What Is AAC?
Augmentative and Alternative Communication is any communication method beyond speech: picture cards (PECS), sign language, communication boards, and speech-generating devices or tablet apps (like Proloquo2Go, TouchChat, or LAMP Words for Life). AAC ranges from a few picture cards to full language systems.
The Myth That Holds Families Back
Many parents fear that giving a child AAC will make them "lazy" about talking. Research consistently shows the opposite: AAC supports speech development. Communication builds communication — and reducing frustration reduces behaviors born of not being understood.
Common AAC Paths
- PECS (Picture Exchange): physical picture cards exchanged to communicate — a common starting point taught by SLPs
- Core word boards: low-tech boards with high-frequency words ("go," "more," "stop," "want") usable anywhere
- Speech-generating apps on iPad: robust systems with full vocabularies that grow with the child
- Dedicated devices: durable, insurance-fundable machines from companies like PRC-Saltillo and Tobii Dynavox
Getting AAC Funded in New York
- School: request an assistive technology evaluation through the CSE — devices can be written into the IEP at district expense (see our IEP Tool Kit)
- Insurance/Medicaid: an SLP's AAC evaluation and prescription can qualify a dedicated device as durable medical equipment
- OPWDD self-direction: some communication supports fit within budgets — ask your Support Broker
Making AAC Actually Work
The Habits That Matter
- The device goes everywhere — car, dinner table, playground. Communication can't live in a backpack
- Model it: adults use the device to talk too ("aided language input")
- Honor every attempt, even "wrong" button presses — respond to the communication
- Never remove AAC as a punishment; it's the child's voice
- Work with an SLP experienced specifically in AAC
Related Reading
This page is educational information, not medical, legal, or financial advice. Every autistic person is different — consult qualified professionals for guidance specific to your family.