Understanding Augmentative and Alternative Communication (AAC)
Augmentative and Alternative Communication (AAC) refers to methods and tools used to assist individuals who have challenges with verbal communication. For family members and supporters of individuals with autism, understanding AAC can help unlock new ways of connecting and communicating effectively. Research shows that AAC not only enhances communication skills but can also foster independence and improve quality of life.
Types of AAC
AAC can be divided into two main categories: unaided and aided communication.
| Type | Description | Examples |
|---|---|---|
| Unaided AAC | Forms of communication that do not require external tools. | Sign language, gestures, body language |
| Aided AAC | Involves the use of external tools or devices to facilitate communication. | Picture communication systems, speech-generating devices, apps |
Research Insights Into AAC
Numerous studies highlight the benefits of AAC for individuals with autism:
- Improved Communication: Research shows that AAC users experience more successful exchanges in communication compared to non-AAC users. This helps reduce frustration often associated with communication challenges in social settings.
- Social Interaction: AAC can facilitate social engagement, allowing individuals to interact more freely with peers and family members. This interaction is crucial in building social skills.
- Language Development: AAC promotes vocabulary growth and can support the development of both spoken and written language skills. Studies indicate that individuals using AAC often learn to use new words and phrases more rapidly.
- Individualized Needs: AAC systems should be tailored to individual preferences and capabilities, as customization leads to better outcomes. Research emphasizes the importance of involving the individual in selecting and using AAC tools. Sometimes multiple types of AAC systems will need to be tried.
How to Use AAC Effectively
- Assess Needs: Evaluate the individual’s communication abilities and preferences. Consult with speech-language pathologists who can offer personalized recommendations.
- Choose the Right Tools: Select AAC methods and tools based on the individual’s specific needs. Consider factors such as age, cognitive skills, and technology comfort level. Again it is crucial to involve experienced practitioners to help.
- Teach and Model: Use AAC tools consistently and model their usage in various contexts. Encourage the individual to express their needs and thoughts using the AAC system.
- Provide Support: Be patient and encouraging. Recognize that learning to use AAC effectively may take time and practice.
- Monitor Progress: Track the individual’s communication development and be open to adjusting the AAC system as needed. Continuous assessment can help make sure that frustration doesn’t become a roadblock to continued growth.
Tips and Considerations
- Collaboration: Work closely with professionals, including speech therapists, educators, and occupational therapists, to ensure a holistic approach to communication support.
- Accessibility: Ensure that AAC tools are accessible in various environments (home, school, community) to facilitate consistent use.
- Family Involvement: Engage family members in the AAC process. Familiarity with the tools aids in seamless communication and understanding.
- Patience and Practice: Encourage regular practice with AAC tools to build confidence and proficiency. Celebrate small successes to keep motivation high. Don’t try to force too much at a time.
- Feedback Loops: Create opportunities for feedback from the individual using AAC. Their experiences and preferences are invaluable in shaping how communication evolves.

Examples of AAC Tools
| Tool | Type | Pros | Cons |
|---|---|---|---|
| Communication Boards | Aided | Simple, can be custom-made, low cost | Limited vocabulary, time consuming, requires visual literacy |
| Speech Generating Devices (SGDs) | Aided | Can produce speech, extensive vocabulary | Higher cost; may require technical support |
| Mobile Apps (e.g. Proloquo2Go) | Aided | Portable, user-friendly interfaces, customizable | May need technical skills, reliance on a device |
| Sign Language | Unaided | No equipment needed, promotes natural gestures | Requires training, not universally understood |