The future cannot be any brighter for a student when they have a team of adults who are willing to try new things and really listen to the student in all the ways they tell you something.

Content warning: this blog contains toilet humor, bodily function discussion, and the power and potential of every child.

It’s not too early to call, but my favorite story of the semester came from an Augmentative and Alternative Communication (AAC) workshop I did in February. We were learning about all the greatest hits in AAC: modeling without expectation, ways to support literacy and comprehension, and being good communication partners. Someone always has a story to share, that day was:

“One of my students told us with his AAC device he had ‘wet poop!’”

The entire room gasped in appreciation. I love these AAC workshops. It’s phenomenal to be in a room of people who get it. None of us get that warm, enthusiastic reception over dinner at home when we talk about bathroom things.

For those of you who are a little lost, let’s paint the picture, which is an increasingly common one:

This is a student who was introduced to a robust way to communicate this year after years of having very little access, just a few words in a limited way. This is a child who never had a way to make a choice that wasn’t already curated for him by adults who couldn’t possibly anticipate all his wants and needs. This is a child who someone might have described as having a “behavior problem” when he was just using whatever he could in absence of communication access.

“Wet poop” wasn’t a term he’d heard anyone use before. He didn’t know how to find the word “diarrhea” and wasn’t sure how to spell it. Because he knew what was going on with his body and could describe it, he was able to get prompt health care. This is easily one of the biggest concerns parents have in consultations with PATINS.

“When they cry, I don’t know what’s wrong. I don’t know if they’re hurt or sick or sad, they can’t tell me and the doctor doesn’t believe me. I’d give anything for them to just tell me what’s wrong.”

His team knew that despite giving him an excellent robust tool for language there was more to be done. I had the pleasure of sitting down with the team recently to review all the great things they’d done thus far and what to plan for next:

1. They introduced core and fringe words, and now plan to focus on grammar and syntax to create interesting and meaningful messages
2. They introduced the alphabet, phonics, and literacy instruction and planned to introduce word prediction to support spelling and communication strategies
3. They had great visual and language supports for literacy and planned to tweak their presentation to promote engagement.

The future cannot be any brighter for a student when they have a team of adults who are willing to try new things and really listen to the student in all the ways they tell you something.

If you have your own “wet poop” moment, fart sound you want to program into an AAC tool, or need a new idea to try, we’re here to help!

When someone says “AAC is not my thing,” what they're really sharing is that they are scared.

Somehow being an Augmentative and Alternative Communication (AAC) specialist with PATINS has put me in the position of listening to the confessions of school staff:

“I’m not good with technology.”

“They didn’t teach any of this when I was in school.”

“AAC is not my thing.”

It’s usually said in a hushed tone when they think no one else is listening.

“I have nothing but good news,” I’ll often say. “90% of what we’re talking about is just good instruction for all students that you already know, we’re just framing it in a new way to support non-speaking students. The rest I’ll put on a cheat sheet, and I find cheat sheets helpful too.”

But what I want to say is “AAC wasn’t my thing either and look at me now!” At one time, out of the things that SLPs had to learn, I would have ranked AAC dead last. Even below the paperwork.

I had “The AAC Class.” In one semester I was to learn everything I needed to know about AAC and I would be set for the rest of my career (haha!). However, there was one little snag: the professor who taught the AAC class took a sabbatical and another staff member was wrangled into covering it so we could graduate on time. This is what I learned that semester:

Nothing.

At least, nothing which was practical or helpful in the real world. I was given my first “real job” caseload with several non-speaking students, a binder for PECS, a Boardmaker CD, and released into the wilderness. My class notes were worthless.

I was in trouble and these students needed something I didn’t have: the knowledge of how to “do the AAC.”

Of course, AAC was definitely not my thing. But it had to be because there was no one else. I adopted a simple plan that has kept me afloat to this day: just keep saying “yes” to every opportunity. Every training and app I could find to practice with, every opportunity to attend or present at conferences and network. None of this came naturally or from a book or college course. Yes, I will pilot it. Yes, I will learn it. Yes, I can teach it. It was just years of chasing ideas and tools for students that made them light up inside when they found their voice. I made mistakes, forgave myself, and tried to learn and do better. Yes, yes, yes.

Exactly none of us started life as “technologically gifted” or imbued with the knowledge of AAC or any technique or educational principles. We all had to start at zero and learn.

When someone says “AAC is not my thing,” I think what they're really sharing is that they are scared.

They are scared of failing. They are embarrassed by the idea of not being enough for the task. They are traumatized and work-worn from so many evaluations and tasks, and worried that their work won’t be enough. 

And you know what every scared person wants?

A friend, a light in the darkness, and some tools.

At PATINS we have lots of those. Did you know that if you are an Indiana public PreK-12 staff member and one of our events on our training calendar isn’t at a time that works for you or your team, you can request it at another time? If you were hoping to talk about that topic but wanted 1:1 personalization or a deep dive into a special topic, we can set up that consultation at no cost to you or your district.

In particular, for those who are ready to say “yes” to trying out AAC tools and techniques, we have a process just for that. For a no-cost PATINS AAC Consultation, please fill out this referral for each student. This 2 minute video is a brief overview of our process.

The scariest thing that could happen is doing nothing.

AAC Awareness Month with quote from USSAAC.

"International AAC Awareness Month is celebrated around the world each October. The goal is to raise awareness of augmentative and alternative communication (AAC) and to inform the public about the many different ways in which people communicate using communication devices." - International Society of Augmentative and Alternative Communication

A few things to know about AAC:

1. There is No Prerequisite for using AAC - as long as you are breathing, you are a candidate
2. Everyone has the right to communicate - treat the communicator with respect and offer AAC solutions
3. Presume competence/potential for the communicator - expect that communicator can learn, wants to connect with others, develop literacy skills and more
4. Give the communicator adequate wait time to formulate a response
5. High Tech is not necessarily the answer nor is any one particular device or app - complete an AAC assessment to determine the best fit solution for your student

Augmentative means to add to someone’s speech. Alternative means to be used instead of speech. Some people use AAC throughout their life. Others may use AAC only for a short time, like when they have surgery and can’t talk. - American Speech-Language Hearing Association

AAC is more than just high tech, fancy communication devices. It can be as simple as teaching a student gestures/signs (e.g., more or help), writing/drawing, to tactile symbols, pictures, icons/symbols, simple voice output devices to high tech devices like an iPad with an AAC app or a dedicated speech generating device (SGD).

Here are a few tools/resources to help your promote communication skills:

AAC Intervention Website by Caroline Musselwhite

Communication Matrix The Communication Matrix has created a free assessment tool to help families and professionals easily understand the communication status, progress, and unique needs of anyone functioning at the early stages of communication or using forms of communication other than speaking or writing.

Dynamic AAC Goals (DAGG-2) The primary objectives of the Dynamic AAC Goals Grid-2 are to provide a systematic means to assess (and reassess) an individual’s current skills in AAC and to assist partners in developing a comprehensive, long-reaching plan for enhancing the AAC user’s communicative independence.

PrAACtical AAC Website PrAACtical AAC supports a community of professionals and families who are determined to improve the communication and literacy abilities of people with significant communication difficulties. 

Lauren Enders (Facebook) compiles an exceptionally thorough resource that highlights the many AAC apps/software that go on sale during October.



PDF with AAC & Educational App Sale information (info from above) for October 2021 provided by Lauren S. Enders, MA, CCC-SLP.

Do you want to learn more? Check out the PATINS Training Calendar. If you don't see a training that meets your needs, look over the PATINS Professional Development Guide for inspiration. The guide offers summaries to some of our most popular in-person trainings and webinars developed by our team of specialists that are available year-round upon request. These are offered at no-cost for Indiana public LEA employees.

If you have an AAC case you would like help with, request a free consultation with a PATINS AAC Specialist by completing our AAC Consultation Form.  You will meet with at least one or more Specialists to review your case and help brainstorm ideas.

Want additional Professional Development?  Come to our 2021 virtual PATINS Access to Education (A2E) Conference on November 16, 17, 18! Registration is open now!