Augmentative and Alternative Communication (AAC) and Non-Speaking Gestalt Language Processors

If you’re a parent or professional supporting a non-speaking child, now is the best time to get them set up with a robust communication app. October is AAC (Augmentative and Alternative Communication) month which means many of the most popular AAC apps are on major sale. If you’re considering getting your child or client set up with AAC, it’s important to understand that although all gestalt language processors (GLPs) can benefit from some form of AAC, there are some considerations we need to make when implementing AAC with non-speaking gestalt language processors. We need to get creative with systems to best support our GLPs. 

Challenges faced with implementing AAC with non-speaking Gestalt Language Processors

1. Authentic, specific gestalts the individual is wanting to say can be hard to determine. For a gestalt language processor to pick up and use a gestalt, the language needs to resonate, be meaningful and what they want to communicate.
2. Determining the right location for new gestalts. We need to be mindful when customizing a gestalt language processor’s device and be thinking ahead to the future so that the device can grow with them through the stages. We need to consider where we are adding in gestalts/potential gestalts, while keeping the vocabulary necessary for the later stages intact (e.g. single words)
3. Offering mitigations. We want to consider how we can offer Stage 2 mitigations within the AAC system without losing vocabulary. This is often dependent on the system’s programming capabilities. 
4. Synthesized speech (voices used on the AAC device). The synthesized speech that comes with apps  does not provide the same intonation as the original source (e.g. spoken words, media sources). Synthesized speech is not as rich in intonation as oral speech. Some apps allow for users to upload recorded audio and/or video but not all apps have this capability. 

How can we support non-speaking Gestalt Language Processors with AAC?

1. Input characters, media clips, and any and all interests in their AAC device. Observe non-spoken acts (e.g. gestures, vocalizations) to help determine possible new gestalts. 
2. Consider adding potential gestalts to pages with contextual relevance or motor planning considerations consistent with the language organization (ex. “Let’s play” under the PLAY/TOYS page in the same spot as “play’ on the home/actions page).
3. Introduce potential gestalts using spoken models and with AAC (one gestalt per button may be needed for individuals in early NLA Stages). Consider pop ups and hold features for stage 2 mitigations (not all apps have this capability). 
4. Consider recording and inputting recorded speech on their device. Many gestalt language processors have difficulty processing synthesized speech. 

One thing to note about these suggestions is that they are app dependent. Not all apps offer the same features. You will want to consider this when choosing apps for your gestalt language processor. 

Things to keep in mind when implementing AAC with all Gestalt Language Processors 

1. Focus on building trust by engaging in child-led play therapy despite their age. Hobbies or play that center around what brings them joy. This supports connection and authentic communication. 
2. Continue to educate staff and family on gestalt language processing and how to respond and model naturally. 
3. Acknowledge any and all communication both spoken and via AAC. You can do this by smiling, repeating it back to them, nodding your head and/or saying “yeah” or “okay”. 

Interested in learning in-depth about determining if a GLP would benefit from AAC, strategies to support them, and programming their devices?

Consider taking our AAC for Gestalt Language Processors Meaningful Speech course instructed by AAC specialist and Meaningful Speech team member Laura Hayes. The course goes in-depth on how to identify, evaluate and support gestalt language processors who use AAC or may need AAC. There are bonus modules on different apps, strategies and suggestions for programming. For more information & to enroll click here.

Look for a speech-language pathologist (SLP) who "gets it" and can help you in supporting your child's language development. Check out our registry for SLPs who understand gestalt language processing and child-led therapy. 

References

1. Blanc, M. 2012. Natural Language Acquisition on the Autism Spectrum: The Journey from Echolalia to Self-Generated Language. Madison, WI: Communication Development Center Inc.
2. Dada, S., & Alant, E. (2009): The effect of aided language stimulation on vocabulary acquisition in children with little or no functional speech. American Journal of Speech-Language Pathology, 18(1), 50-64.
3. Votech, J. M., Noordzij, J. P., Jr, Cler, G. J., & Stepp, C.(2019). The Effects of Modulating Fundamental Frequency and Speech Rate on the Intelligibility, Communication Efficiency, and Perceived Naturalness of Synthetic Speech. American journal of speech-language pathology, 28(25), 875-886.

Want to learn more in-depth information about how to support gestalt language processors?

1. There are many free podcasts, webinars and articles to get you started. A comprehensive list of resources can also be found on our website. We just released a new FREE masterclass on echolalia and child-led therapy that is perfect for anyone starting their learning journey or on the fence about purchasing our courses! 
2. Consider taking the Meaningful Speech course to learn more about how your child or client processes language, how you can help support them from echolalia to self-generated (original flexible) language, child-led therapy, and neurodiversity-affirming practices. Looking for something shorter? We have a 1-hour introductory course perfect for extended family, daycare or school staff.
3. Consider taking our AAC + Gestalt Language Processing course. It will teach you how to identify, evaluate and support gestalt language processors who use AAC or who you think might benefit from AAC.
4. Look for a speech-language pathologist (SLP) who "gets it" and can help you in supporting your child's language development. Check out our registry for SLPs who understand gestalt language processing and child-led therapy.
5. Are you a school-based or private practice clinician looking for intake forms for new clients/students or creative visual reminder posters for your space? Check out the Meaningful Speech Marketplace. 
6. Want to learn more about starting a niche private practice? Watch our 1-hour webinar on starting a niche private practice hosted by Alex Zachos and Jess Teixeira from the Meaningful Speech team HERE.