Here is authentic AAC teaching by the AAC Chicks. Watch for the combined use of AAC language facilitation strategies. Can you see: aided language input, wait & signal/time delay prompt, specific reinforcement, expansions, scaffolding, modeling, and more. Also, for the SLP’s, notice the data collection that does not distract from the session.
One of the biggest challenges that SLPs face is how to help the communicator use new skills outside the therapy room. Whether the client is someone who stutters, has voice problems, or any other speech-language difficulty, the question is the same: How can we get the client to use skills that were learned and practiced in a therapeutic situation to use those same skills at home, in school, and in the community? It’s an issue with all learners, but for adolescents and adults, we seem to be playing ‘catch up’ all the time. Plus, they are encountering greater numbers of less familiar communication partners and have to fend for themselves more often, making skill generalization even more of a critical topic. Much has been written about problems of generalization by using loose training, and varying the instructional setting, partners, instructions, prompts, and materials. In our way of thinking, it starts... [Read More...]
Inner speech is important. Recent research has strengthened our belief that developing inner speech is an important strategy for many people who use AAC and are working to build their literacy, sensory, and language skills. But how do we teach someone to develop that inner voice? Here are some ideas. 1. Begin by using a ‘think aloud’ strategy to make your internal thought processes obvious to the person who uses AAC. Articulating your thoughts as you work through different communication and literacy learning processes gives the learner insight into what you are thinking. Once they are used to that, it is easier to introduce the concept of private/inner speech. – 2. Use explicit instruction. “Say it to yourself.” “Say it in your head.” Using natural gestures, like tapping your temple, can be helpful as well. We’ve found that this allows us to reduce the prompting over time. Fade the verbal prompt and... [Read More...]
When learners are still struggling with communication in their teenage years and beyond, it means we have a lot of catching up to do. There are lots of implications for us as SLPs, of course, but the main one is this: Every interaction should have a purpose. As we head to the waiting room or classroom to see this student, we’re focused on how we can elicit practice on meaningful skills in the next few minutes. On a good day, we can use these few minutes before the session productively. Before we get to the therapy room we try to: use expectant pauses and graduated prompting to elicit a greeting at his/her highest level engage him/her in conversation to practice social exchanges provide opportunities for him/her to respond to a non-obligatory communicative context and facilitate a response make basic requests, like asking for help to open the door that we’ve... [Read More...]
People with aphasia are often most successful when a number of different strategies are combined. In this post, we discuss a number of strategies that we can use in our therapy and teach to communication partners. Augmented Input We’ve written so many posts about aided language input that we’re almost embarrassed to bring it up again. Almost. It seems like no matter which age group or clinical population is the subject of our post, that strategy plays a central role. It is the same for people with aphasia with one exception. They benefit from a broader array of input cues, such as gestures, writing, and even pantomime. Augmented input is the term that is used to refer to oral language that is supplemented with pictures, print, gestures, pantomime, and the use of objects in the environment. By using these things as you speak, you enhance the ability of the person... [Read More...]
One of the things SLPs frequently do at the start of their therapy sessions is have some casual conversations with their clients to catch up on what happened since their last visit. Whether it is an elementary school student with ASD, a teenager with cerebral palsy, or an older adult with aphasia, we engage in polite conversation to find out what they’ve been up to and perhaps share a bit about our own experiences. Here are some thoughts on making those ‘catch-up conversations’ work from a prAACtical perspective. 1. Possible goal areas: initiate conversation; maintain dialogue on an established topic; redirect conversation to a new topic; respond to non-obligatory communication opportunities; use temporal terms in multi-word utterances; convey a personal narrative with a clear beginning, middle, and end; use regular past tense verbs; ask partner-focused questions 2. Core language targets: it, we, they, do/did, have/had, was/were, not It was (not);... [Read More...]
We’re thrilled to continue our Fresh Look series in celebration of Better Hearing and Speech Month (#BHSM). In this post, Dr. Melanie Fried Oken, from the Oregon Health and Science University, talks about some AAC strategies for people with dementia. I was captivated by her 2012 presentation on this topic at ISAAC 2012, and knew it was important to be able to share some of you work with you. We have much to offer these individuals with dementia, and Melanie’s post and linked resources are a great way to get started. ::::::::::::::::::::::::::::::::::::::::::::::::: Hey, what about us AAC providers who work with adults? We love reading PrAACtical AAC and can often adjust the tips, equipment recommendations, and strategies to meet our population needs. So when Carole gave me an opportunity to blog about AAC for adults with dementia, I grabbed the chance. I’d like to share with you some facts about... [Read More...]
Today we welcome back 3 SLPs from the Orange County Public School (OCPS) AT team, Cathy George, Marcia Sterner, and Marcia Piersall. They are part of a very active and competent AT Team that supports over 700 students with dedicated AAC devices. It is no surprise that they’ve come up with a list of 5 essential TRICKs that they count on to help them support these students and their educational teams. You can read about the first 2 TRICKS, Try It and Resources, here and download some of their terrific resources. Today, we learn about the rest of their TRICKs: Information, Can’t Live Without It, and Kick It Up A Notch. Give Me Five: Essential TRICKS, Part 2 INFORMATION about the student Student interests What systems previously tried What tasks s/he is struggling with Trial data sheet– Communicative competence organizer CAN’T LIVE WITHOUT IT: In addition to AAC devices, these... [Read More...]
This month we have talked about core words and teaching strategies & considerations for facilitating USING core language. We have talked about aided language input, creating frequent opportunities, making connections b/w symbols and their referents, and motor planning/automaticity. As April ‘goes out’, we add graduated prompting/prompt hierarchies, and wait & signal/time delay prompts. The key to teaching AAC core word language is strategies…. Aided language input (ALI) is fairly simple to do but sometimes overlooked. However, once it becomes habit, it is hard not to do even when you are ‘just’ talking about AAC displays. There are many clinical rationales or reasons why ALI is so important. It provides a model of the language we expect from the child (or adult), and how would anyone speak a language if they never ‘heard’ it. ALI also helps by introducing new words and symbols in meaningful contexts. If we are speaking AAC throughout the day then... [Read More...]
We’re so happy to welcome Lauren Enders back to share some more thoughts on AAC and the IEP. In her first post on this topic, Lauren addressed some frequently asked questions. Today, she provides a very valuable perspective on writing IEP goals for students who use or need AAC and some wonderful resources. Very often, I receive requests for support from teachers and speech therapists that are writing IEP goals for their students who use AAC. When we sit down to discuss their questions, the first thing I remind them is that AAC goals are no different from any other IEP goal. I recall a workshop I attended years ago presented by Gail VanTatenhove that helps put IEP goals for AAC into perspective. Gail said that AAC therapy is just language therapy. Isn’t that true? Aren’t we just teaching language? For this student, language is simply being expressed in a... [Read More...]