Communication comes in many forms. While some children use words, others thrive with visual tools, signs, or technology. Finding the right tools to support your child’s communication style can make a world of difference. For some kids, that tool is an AAC device.
You may be wondering, “What is an AAC device?” or “Why does my child need an AAC device?” In this post, we’ll explain what AAC devices are, who can benefit from them, and how Westside helps families find communication solutions that empower their children to connect with the world.
What Is AAC?
AAC stands for Augmentative and Alternative Communication. Augmentative means adding to or supporting existing communication abilities. Most of us use augmentative communication throughout the day without even realizing it. Augmentative communication includes gesturing, pointing, and using facial expressions.
Alternative means communicating in ways other than speech. These ways include picture boards, apps, and dedicated communication devices. Together, AAC is a broad term that covers any tool, method, or system that helps someone communicate when they’re not able to use spoken language effectively.
There are two main types of AAC:
- Low-tech AAC
- Picture cards or boards
- Visual schedules
- Picture Exchange Communication Systems (PECS)
- Gesturing
- Sign language
- Basic recorded speech devices (Go Talk Communication Aid, BIGmack Communicator)
- High-tech AAC
- Electronic tablet speech applications (examples: ProLoQuo2Go, Snap Core First)
- Dedicated speech devices (examples: devices by Tobii Dynavox and PRC-Saltillo)
AAC is a powerful, research-supported tool that can reduce frustration, support learning, and even encourage speech development in many children.
The term “AAC device” typically refers to a tablet or dedicated speech-generating device that runs a communication app. When the user taps a button, the device speaks the selected word or phrase aloud. These devices can be customized based on the user’s age, developmental level, and communication needs. Some systems use only pictures, others combine pictures with words, and some use only text, depending on the user’s skills and preferences.
Who Might Benefit from AAC?
AAC is for anyone who has difficulty using verbal speech as their main form of communication. This includes children who are:
- Nonverbal or minimally verbal (less than 50 words)
- Experiencing speech delays or developmental language disorders
- Diagnosed with autism, apraxia of speech, cerebral palsy, or Down syndrome
- Temporarily unable to speak due to medical or neurological conditions
AAC doesn’t mean giving up on speech. In many cases, it acts as a bridge, helping children express themselves more fully while supporting their overall communication development.
Common Myths About AAC
Here are some common misunderstandings around AAC:
Myth #1: “If my child uses AAC, they’ll never learn to talk.”
Truth: AAC does not prevent speech. In fact, it often encourages it. A widely cited meta-analysis by Millar, Light, and Schlosser (2006) reviewed 27 studies on AAC and speech development. The researchers found that the vast majority of individuals showed an increase in speech after beginning AAC. Importantly, no participants showed a decrease in speech as a result of using AAC.
Every child’s communication journey is unique: some may use AAC as a lifelong tool, while others may rely on it temporarily as they build their verbal skills. The goal is always to support meaningful communication in whatever form works best for your child.
Myth #2: “AAC is only for older kids.”
Truth: AAC can be introduced to toddlers and even infants. There’s no age requirement for supporting a child’s communication needs.
Myth #3: “My child won’t be able to figure out a device.”
Truth: Devices and systems are chosen and customized based on each child’s unique abilities. Children with significant cognitive impairments can successfully use AAC devices.
How Westside Children’s Therapy Can Help
At Westside, our speech-language pathologists specialize in helping children communicate – however that looks for them.
AAC Evaluation Process
We evaluate each child individually to see whether AAC might be a good fit. During an AAC evaluation, we assess the child’s communication strengths and match their abilities to specific tools (stylus, touchguide, keyguard) and access methods (eye gaze, direct selection, etc.). This evaluation is completed by a licensed and certified speech language pathologist who is specifically trained in the area of AAC, and typically takes around 90 minutes.
Trial Period
We begin a trial period, where the family is sent home with multiple devices for a period of a few weeks. During the trial period, the therapist, your child, and your family will explore different AAC devices together. At the end of the trial, you’ll decide on the best fit by looking at which device your child is most motivated to use, how independently they can use it, and how well it helps them communicate.
Ongoing Speech Therapy
After your child receives an AAC device, ongoing speech therapy will help them learn how to use it effectively. The therapist will model how to use the device in different situations and create opportunities for your child to practice using it in meaningful ways. Over time, the goal is for your child to use the device independently to communicate with different people at home, school, and in the community.
Family Training and Support
Speech therapy also includes family training, so you know how to use AAC at home, during meals, in the car, or out in the community. As your child grows and becomes more skilled, the device can be updated with new buttons or features to expand their communication. One of the most important things you can do as a parent or caregiver is to model using the AAC device as often as possible!
Team Collaboration
We collaborate with your child’s team – occupational therapists, ABA therapists, teachers – to make sure AAC is integrated into all aspects of life. Our goal isn’t just to help your child “say words,” but to help them connect, express themselves, and be truly understood in the way that works best for them.
Getting Started with AAC
Westside offers comprehensive speech-language evaluations to help determine the best communication tools and strategies for your child. If you’re unsure whether a full evaluation is needed, we also provide a free 15-minute screening with a licensed speech therapist to discuss your concerns and guide you toward the right next steps.Reach out to us at (815) 469-1500, or contact us here. We’re happy to answer any questions you have!
