The truth about AAC and Speech-Language Therapy

AAC stands for augmentative and alternative communication. AAC is all of the ways that someone communicates besides talking. People of all ages can use AAC if they have any difficulties with speech or language skills. Augmentative means to add to someone’s speech and alternative means to be used instead of speech. Some people use AAC throughout their life. Others may use AAC only for a short time, like when they have surgery and can’t talk (ASHA, 2024). When it comes to AAC, some providers are still operating and giving advice based on dated information or AAC “myths.” We’ve teamed up with Meaningful Speech team member, AAC specialist, and the instructor of our AAC for Gestalt Language Processors course, Laura Hayes, to dispel some of these myths and provide you with the truth. 

Truth #1: There are no prerequisites to robust AAC
This means you don’t have to do anything before you’re ready to start with robust AAC (and don’t listen to anyone who tells you otherwise!). You do not need to trial light-tech before high-tech. There is no minimum age required before trialing robust AAC. No one needs to be able to point before trialing robust AAC. No one needs to understand a certain number of words before trialing robust AAC. If you are breathing, you qualify for a trial of robust AAC.

Truth #2: AAC is not only for non-speaking individuals
Yes, you read that correctly. AAC can benefit those that speak.  You do not have to have a label of “nonverbal” or “non-speaking” or “minimally speaking” to benefit from AAC.

• If you can’t speak in an emergency, you might benefit from AAC.

• If you can’t speak when dysregulated, you might benefit from AAC.

• If your speech is unclear to familiar or unfamiliar listeners, you might benefit from AAC.

• If you are having communication breakdowns and showing signs of frustration, you might benefit from AAC

• If you have trouble initiating speech without a model, you might benefit from AAC.

Truth #3: AAC does not hinder speech and language development

Many people are concerned that AAC will hinder speech and language development. This is not true! Research shows that AAC has a positive impact on speech and language development (Millar & Schlosser, 2006).

Truth #4: It is okay if a child babbles on their device
We all know about babbling when it comes to speaking with our mouths. For children that are using mouth words, this is exciting and encouraged. However, when children are introduced to AAC and babble on their device, it is often discouraged. This is exploration. We should be JUST as excited for our AAC users when they babble on their devices. Check out this video we shared on our social media of a child babbling on their device HERE. 

If all of this is true… Why are some professionals not providing access to AAC?
There is a lot of misinformation out there about AAC. Although there are no prerequisites to robust AAC, some professionals still believe that a child needs to “prove” they are ready for robust systems by first showing they can use light tech systems that aren’t robust. This is not necessary. We CAN start with robust systems. We also know that AAC does NOT hinder speech and language development. However, some professionals believe that it does and they don’t provide access to AAC for this reason. Many children babble and explore on their AAC device. This is OKAY. However, some professionals label this as “non-functional” use and do not provide access to AAC under the assumption that the child isn’t ready for it. Many professionals still don’t fully understand gestalt language development and the fact that AAC systems are designed for the analytic language processor.  They may feel a child “isn’t interested in AAC” when the system isn’t set up for the way they are developing language!

Why don’t all professionals understand this about AAC and what should I do?
AAC is still not required coursework in many speech-language graduate programs. Related professionals may have never even had one lecture on AAC (physicians, other therapists, etc.) Most are, unfortunately, operating and giving advice based on dated information or AAC “myths.”

• Parents: don’t be afraid to ask about AAC and ask your provider what continuing education they have done on AAC and how confident they feel working with a child that can benefit from AAC. There are many AAC specialists out there, but many SLPs who don’t specialize specifically in AAC also have a great understanding. Always ask!
• Providers: don’t be afraid to ask management at your place of employment for support if you don’t feel confident working with kids that can benefit from AAC. There is a lot of available free and paid continuing education out there. If you don’t have the time or capacity, please consider being honest and refer out.

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? Join our webinar on Wednesday July 31st at 5pm PT/8pm ET or watch the recording if you can't make it live by signing up HERE.