Communication supports for people with motor speech disorders can include strategies and technologies to supplement natural speech efforts, resolve communication breakdowns, and replace natural speech when necessary to enhance participation in all communicative contexts. This article emphasizes communication supports that can enhance…

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that results in loss of most motor functions by the time of death. Most persons with ALS experience a dysarthria that eventually renders oral/vocal communication unintelligible. This article reviews the communication needs of persons with ALS and the range of communication…

The field of augmentative and alternative communication's (AAC) missing link is the discrepancy between what the research community identifies as needs and what the clinical community, including the AAC user, believes to be the AAC user's needs. An unrealistic picture of the AAC user occurs, developing a top-down effect of limited outcomes,…

This article proposes the application of a situated pragmatics (also known as community-based training or activity-based intervention) approach to intervention with children having severe communication disorders. Models for this approach have been developed by the World Health Organization and specialists in alternative and augmentative…

The goal of augmentative and alternative communication (AAC) is the most effective communication possible. Speech-language pathologists are obligated to collect data, measure communication, and apply the principles of evidence-based practice (EBP). This article presents a model for EBP that represents how collecting and evaluating performance data…