Finding the Right Voice: AAC Services for Your Child

  • AAC stands for Augmentative and Alternative Communication. It refers to tools and strategies that support or replace spoken communication. This can include picture boards, communication books, and high-tech speech-generating devices (SGDs) such as iPads with specialized apps or dedicated communication devices.

  • AAC can support children and adults who have difficulty using spoken words to communicate. This may include individuals with Autism, Down syndrome, Cerebral Palsy, Developmental Delays, or other medical and neurological conditions.

    AAC helps build independence, reduces frustration, and gives individuals a voice to express their wants, needs, and ideas.

  • There are multiple avenues to obtain AAC devices:

    • Insurance Funding: Many insurance companies will cover AAC devices when recommended by a qualified evaluation. We provide medical necessity reports that meet insurance requirements and help guide families through the documentation process. Coverage varies widely, so it is important that families consult with their individual insurance plans to determine eligibility and requirements. For example, one plan may cover only specific devices through approved vendors, while another may require multiple trials and letters from both the SLP and physician.

    • Regional Centers and School Districts: In California, Regional Centers may provide services for individuals under 3 years old, while school districts can offer services for children aged 3 and above. These services may include access to AAC devices as part of an Individualized Family Service Plan (IFSP) or Individualized Education Program (IEP).

    • Grants and Nonprofits: Organizations such as the United Healthcare Children's Foundation and the American Speech-Language-Hearing Association offer grants and resources to assist with acquiring AAC devices (ASHA, n.d.).

    • Private Pay: Families may choose to purchase their own device or app directly. For example, an iPad with an app like Proloquo2Go or TouchChat may be purchased out of pocket for quicker access, while some families opt to invest in a dedicated device from companies like PRC-Saltillo, Tobii Dynavox, or Lingraphica. Private pay allows immediate use without waiting for approvals, though costs can vary from a few hundred dollars (for an app) to several thousand dollars (for a dedicated device).

  • The real work begins after the device is in hand. AAC is not just about having the technology—it’s about using it consistently in everyday life. Together, we focus on:

    • Personalization – Customizing the device with meaningful vocabulary, family names, favorite foods, and routines.

    • Modeling – Parents, siblings, and caregivers using the device alongside spoken language to show how communication happens.

    • Family Buy-In – AAC is most successful when everyone treats it as a new language. Just like learning Spanish or sign language, it requires consistent exposure and practice across settings.

    • Ongoing Support – We provide family coaching, training, and troubleshooting to ensure the system continues to grow with your child.

  • AAC opens the door to communication, connection, and learning. With the right tools, consistent support, and family involvement, children can thrive in expressing themselves fully.

  • American Speech-Language-Hearing Association. (n.d.). Augmentative and alternative communication (AAC). Retrieved from https://www.asha.org/public/speech/disorders/aac/

FAQ

  • No. Research shows that using AAC often supports and increases speech and language development. It gives children a reliable way to communicate, reduces frustration, and builds vocabulary. Many children develop spoken language alongside their AAC use.


    (Romski & Sevcik, 2005; ASHA, n.d.-f)

  • Absolutely. AAC can be introduced in early intervention programs for children from infancy to preschool age. Early exposure helps children develop communication skills, social interaction, and language comprehension.

    (Romski & Sevcik, 2005; Beukelman & Light, 2020)

  • Research strongly supports AAC as an evidence-based practice that improves communication, social skills, and participation across settings. Early introduction of AAC is linked to better long-term outcomes.


    (Beukelman & Light, 2020; Romski & Sevcik, 2005; ASHA, n.d.-f)

  • An SLP will consider your child’s motor skills, language abilities, cognitive skills, and daily routines. Options include picture exchange systems, touch-screen apps, and dedicated speech-generating devices. The goal is to match the device or system to your child’s strengths and needs.

    (ASHA, n.d.-f; Beukelman & Light, 2020)

  • It depends on your child’s needs and progress. Some children use AAC temporarily while developing speech, while others may use it long-term. AAC can grow and change with your child’s communication skills.

    (Beukelman & Light, 2020)

  • Consistency is key. Families can incorporate AAC by:

    • Labeling objects and actions at home

    • Modeling AAC use during play and daily activities

    • Encouraging your child to make choices and requests

    • Collaborating with teachers and therapists to ensure consistent use

      (ASHA, n.d.-f)

  • Initial resistance is common. Modeling, repetition, and making communication meaningful help children engage. Start with motivating activities and gradually increase opportunities to use the device.

    (Beukelman & Light, 2020)

    • Beukelman, D. R., & Light, J. C. (2020). Augmentative & alternative communication: Supporting children and adults with complex communication needs (5th ed.). Paul H. Brookes Publishing

    • Romski, M. A., & Sevcik, R. A. (2005). Augmentative communication and early intervention: Myths and realities. Infants & Young Children, 18(3), 174–185. https://doi.org/10.1097/00001163-200507000-00002