JCPSLP Vol 21 No 3 2019

To expand

effectiveness of

using the device

Verbal/symbolic Intentional but non-symbolic Unintentional Provide a consistent communicative environment Facilitate engagement between person and CP Enable CPs to recognise PCAs and respond as if they are intentional To create a communicative environment where the CP uses the symbols themselves

• AAC system e.g. Minspeak, Proloquo2go • Key Word Sign (KWS)

• This level does not involve movement along the intentionality continuum

• New AAC system/device For the person to learn to use a new set of symbols or a new device

Enable CPs to use a particular AAC system • Training might involve

• New vocabulary

• Different environments • AAC competence

To expand the vocabulary,

situations or CPs

For the person to move become symbolic Already symbolic/verbal – for some this will include adding speech to existing symbols

PECS=picture exchange communication system; PCA=potential communicative act Intervention Decision Tree © Andy Smidt 2018

To expand the people that can interpret their PCAs

• Training might involve • Functional communication training (FCT) • AAC embedded in PMT • AAC embedded in EMT • Key Word Sign (KWS)

• Aided Lang stimulation/augmented input

• Teach concept of exchange using PECS or community request cards • Functional Communication Training (FCT)

• Key Word Sign (KWS) • Object and low tech AAC symbols To develop symbolic understanding by adding symbols to the person’s intentional behaviour

• Communication dictionary/Book about me • Object symbols

To expand the activities

or situations in which the person uses PCAs

• van Dijk Approach • Hanging Out Program (HOP)

To anticipate activities witnin daily routine

To expand the people

the person successfully interacts with

• Single message device

• Community request cards

• Teach concept of exchange using PECS or community request cards • Association symbols

• Sensory Interventions

• Key Word Sign (KWS) • Intensive interaction • Use of language • Object symbols

• Training might involve

• Calendar strategies • Object symbols • Object symbols • Communication Dictionary/Book about me • Assisted choice making

Legend: CP=Communication partner; HOP=Hanging out program; PMT=pre-linguistic milieu teaching; EMT=enhanced milieu teaching;

For the person to move to become intentional (depending on capability)

Enable CPs

to recognise PCAs

To expand the activities the person participates in

To allow the person to make choices within their daily routine

T

E

Move

A

Expand

Training

M

Augment

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JCPSLP Volume 21, Number 3 2019

www.speechpathologyaustralia.org.au