Augmentative-Alternative Communication: What Is It?

While speaking is the most obvious way humans communicate, there are many others. Augmentative-Alternative Communication (AAC) refers to all the ways that we interact outside of spoken language. This can include simple actions like gestures, facial expressions and body language. AAC also refers to tools we can use to support communication. There are low-tech AAC options, including pointing to printed pictures or writing. There are also high-tech options such as a communication app on a tablet or a dedicated AAC device with a communication program.

Who Uses AAC?

Anyone can benefit from AAC! Both adults and children use AAC, including both low- and high-tech options. People with a variety of needs and diagnoses use AAC. Children may benefit from AAC if:

• Their expressive language/speech is behind that of their peers
• Their speech is hard to understand
• Their use of spoken language is inconsistent

AAC Myths, Busted!

Myth: “Using AAC will keep my child from talking.”

Fact: Using AAC does not discourage spoken language. In fact, research shows that using AAC can encourage speech production.

Myth: “My child can speak, they don’t need AAC.”

Fact: Using AAC can encourage continued vocabulary growth. Additionally, AAC may be helpful for supporting a child when their speech is hard to understand.

Myth: "My child is too young to understand AAC.”

Fact: There are no age requirements for using AAC! Children of all ages may benefit from AAC.

How Can I Obtain an AAC Device for My Child?

Thanks to the advances in AAC, there are SO many different options to choose from! Before jumping in and buying an AAC app on your own, work with a speech-language pathologist to find the right fit for your child.

Where Can I Find a Speech-Language Pathologist (SLP)?

You can request a speech therapy referral from your child’s pediatrician or find an SLP through your community or school (no referral needed!):

• Children under 3 years old: Reach out to your county’s Early Intervention Program.
• Children over 3-5 years old: Contact your local school district for preschool-based services.
• School aged children: Ask for a speech therapy evaluation at school.

Once you are connected with a speech-language pathologist, they will work with you to determine the best AAC option for your child.

Who Pays for the AAC Device?

Your child’s SLP can work with your insurance company to purchase a device for your child to use at home, in the community, and at school. You can also reach out to your insurance company to get more information about how much coverage they provide for AAC devices.

For many children with communication differences, AAC can be an important tool in supporting their language skills. As speech-language pathologists, we foster all forms of communication, integrating AAC and spoken language to meet each child’s needs. If you have questions about AAC, you can email aac@nationwidechildrens.org for additional information.

Ohio parents can find community-based support through the Department of Children and Youth:

Ohio Early Intervention

Preschool Special Education FAQs For Families