Facilitated communication (FC) has been a heavily debated and documented topic across multiple disciplines, including sociology, education, psychology, pediatrics, speech-language pathology, and disability studies. Although many professionals from various disciplines and advocates have offered opinions, suggestions, and research on the topic,…

Children with autism spectrum disorder often display some form of challenging behavior and have complex communication needs. Functional communication training is an evidence-based practice that (a) decreases challenging behavior and (b) increases appropriate communicative behavior. Recent research has demonstrated how using augmentative and…

Literature pertaining to open disclosure predominantly refers to acute care settings; this is the case in, for example, the UK, Republic of Ireland, Australia, Korea and the USA. There is, however, a dearth of literature regarding open disclosure related to people with intellectual disabilities. A practice example of open disclosure is presented…

This article describes ways for early educators to support communication of young children with complex communication needs (CCN) in classrooms through a simple three-step process. First, identify the child's preferred activities and items. Second, identify vocabulary and prepare the augmentative and alternative communication (AAC) system. Third,…

Communicative competence for people who use augmentative and alternative communication consists of four interrelated domains: linguistic, strategic, social, and operational. Ongoing assessment and progress monitoring within these domains are crucial to (a) providing information to teach targeted skills in a manner contextualized within the…

Significant advances have been made in interventions to maintain communication and personhood for individuals with neurodegenerative conditions. One innovation is Message Banking, a clinical approach first developed at Boston Children's Hospital (BCH). This paper outlines the Message Banking process as implemented at BCH, which includes the option…

Individuals who use augmentative and alternative communication (AAC) occupy complex sociocultural and sociolinguistic territories. They are immersed in spoken language communities but to participate as speakers in conversational interactions, they may rely on atypical communication modes, including systems for generating speech that set them apart…

Nonvocal alert patients in the intensive care unit (ICU) setting often struggle to communicate due to inaccessible or unavailable tools for augmentative and alternative communication. Innovation of a hand-operated non-touchscreen communication system for nonvocal ICU patients was guided by design concepts including speech output, simplicity, and…

Using speech as an effective communication method is a challenge for many individuals with autism spectrum disorder (ASD). Research suggests aided augmentative and alternative communication (AAC) used with young individuals with complex communication needs (CCN) can result in improved communication quality and frequency. The effectiveness of AAC…

Purpose: Families and professionals often consider augmentative and alternative communication (AAC) a "last resort" for persons with communication challenges; however, speaking autistic adults have reported that they would have benefited from access to AAC as children. This tutorial discusses the history of this "last resort"…

The preschool years are fundamental for children's social development as they navigate novel and complex social situations, which include interaction sequences and relationship features. As young children notice aspects of human difference, they develop schemas by classifying and situating attributes (e.g., skin color, hair type, communication…

Electronic technologies are playing an increasing role in mediating patterns of social interaction within the classroom. This trend includes augmentative and alternative communication (AAC) systems like light-weight smart tablets. AAC in general has proven effective for many children in regard to decreasing challenging behavior, enabling…

Children and youth with autism spectrum disorders (ASD) and other developmental delays frequently experience deficits in functional communication. Identifying and using suitable communication enhancement and augmentative and alternative communication supports is essential to achievement of positive outcomes for these learners. This article…

Leo Kanner in 1943 for the first time described the autistic disorder calling it a clinical syndrome characterized by an inability relational, resistance to change, atypic language (deficit of acquisition, echolalia, mutism, occasional pronoun reversal), repetitive play and stereotype excellent, mechanical memory, excessive emotional reactions and…

This article profiles Joseph Jerome "Joe" Steffy, who has autism, and describes how he uses his augmentative and alternative communication (AAC) device on the job (a successful business selling his Kettle Korn at festivals). There is more to Joe's story than his autism, Down syndrome, and epilepsy. It is also about resourcefulness, family and…