Conditions We Treat: Children

Augmentative & Alternative Communication (AAC)

Evaluation and coaching for communication devices, boards, or apps that give a child a reliable way to communicate alongside or instead of speech.

What Is AAC?

Augmentative and Alternative Communication (AAC) is any tool or strategy that helps a child communicate when speaking or understanding words is difficult — it can be something as simple as gestures and pictures, or as sophisticated as a speech-generating device. AAC isn't a replacement for speech; for many children, it's a bridge that supports language development while speech skills are still developing, and for others, it becomes a reliable, lasting way to communicate.

A boy with glasses uses a speech app on a tablet while his mother smiles proudlyAAC gives children a voice.

When AAC Can Help

AAC can support a child in a few different situations.

  • As a temporary support while speech and language skills are still developing
  • To help a child understand spoken language more easily
  • Alongside speech, to round out communication rather than replace it
  • As a primary way to communicate for children who have significant difficulty with spoken language
  • As a tool for building language skills gradually, through consistent practice
A little girl points to a symbol on a communication board while her grandmother smilesAAC can help when speech is not enough yet.

Types of AAC

AAC generally falls into two categories. Unaided systems don't require any tools — gestures, facial expressions, body language, and sign language are all examples. Aided systems use an external tool or device, ranging from low-tech options like a pen and paper or a communication board, to high-tech tools like a tablet or dedicated speech-generating device.

  • Picture Exchange Communication System (PECS), and communication books or charts
  • Eye-pointing frames and PODD books
  • Sign language systems, like American Sign Language (ASL)
  • Switches and other adapted access tools
  • Speech-generating devices and apps, including tablet-based systems
A little girl chooses symbols on a tablet next to a picture-symbol boardFrom picture boards to talking devices, there is a fit for every child.

Our Approach to AAC

We start by getting to know how your child already communicates, then build from there — matching the right system, or combination of systems, to your child's specific needs, whether that's a full loss of speech, a temporary setback, or extra reinforcement alongside spoken language. Our goal with AAC is the same as with any therapy: giving your child a reliable, comfortable way to be understood, at home and everywhere else in their life.

A boy in a wheelchair uses a mounted tablet while his therapist kneels beside himOur approach builds AAC into everyday routines.

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