Many children with special
needs have impaired communication. These children may benefit from
augmentative communication. Augmentative Communication is the different
or alternative methods used to help people with disabilities communicate
with others. People can have difficulty with communication for many
different reasons such as physical disabilities, motor
co-ordination difficulties, cognitive disabilities, or learning
disabilities. These problems can make the production of speech difficult
or impossible.
There are several methods
of augmentative communication.
Symbols & Pictures
Pictures, symbols,
line drawings, and photographs. All these things can be used to convey a
message. A person who can not speak, for whatever reason, may be able to
point to, or hand a picture of a desired object, to another person.
Simply pointing to a picture can alert wants and needs. Many children
with Autism, or other disabilities which have an impact on communication
skills, use a program called
PECS or PCS. This
is Picture Exchange Communication System. To use this program, a child
needs to be able to understand what the picture or symbol represents.
This may be more difficult in those with severe cognitive issues or
visual impairments. PECS is an augmentative communication system where a
person is taught to give a picture to someone to communicate with them.
The drawback to using pictures/symbols, is that you have to have a
different picture for everything you want to "say". Carrying around a
ton of pictures can be cumbersome. Finding the exact picture you want
can be difficult, and teaching those with cognitive impairments to
understand what a flat 2 dimensional photograph or a line drawing can be
very hard.
Signing & Gesture
Most people think
of sign language or gesturing, as only used by those who are deaf or
hearing impaired. While many users of sign are hearing impaired, many
people who hear normally, but have trouble with verbal communication
also use sign or gesture. Most people are familiar with ASL (American
Sign Language) or SE (Signed English). But many children with special
needs also have physical disabilities which make it difficult to do
proper or true sign. Those with conditions such as cerebral palsy, or
other conditions which limit the use of their arms or hands may be able
to use modified signs or gestures. The key is to use consistency. Find a
movement which the child is able to learn to physically do, and always
use that gesture to represent that particular word or idea. For example,
the sign for "finish" is to hold 5 fingers out with both hands palm in,
then flip them so that palms and tips turn out. Someone who can not
mentally or physically do these actions, may simply rub their hands
together. Or the sign for "music" is to extend the left arm in front of
you, palm up, and swing the right hand back and forth over the left
forearm without touching. "Music" could also be conveyed simply by
placing your hands cupped over your ears, to look like earphones. You
could bop your head at the same time. If physical involvement is severe,
simply touching the ear could represent "music" or "listen".
Voice Output Devices
Voice output
devices can be essential for people who have difficulty speaking. They
do exactly as the term implies. It uses spoken voice to speak for the
person. There's a wide variety available. They range from smaller than
your hand to big as a desktop, single message to 32 or more message
choices. Some are used with picture selections. Some can also double as
switches. There are many different
voice output devices on the market.