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…

This report discusses the outcomes of a study that used indirect language stimulation techniques and modeling to encourage language development in a 5-year-old child with cerebral palsy. Initially, the student's communication system had very severe limitations. He used fewer than 10 spoken words which were unintelligible to most listeners. Both…

This column describes British technological aids that can support children with communication and writing difficulties, including (1) writing aids such as predictive typing, abbreviation expansion systems, and alternative keyboards; and (2) socially interactive communication aids such as synthetic speech using portable computers. (JDD)