Clear Creek Low Incidence and AT/AAC Angela Standridge /21/20131REgion 4 ESC

DATE: Communication Matrix Pre-verbal Communication Schedule ules/Module-2.4-Assessment-monitoring-and- evaluation/All/m08p030b.html ules/Module-2.4-Assessment-monitoring-and- evaluation/All/m08p030b.html Pragmatics Profile of Everyday Communication Skills WATI ASNAT (Chapter 3) AAC Assessment 10/21/20132REgion 4 ESC

Communication and Symbolic Behavior Scales Triple C: Checklist of Communication Competencies Every Move Counts Every Move Counts AAC Profile Social Networks Inventory SCERTS (Barry Prizant) SCERTS Test of Aided-Communication Symbol Performance Some AAC devices have cognitive, linguistic and access assessment tools built into the software AAC Assessment 10/21/20133REgion 4 ESC

Engagement, participation and communication Participation Press and play Allows students to engage in an activity – Circle time – Scripted activities – “tell me”, “show me” Often utilizes only content or context specific vocabulary Communication Low and high tech Involves the use of core vocabulary May involve the use of fringe, content/context specific, and academic vocabulary Sharing of basic needs/wants AND novel utterances (thoughts, feelings, opinions) 12/19/2012Region 4 ESC4

Nutrition, Medications and/or Seizures Feeding issues- can’t engage if one is not nourished Medications – Time of day – Time rerelease? Seizures Keep a log to document the “best” times/days to work/learn 10/21/20135REgion 4 ESC

Starting where they are Language development- where they are; where to go next; what to expect Core vocabulary- even (especially) at this level Where does low/mid/high tech come in Never say never, but… 10/21/20136REgion 4 ESC

Core vocabulary consists of the most frequently used words we speak and write About 80 % of what we say is comprised of about the same 300 words- across age levels, gender, culture, etc. In order to communicate, access to core vocabulary in single word units is required If intervention time is invested in teaching, modeling and reinforcing core vocabulary, communicators will be able to say most of what they need to say VanTatenhove and Normal Language Development Core Vocabulary Just the Facts 20137Region 4 ESC

So what are the core vocabulary words? Most of those words are pronouns, prepositions, demonstratives, common verbs, common adjectives, common adverbs and a few common nouns 20138Region 4 ESC

WordsPercentageWordsPercentage I9.5you3.2 no8.5what3.1 yes/yeah7.6on2.8 the5.2in2.7 want5.0here2.7 is4.9more2.6 it4.9out2.4 that4.9off2.3 a4.6some2.3 go4.4help2.1 my3.8all done/finished1.0 mine3.8TOTAL96.30% Banajee, M., Dicarlo, C., & Stricklin, S. B. (2003). Core vocabulary determination for toddlers. Augmentative and Alternative Communication, 19, Core Words: Toddler 2013Region 4 ESC9

25 Most Frequent Core Words: College Texting 2013Region 4 ESC10 From yo (u)aremywant(ed)I’m to(2 too)ye (yep ya)andwithit Iweisalike o (okay k)bejustatme that(s)goodnohavey (why)

Students with some speech? Research consistently says use of AAC will support the development of speech if it is to develop at all Does not keep a child from developing speech Provides an avenue for teaching and supporting language development and access IEP/curriculum Millar, Light, & Schlosser (2006). The impact of augmentative and alternative communication intervention on the speech production of individuals with developmental disabilities: A research review. JSHR. 49: Does AAC impede natural speech?- and other fears. Unioversity of Nebraska-Lincoln’s AAC Connecting Young Kids [YAACK] website – Parent blogs: & SLP blog blog 10/21/201311REgion 4 ESC

Some participation ideas… Games Access videos with accessible YouTube site and switch interface Low tech AAC with Circle time vocabulary Picture exchange with calendar/schedule items 2-3 single switch voice out put devices with choices for snack/activity Early learning app for colors, letters, numbers 10/21/201312REgion 4 ESC

Some communication ideas… Greetings Like/Don’t like More Stop Done Next Help Jokes Friend’s names 10/21/201313REgion 4 ESC

LOW TECH AAC 2013Region 4 ESC14

Types of Low Tech Boards Books Wallets Walls Eye Gaze Dial Scans Auditory Scanning Tactile Symbols “Just in Time” 2013Region 4 ESC15

Strategies Partner assisted scanning PECs or other picture exchange programs PODD – – Aided Language stimulation Janice Light’s resources /14 /14 DON’T FORGET CORE 2013Region 4 ESC16

MID TECH AAC 2013Region 4 ESC17

Types of Mid tech Single message devices Single message, multiple level devices Static multiple level devices- 2 to 32 locations Dynamic digitized speech devices Some Tablet (iPad, Android, Windows) apps 2013Region 4 ESC18

Strategies Use for fringe and content specific vocabulary Use for games and activities that control others Use in conjunction with electronic aids to daily living and environmental controls Dr. Janice Light d/14 d/14 DON’T FORGET CORE 2013Region 4 ESC19

HIGH TECH AAC 2013Region 4 ESC20

The big secret 2013Region 4 ESC21

Features Synthesized Speech (text-to-speech feature) allows for spelling & word prediction Usually have digitized speech option well Large memory Multiple access modes Generative language Independent programming by communicator Usually have core vocabularies built into the devices 2013Region 4 ESC22

Types Dedicated- is only an AAC device Integrated- is an AAC system integrated into a full computer system (usually a Windows laptop) Tablets, smart phones (some apps only) 2013Region 4 ESC23

Strategies Use existing core and customize (personal, academic, high interest) Direct instruction vs. customary environments What is the demand on the student (linguistic, academic, physical, cognitive) LITERACY can be addressed concurrently Natural language cues Model Region 4 ESC24

The Tablet Revolution iPads, Androids and Windows! Oh My! Not a Computer (except Windows) Not a dedicated AAC device The Good- cost, cool, accepted The Bad- functionality, power, accessibility The Ugly- developer maze, the apps, the rate of change So…what should we do? – Keep an open mind – And a critical consumer eye – Hold on for the ride Region 4 ESC

Where will the student be in 3, 5, 10, 15 years RERC- AAC: McNaughton rerc.psu.edu/index.php/webcasts/show/id/1 5http://aac- rerc.psu.edu/index.php/webcasts/show/id/1 5 Adolescents and Young Adukts Who use AAC Transition 10/21/2013REgion 4 ESC26

Resources PrAACtical AAC AAC Intervention AAC kids USAAC- Speak Up Digital Digest Every Move Counts PODD Barkley AAC Center Gail Vantatenhove “Literacy” and other academics- connection to TEKS – – /21/201327REgion 4 ESC

Upcoming PD at Region 4 Texas AT Conference June 10-12, Region TCEA- AT Academy and AT Playground, February 207, 2014 in Austin The Power of Access- December 11-12, 2013; Session # Advanced PECs- January 8-9, 2014; Session # LAMP- January 28, 2014; Session # AAC and AU- March 5, 2014; Session # AT Solutions in Minutes, April 10 OR April 11, 2014; Session# OR October Region 4 ESC