, Amazon, etc
  • 6. Troubleshooting SEARCH – exploring a device can never hurt it Support – most if not all devices have on-line access or a phone number for support Contact me/your child’s DDD SLP Take baby steps
  • 7. Questions? Questions about your child’s device? Do you know how to turn it on/off? Do you know where the food is or your child’s favorite activity is?
  • 8. Everyone’s role is to…… Explore with your child and MODEL!!!!!
  • 9. Everyone’s role is to teach/model the power of AAC….  Have devices out and with your child at all times.  YOU use the device when you’re talking to your child  Navigate and find pages/vocabulary (While the user is watching!)  Ask or give commands using your child’s device
  • 10. Encourage your child to own the power communication! They all have carriers so the children need to carry the device This is their voice, teach them to bring it with at all times Don’t make it your responsibility to carry.
  • 11. Roles and Responsibilities of the support TEAM………….  Remember that one person doesn’t do it all. A team approach is the most effective. Designating roles and responsibilities to all of those working with the student will alleviate unwanted stress.
  • 12. Parent/Guardian  Programming new vocabulary into the device  Identifying situations in which the student experiences  Communication breakdowns to report to team for help in devising strategies  Identifying successes and useful strategies  Charging the student’s device on a daily basis  Carrying over strategies implemented at school at home (i.e. reading weekly books at time)
  • 13. Teacher’s, SLP’s, Aide’s roles…. (summarized) Program Provide language opportunities Teach new vocabulary Model Provide and teach social language through social activities
  • 14. Questions How can you fulfill your role? What help would you like from your team? Where have you taken your child’s device or could you take their device to provide the power? What have you programmed into your child’s device or what would you like to program?
  • 15. This “box” “talker” “voice” “computer”…… is your child’s VOICE TO BE HEARD! Your child’s “voice” should be used and with your child at ALL times
  • 16.
  • 17. Ways we communicate  Requesting (I want.. Can I have..)  Commenting (I like that.. Cool…)  Protesting (No, Don’t like)  Greeting (Hi, good morning)  Telling (Today at school I….)  Questioning (what’s that…)  Express discomfort or feelings (hurt, sick)  Joke (knock knock, that’s an apple with eyes)  Socialize (play with me)
  • 18. What communication isn’t Show me Tell me Say…. Do this Where is….
  • 19. What kind of communicator is your child?  Emergent communicator  May use gestures or haven’t developed that skill yet  Need a visual cue to communicate  May have “lucky” hits  Does not yet understand that a word has a meaning (ex. “no” means no or “chair” means chair)  Context  Communication is intentional but dependent on environment and communication partner  Independent  the ability to communicate anything on any topic to anyone in any context
  • 20. Where is your child in language development?  Brown’s Stages of Language Development Single words Two words or morphemes, use –ing, in/on, s- plurals (i.e. go car, walking) Irregular past tense, possessives, copular verbs Articles, regular past tense, third person, present tense 3rd person irregular, uncontractable auxiliary, verbs contractable copular verbs Brown 1973
  • 21. Teach communication and language Communication: By modeling and providing opportunities, teaching the cause/effect of AAC, children learn communication Language: Reinforcing specific words (i.e. cookie gets cookie, car gets a car) teaches language/vocabulary
  • 22. Moving beyond non-verbal communication  How to: Play dumb (i.e. sabotage) Model (Ex. Your child brings you a remote, you say “tv” with device) Provide visual cues  Why: Words are easier than gestures Teaches vocabulary Beginning stage of language/speech development – single words Teaches expressive language
  • 23. Sabotage Betsy walks over to her teacher holding her coat. (with the zipper stuck) Her teacher says “Yes, that’s a nice coat.” Betsy pushes the coat towards her teacher. “Oh, you want me to wear your coat,” says the teacher. Betsy grabs her coat back. The teacher points to the Dynamyte that is lying nearby. “I need to understand what you are trying to tell me.” Betsy gets her device and presses the button, “I need help.” “Yes,” says the teacher. “Now I see that the zipper is stuck.”
  • 24. Language opportunities (see attached) Activity : Non-verbal Inferred communication Language that can be taught communication/intent intent Ex. Mom is Pulling on mom’s shirt, Child wants to vacuum “my turn” vacuuming reaching for vacuum “I do” and making noises “I help you” Making upset noise Child does not like vacuum “stop” “don’t”
  • 25. Teaching Language Acquisitions  You have to provide the foundation, start where your child’s language development is at (i.e. single words, short phrases, developing syntax/grammar etc. )  Don’t get stuck (i.e. “I want”)  Model expansion (i.e. car-car go, cookie- yummy cookie, etc)  Provide opportunities (i.e. missing spoon with cereal, commenting on fun activity, refusing undesirable food/toy)  Model words that go together to make a phrase/sentence (I like that, she/he is + action)
  • 26. Teaching powerful words - language  Motivating words (i.e. food, sensory toys/activities, movies, etc)*Fringe words  Core words: In Banajee, M., DiCarlo, C., & Buras-Stricklin, S. (2003). Core Vocabulary Determination for Toddlers, Augmentative and Alternative Communication, 2, 67 – 73 1. all done/finished 9.mine 17. that 2. go 10. more 18. the 3. help 11. my 19. want 4. here 12. no 20. what 5. I 13. off 21. yes/yeah 6. In 14. on 22. you 7. Is 15. out 8. It 16. some
  • 27. Teaching phrases - language  Model expansion (i.e. more-more that, go- you go)  Carrier phrases (i.e. I like, I go, I play)  Model what you say showing how you put the words together  Talk at the same level as your child (amount of words)  Model verbs that go with noun  Ex. Your child says cookie, you model “eat cookie”  Ex. You child says “car,” you model “play car”
  • 28. Story Josh enters the classroom each day as the other students are circling around the teacher to tell some exciting thing they did the night before. Today when Josh gets his Dynamyte out of his backpack, he takes it up to the teacher’s desk. Pushing a single button on the comments page, he announces, “Guess what I did last night.” (sentence based message). His teacher looks over and responds, “Well, Josh, I don’t know. What did you do last night?” Josh quickly navigates to his core page and presses “I” “go”, then to the people page he presses “Grandma”. (word based vocabulary) His teacher responds again, “Oh, you went to Grandma’s house. What did you do there?” Josh navigates again on the Dynamyte and presses “eat” “popcorn” …back to the comments page “That’s yummy in my tummy.” His teacher says, “That does sound like a good snack.” She then moves on to another student who is seeking her attention. And Josh walks happily to his seat, Dynamyte in hand. Today, Josh had his chance to communicate too!!
  • 29. Child/Home communication  Please record what your child does the night or weekend before so he/she can share like his/her peers do in class (under “at school I…”)  Personalize your child’s device with favorite items/activities, soothing activities or items, desired food/drink  Use real pictures or pre-stored images of people in your child’s life  Ask your child what he/she did at school, who they played with, etc
  • 30. Beyond the basics (“my child talks”) “My child talks, why do I need AAC”? Some of our kiddos think in pictures, can’t find word (Temple Grandin) YOU can model longer sentences/grammar with device to help your child learn longer sentences AAC is truly “alternative” communication, sparks the thought Most often, won’t be needed long term How to use AAC when they “say” the word? Acknowledge what your child says, YOU support by repeating and expanding on what your child says using the device Don’t make them say it again, MODEL the next word or help them be specific  Ex. Child “says” ball…. You can find out if they want to “throw ball, bounce on ball,” comment “cool ball” by modeling the phrases with the device
  • 31. Questions When does your child “attempt” to communicate? How can you start to use AAC at home? What routines do you have common vocabulary in everyday? What does your child love to do?
  • 32. Goals  Teach your child to be an independent communicator  Help your child learn the power of communication  Provide your child with a voice to comment, refuse, request, command  Give your child a voice to tell us what they know or may want to learn
  • 33. We are a TEAM! We work TOGETHER! We all take a step up to teach your child to use their VOICE!

Editor's Notes

  1. There are many myths when it comes to AAC and children There is so much research that proves AAC only promotes speech and language …. Baby signs!
  2. What does that look like?
  3. Give examples of how AAC users do this non-verbally