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AAC for Adults with Complex Communication Needs

AAC for Adults with Complex Communication Needs. David Beukelman University of Nebraska, Lincoln University of Nebraska Medical Center Research Institute for Rehabilitation and Engineering at Madonna Rehab. Hospital . Introduction.

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AAC for Adults with Complex Communication Needs

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  1. AAC for Adults with Complex Communication Needs David Beukelman University of Nebraska, Lincoln University of Nebraska Medical Center Research Institute for Rehabilitation and Engineering at Madonna Rehab. Hospital

  2. Introduction • Motor speech disorders: Wide spread use of multi-modal communication strategies involving AAC and natural speech • Aphasia: Much less use of multi-modal communication strategies---much more focused on restorative intervention

  3. Meeting Communication Needs • Legal Definition: Unable to meet communication needs • Documenting Communication Needs • Identifying Met Needs • Identifying Unmet Needs http:aac-rerc.com Webcasts Beukelman, Yorkston, & Garrett, 2007 AAC Forms

  4. Planning for Today and Tomorrow • Implementing a strategy for TODAY • Preparing a strategy for TOMORROW • (Becomes Today) • Preparing a strategy for TOMORROW • (Becomes Today)

  5. Compensatory vs Restorative Interventions • Restorative: • Compensatory: • Combined:

  6. Integration of Residual Speech and AAC • Depends on the listener/partner • Circle 1: Family Members/Life Partners • Circle 2: Friends • Circle 3: Acquaintances • Circle 4: Paid Professionals • Circle 5: Unfamiliar Partners Blackstone & HuntBerg: Social Networks

  7. Integration of Residual Speech and AAC • Depends on the Message • Face to face • Phone • Presentation • Narrative • Response to questions • Internet

  8. Integration of Residual Speech and AAC • Depends on the Environment • Noisy • Listener distance • Group discussion

  9. Preparing the Decision-Makers • Identification: Who are they? • Information: What do they need? • Decision-making: How will they cooperate to make decisions? • Justification: How will they justify decisions to the extended family (community)?

  10. Personnel Framework • Finders: • Identify person with unmeet needs, • Aware of potential options, • Locate service providers, • Provide legal support (prescriptions) • General Clinicians: • Provide a range of different intervention services including some AAC

  11. Personnel Framework • Facilitators: • Assist the persons who relies on AAC • Specialists: • AAC over 50% time • Experts: • Researchers, Faculty, Policy, Program Leadership

  12. Case Examples:

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