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AAC. Augmentative and Alternative Communication Systems. Hilary Kanaris Speech and Language Therapist. Alternative and Augmentative Communication Systems. Alternative –Instead of speech Augmentative-as well as speech Low tech –Pictures, signs etc Hi Tech –A range of electronic aids
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AAC. Augmentative and Alternative Communication Systems Hilary Kanaris Speech and Language Therapist
Alternative and Augmentative Communication Systems • Alternative –Instead of speech • Augmentative-as well as speech • Low tech –Pictures, signs etc • Hi Tech –A range of electronic aids • Choice will depend on the individual’s level of both physical and mental ability, and on the environment they are in.
Who will use these systems? • Those with limited physical control – • For example –Cerebral palsy, paralyisis, hemiplegia, facial anomalies • Hearing Impairment • Specific Language Disorders • Learning Disabilities –e.g: Downs Syndrome, Severe developmental delay etc • Autistic Spectrum Disorders
Signing Systems • Makaton • Signalong • British Sign Language (BSL) • Paget Gorman • Amerind • Langue des signes Quebecoise • Gestuno (World Federation of the Deaf)
Objects of Reference • Used with people with Learning Disabilities who cannot access other systems • ‘Real’ Objects used initially • Used to let them know what will happen • And for them to communicate with us • May be a step towards a more symbolic system
Visual Pictorial Systems • Large photos of actual objects • Smaller actual photos • Coloured pictures • Black and white pictures • Symbols (Makaton, Signalong, Mayer-Johnstone, Boardmaker, Widget) • Written words with pictures
Makaton Symbols • These are produced by the same body as the sign system and consist of a set of black and white line drawings. • WIGIT software can be used
Mayer Johnson Symbols • These consist of a set of black and white line drawings. They are more pictorial than makaton. • They were developed in the 1980’s in the USA
Visual Timetables • To let the child know:- • What they have to do • How long to do it for • When will it be finished • How will they know it’s finished • What will happen next • To reduce anxiety and enable independence
Picture Exchange Communication System (PECS) • For children at a pre-intentional and pre-verbal level of communication • Teaches Cause and Effect • Means you have to make contact • Starts at a one word level • Uses motivating items • Can build up to phrases if appropriate
Hi Tech Communication Aids • For a range of abilities • Create messages for individual needs • Mostly portable • Enable the child to develop communication skills • Enable child to communicate independently • Cardiff Research Project