This paper summarizes and illustrates an approach to assessment of communication development and treatment which focuses on the early relationships of preconversational children with their significant adults. The assessment approach is part of the Ecological Communication (ECO) model, which views caregivers of delayed children as critical to the…

Case studies are presented of three individuals with severe communication impairments who had been judged to be intellectually impaired but revealed unexpected achievements after training in nonspeech communication. The communication training used facilitation to circumvent hand function impairments. (JDD)

This guide is intended to assist individuals (including therapists, relatives and friends, and volunteer and paid tutors) who are attempting to help adults relearn communication skills lost through stroke or accident. The first section examines dysphasia and the needs of dysphasics in an attempt to help the layperson understand the causes of…

Traumatically head-injured individuals who reach the higher stages of recovery typically exhibit cognitive communication disorders. Patient management requires, among other considerations, a focus on functional communication competency, an ecologic-systematic perspective, and use of compensatory techniques. A case study applies this management…

This case study presents an assessment-intervention model for augmentative and alternative communication with a head-injured adolescent. The model addresses the client's needs and skills and also provides support and training for caregivers. The case study documents the adolescent's transition through a range of communication systems over a…

The Communicative Development of Toddlers with Cerebral Palsy (COCP) project developed an assessment-intervention program for non-speaking children with cerebral palsy. The goals of the project's Assessment-Intervention protocol are to teach the child to communicate in an appropriate, effective, and efficient way in different situations and with…

This practicum project was designed to improve communication in the kindergarten classroom between regular students and a mainstreamed nonverbal child with cerebral palsy. A target group of 24 pre-kindergartners was exposed to 12 weeks of the intervention which included such strategies as teaching the verbal students how to identify communication…

An augmentative and alternative communication device was designed for a nonspeaking, blind, severely mentally retarded 11-year-old. The device consisted of a computer-supported expanded keyboard that produced synthetic speech output when tactile symbols were activated. Described are the assessment procedures, instructional procedures, and…