Presentation on theme: "Augmentative Communication Evaluations Simplified: ACES Tools & Resources Debby McBride, MS, CCC-SLP Presented by AAC TechConnect Inc. Lisa Bardach, MS,"— Presentation transcript:
Augmentative Communication Evaluations Simplified: ACES Tools & Resources Debby McBride, MS, CCC-SLP Presented by AAC TechConnect Inc. Lisa Bardach, MS, CCC-SLP Libby Rush, MS, CCC-SLP Tanya Curtis, MS, CCC-SLP 700+ participants in other workshops (contributions in content & resources)
Purpose To give people their VOICE Because we all have something to say!
What role do you play in giving people their voice?
What does Augmentative/Alternative Communication mean to you?
What is augmentative /alternative (AAC) communication? Refers to the incorporation of techniques that can be used to help individuals with disabilities in general, as well as to very specialized technologies designed specifically for individuals with significant and severe disabilities. These techniques include, for example, the use of communication symbols, aids, strategies, skills, and devices designed to assist disabled individuals. (Sarah Blackstone; 1986)
AAC communication includes Nonverbal Vocalizations * Low-tech or no-tech * Lite-tech * High-tech
Goals include: Your goals for this workshop Write 3 ( on the back of your evaluation form) *
Goals include: Explain the process of obtaining an AAC tool/device Describe tools/techniques used to determine the AAC candidates skill Complete many of the components with templates provided for gathering, compiling and reporting the results. Identify components on AAC devices such as common features and categories of devices (i.e. dynamic display, digitized, integrated, etc.) Identify local resources and consultants for trials, support, and funding assistance for AAC devices.
Schedule Today – Looking at the Communicator Using a Toolkit for Evaluation Lunch Matching persons to devices / communication tools Trialing the toolkit Tomorrow Case studies – ours Case studeis - yours Decision-making process for appropriate devices Trialing the appropriate device(s) Using your local resources Funding
A Systematic Approach for AAC Evaluations ACES Module A ugmentative C ommunication E valuation S implified
Tools and Resources you will leave with: ACES Module (handouts & on CD) Evaluation Toolkit List The Persons (form) AAC Device Features (form) Case History & Eval Summary (form) Device Decision Making (form) Resources on CD Handouts (including the above) AAC device flyers Templates (report, summary forms, etc.) Other resources (website lists, vendors lists, etc.) Websites: free resources
Challenges you have? Why… *
AAC Evaluations - Challenges Availability of systematic assessment protocols Acquire premade materials/resources (vocabulary, overlays, etc) Not organized / equipment available when needed / working when needed Training ??? Knowledge??? Experience??? Keeping up with technology Overwhelming ? ? ?
Process – Beginning to end Person Referral Gathering information Deciding on skills to assess Choosing the toolkit items used Evaluating the individual's skills (sensory, physical, language, communication functions/needs, etc.) Summarizing individuals skills
Process continued Communication Tools / Devices Matching skills to communication tools (feature - matching) Voice / no voice Trialing communication tools / voice output devices Making recommendations Writing appropriate documentation Completing funding paperwork as needed Use of your equipment reps
Evaluation Who are they? What do they want to say? Where do they want to say it? How do they want to say it? What are their current skills? What technology can bridge the gap?
Feature Matching – Determine what the individual needs, then find the technology with the requisite features and match the technology to communicator. SDT
Level of communicator Emerging Context/Partner Dependent Independent
Emerging No RELIABLE means of EXPRESSIVE communication through SYMBOLIC language Have some functional non-verbal communication (gestures, vocalizations, other nonsymbolic communication) Able to attend, even briefly, to individuals, conversations, pictures, or symbols Yes/no (acceptance/rejection) depicted with body language; i.e. no reliable yes/no for more complex communication
Context- or Partner-Dependent Has SYMBOLIC communication that is RELIABLE but limited to particular CONTEXTS or PARTNERS Rely on partners to provide limited response set Need frequent instruction and cueing Difficulty with initiation May only be functional in particular settings Wide range with regard to # of partners and # of settings
Independent (Generative) Can communicate ANYTHING on ANY TOPIC to ANYONE in ANY CONTEXT Locate, select, and convey messages on their own Can interact with familiar / unfamiliar partners equally well Can sequence symbols or letters to generate novel messages
Switch access Circle for location of switch Type of switch Mount / attachment How many switches?
Scanning options Auditory / visual Linear / row-column / group Step / inverse / auto Other
Who is your person?
Evaluation - Whats in your toolkit? What do you currently use?
Gathering your Toolkit Help you organize what you have - toolkit list Help you decide what to add to your resources Give you additional ideas for premade materials / resources Give you additional resources you can access: CD AAC TechConnect- web AAC TechConnect-
Single message communicators Replays one message at a time Recorded speech Some can do multiple messages (repeats different message each time you select it) Some can do different levels / situations
Progressive Communicator - Digitized device(s) Start simple – 2 pictures Add more pictures Has levels Direct select Recorded speech (voice) Uses overlays
Others in your closet Macaw Message Mates ChatBox Others? Any of these? Any of these
Digitized Devices (examples only – not all inclusive)
The Evaluation Toolkit Toolkit
Toolkit #3 - Higher Tech Laptop or tablet computer (convertible laptop optimal) Add communication software Emulate devices (large, medium, small) Accessories Touch Screen (not just with pen) Switch interface
Laptop Computer, Touch Screen and AAC Software
I stuff (iPad, iPod, iTouch, etc.)... Droid, Slate, etc.....
Communication Software Emulate the devices 3 rd party software which does the following: Make various configuration of overlays Able to link them together to evaluate navigation Can do scanning of all types Spelling (word prediction) - optimal
Software for purchase Tobii Communicator (Tobii ATI) - $599 - SayIt! Sam Software (Words +)-$1395 SayIt! Sam Software Speaking Dynamically Pro (Mayer Johnson)- The Grid (Sensory software) Mind Express (Words+) others Boardmaker Plus (Mayer Johnson) Boardmaker Plus Overboard (Gus) Overboard
Free manufacturer software/ demos you can get... Series 5 Semesterware (DynaVox) Series 5 Semesterware PASS software (Prentke Romich) PASS software SayIt! Sam ( Words+) E Z Keys (Words+) Mind Express (Words + - coming) Others?
What do you have? or What do you think you may need / want?
Time for lunch!
ACES Module: Your Tools & Resources Toolkit components: communication tools to have at your fingertips (in the bag) Premade evaluation materials / resources (in the book) Templates / resources to complete paperwork (on CD and on the web) Resources to make decisions on devices (On web)
Premade resources - ideas
Evaluation Materials/Resources Materials include: Objects Pictures Premade overlays / pages Low tech (communication boards) Lite tech (overlays for digitized devices) High tech (pages for dynamic display options)
Symbols and premade materials Make your own Purchase other resources Examples of Toolkit Notebook CD coming with PCS boards on it – Fall 2010
Pre-made pictures/overlays What do you use? We use... Examples include various sizes (size of message key and #s of keys) Various communication functions Dynamic display (low tech example) Sizes example
Talking My Wya TALKING MY WAY
Object Symbol Resource
PCS – Boardmaker (Mayer-Johnson)
SymbolStix - Symbolmate – News2U
Overboard by Gus
The Test of Aided-Communication Performance (TASP) by Joan Bruno, Ph.D., CCC-SLP A tool for the assessment of symbol- based communication skills. Includes subtests on symbol size and number, grammatical encoding, categorization and syntactic performance. Results may help determine AAC intervention strategies and goals. Provides starting point for designing communication boards or selecting a page for an AAC device.
Alphabet boards Alphabet/Spelling Alphabet boards Keyboard arrangements ABC QWERTY Frequency of occurrence Grammar based boards
The Device: Features to Consider
Symbols Objects COPPS Photos Pictures Words Letters Media (video clips, etc.)
Language Representation Single meaning pictures Multi-meaning pictures (Unity) Alphabet / spelling Use of core words Visual scenes Phrase-based Grammar-based boards
Single meaning pictures
Semantic CompactionSemantic Compaction (Unity) Multi-meaning pictures Less key strokes (in sequencing) – faster Motor memory Icon prediction Activity row – picture prediction
Semantic CompactionSemantic Compaction-example
Premade vocabulary considerations Language representation Progression (easy to more complex) Individualizing Smaller vs. larger vocabulary needs Ease of navigation Ease of learning (for user and communication partners)
Refer to AAC Feature Chart for Voice/speech Device functions/access Keyboard Type of Device Devices to trial
Small - intermediate
Try it on...
Types of devices to consider Dynamic display Integrated systems Text – to – speech Digitized Simpler digitized Single message communicators
Dynamic Display Multiple pages Navigate between pages Variety of symbols available Both types of speech (digitized & synthesized) Possible to use generative language Offers more options for alternative access
Integrated System Multiple pages Navigate between pages Variety of symbols available Both types of speech (digitized & synthesized) Includes computer components
Digitized Simpler communication needs Recorded voice Use of pictures Multi lingual Most of them have: Paper overlays that are changed Also called static display
Digitized Devices (examples only – not all inclusive)
Text to Speech Mainly spelling (keyboard and some have scanning) Most have built-in keyboards Mostly synthesized speech, though few have digitized speech
Text-to-Speech (examples only – not all inclusive)
Lets Review what we have so far: The Person (ACES Module) AAC Device Features (AAC Module) Toolkit List (AAC Module) Gather information (Case history & Summary Evaluation in ACES Module) Record evaluation results (form above & Assessment summary in Templates) Device Decision-Making (AAC Module) Device Assistant – 30 day trial from AAC TechConnect Write report (Templates) Funding (work with vendor)
Device Selection Which Device to Choose ? ? ? ? Low tech Lite tech High tech Combination
How do you proceed?..... Know users skills.....now what?
Device Selection Options Catalogues AAC TechConnect – contact manufacturers Manufacturer websites Go to individual ones – AAC TechConnect has list AAC TechConnect – free resources Pictures (thumbnails of 100+ devices) Free flyers
Website which gives the following free information on ONE site Website Whats New Whats Manufacturers Product information
Clinical Tools From AAC TechConnect The ACES Device Assistant – project of AAC-RERC The Resource for Lite Tech Low Cost AAC Chart (by Libby Rush & Mary Joan McClure)
Demo – AAC TechConnect Free trial
Clinical Online Tools from Lite Tech Low Cost Chart AAC TechConnect $14.95 (online with credit card) Device Assistant Free trial – 14 days Fee – for – service after that
Trialing equipment Loan equipment AT centers Vendors – local resources Manufacturers Rental options
Do you... Have some new strategies to try? Have some things in your closet you will dig out for use?
Questions? ? ?
Review goals Suggestions for next time? Please put on your eval form.
Did we: Explain the process of obtaining an AAC tool/device Describe tools/techniques used to determine the AAC candidates skills Complete many of the components with templates provided for gathering, compiling and reporting the results. Identify components on AAC devices such as common features and categories of devices (i.e. dynamic display, digitized, integrated, etc.) Identify local resources and consultants for trials, support, and funding assistance for AAC devices.
THANK YOU for helping others To get The best choice For the best voice
Contact us at: Debby McBride, MS, CCC-SLP 866.4U.AAC.RX 866/ or 303/