Alternative and Assistive Communication
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| AAC | -the supplementation or replacement of natural speech using aided/unaided symbols -the field of area of clinical practice to improve the communication skills of individuals with low functional speech
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| What does AAC consist of? | -all forms of communication other than oral -facial expressions, gestures, symbols, pictures, write
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| Goal | -generally to achieve the most effective communication possible for the person -Aspects of this field include clinical service delivery, education and research.
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| Aided no tech AAC | -Does NOT use any power source -ex. book with symbols, board
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| Unaided AAC systems | -pointing -facial expressions -sign language -eye gaze -gestures
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| Aided low tech AAC | -uses some sort of power source -ex. simple switches, step-by-step -button to speak for you
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| Aided High Tech AAC | -require a power source, more advanced -ex. DynaVox -synthetic speech output -allow ppl to have conversations -easily programmed and accessible for client
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| Which one to use? | DEPENDS ON: -physical abilities: speech, respiratory, phonation, motor function -mental/cognitive functioning -Environment they are in
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| Visual Pictorial systems | -large photos of actual objects -smaller actual photos -colored pics -black and white pics -symbols -written words w/ pics
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| Who Uses AAC? | PEOPLE WITH: -limited physical control(CP, paralysis, hemiplegia, degenerative) -Hearing impairment -Specific Language disorder -Learning disability(downs) -Autism -temporary impairments
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| Who is responsible for providing AAC services? | -SLP -OT -PT -Parent -MD -psychologist
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| How much do they cost? | -depends on the system -unaided are inexpensive -aided is from 1.00-20,000 bucks
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| What other equipment is involved? | -high tech=protective case, mounts, speakers -Low tech= none -switches/eye scan to activate -usually cost is covered w/ submission for approval
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| Who will pay? | -Medicaid -Medicare -Private Insurance -School District -Client/family
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| Where are AAC devices utilized? | -any setting for a client -public or private
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| How to decide which device is best? | -client's needs and abilities -the multi-disciplinary team -trial of device before purchase
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| Who writes the funding report? | -OT or SLP
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| How long is the Process? | -depends on client/situation -week to months -ensure well written reports
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