Mythbusting About AAC (Augmentative and Alternative Communication)!
What is AAC?
AAC stands for augmentative and alternative communication. This includes tools and strategies that provide additional means of communication (aside from just verbal speech). AAC can be low-tech (PECS, picture boards, writing, alphabet boards), mid-tech (battery-operated but have limited function/vocabulary), and high-tech (speech-generating devices with endless vocabulary). AAC can mean an AAC device, but that’s not the only AAC option.
Why AAC? There can be so many genuine barriers to consistent, clear, and robust verbal communication. Whatever the barrier, AAC can equip someone to more effectively communicate their internal world, no matter the setting. At Resonate, we honor holistic communication- communication of any kind is seen/heard, as our speech therapists and music therapists assist clients in expanding their speech and communication skills. Now- on to the myths!
Myths and Misconceptions About AAC:
My child/loved one isn’t “ready” for an AAC device
There are NO prerequisites for using AAC. AAC can be used by clients of any age, at any level, at any time. Individuals do not need to “understand more” to be able to communicate with an AAC device- it’s never too early or too late to introduce AAC! A speech therapist can help obtain and introduce AAC in a way that’s accessible, positive, and appropriate, no matter where the individual is at.
AAC is only for non-speaking individuals
AAC is for anyone who can benefit! While often introduced with children with limited verbal speech, AAC is used by a variety of users of all ages, some of whom DO have access to verbal communication. The first “A” in AAC is for augmentative - meaning it supports and expands communication - not just replaces it. Even if an individual is using a few words, AAC can help them expand on that even more!
If my child relies on AAC, they will never talk
Research supports that implementing AAC actually increases the likelihood of a child using verbal speech. AAC provides a direct, consistent model as well as sometimes a visual support to encourage communication. Research demonstrates that AAC is a powerful tool for supporting speech and language growth rather than hindering it- the work of Millar, Light, and Schlosser (2006) found that a significant majority of AAC users—nearly 89%—showed progress in verbal communication when provided access to AAC. When clients are offered robust AAC systems in a supportive, pressure-free environment, they learn that their attempts to communicate are valued, which often leads to advances in spoken language.
It doesn’t mean anything if my loved one is just randomly pushing buttons or repeating words
Repeated button use on a device can have a variety of purposes. First, just like young children babble to explore words/sounds as they learn to talk, AAC users (particularly those new to AAC) babble and explore on their device. Individuals who appear to enjoy listening to words/phrases over and over may also be using the sounds to regulate, learn the word/phrase, or they may even just enjoy hearing it. Babbling on a device shouldn’t be stopped, rather celebrated as successful AAC exploration and use! AAC users experience significantly less exposure to language input and communication opportunities compared to verbal speakers, resulting in a major gap in everyday language experience and language development. While children who speak verbally are immersed in rich, spoken language environments throughout their lives, those who rely on AAC are often provided far fewer chances to observe, model, and practice communication using AAC systems- engagement with their ‘voice’ should be supported with excitement.
Since my child is only using a few words, they need larger buttons and only a few choices on their communication device
Remember, we want to think of the device as something that grows with the user. If we start with only 4 large buttons, not only does that limit the words they can learn to use, but it also limits the ability to sustain motor plans needed for using a larger vocabulary. Also, think about a child’s ability to navigate on a phone/iPad - if they can locate the YouTube app, they can locate smaller (and more) icons on an AAC device.
The AAC device is just for requesting
Think about how many different functions you use language for (requesting, commenting, describing, asking questions, sharing info, protesting, refusing…the list goes on. Imagine going through your day ONLY being able to request things - you would get pretty frustrated very quickly! If AAC is only used for requesting, users miss out on opportunities to connect socially, express preferences, assert boundaries, and share thoughts—essential functions for independence and emotional well-being. Using AAC to express a range of ideas and feelings allows people to advocate for themselves, express their internal thought world, and enjoy a sense of belonging within their communities.
I can use my child’s device to prompt them for what I want them to do (e.g., I want them stop climbing so I use the device to say “stop”)
Think about the AAC device as the child’s voice - and using it to model what they might want to say. AAC is to support an individual’s right to say what they want, when they want, how they want - and not for us to give them cues on what we want. If a child learns that they are expected to only repeat or respond with messages that adults prompt them to say, they may become hesitant to use the device on their own, waiting for a cue rather than exploring and expressing their own ideas freely. This can limit long-term language growth and independence, as the child may not realize the full spectrum of what their device can do or feel confident using it spontaneously for a variety of communication purposes. Fostering an environment where children are encouraged and supported to use their AAC device creatively and autonomously helps ensure they see it as their own voice, capable of sharing their unique thoughts, needs, and feelings.
AAC is expensive
While some devices can be expensive, you can work with your speech therapist to find a device and program that best suits you/your loved ones’ needs. There are many varieties of programs, as well as grants/loans, as well as insurance-covered options.
You have to be able to push buttons to use AAC
There are a variety of modalities in which AAC users can utilize a device, including: direct selection (using their hand/finger to choose a word), using laser pointers, head tracking, and eye gaze tracking. This means AAC can still be a great choice for a wide variety of clients with different needs! AAC technology empowers individuals with physical limitations to communicate using a wide range of innovative access strategies that don't require manual button-pushing. For those with limited or no hand use, tools such as switches, chin or mouth-operated joysticks, and adaptive styluses can provide precise control of devices. Some AAC users benefit from keyguards or customized overlays, which make selection easier. Eye gaze devices open doors for individuals with limited physical mobility to express themselves independently and participate actively in conversations and daily life. These access methods reflect the adaptability of AAC, making it possible for so many (regardless of physical ability) to have their voice heard.
AAC makes communication unnatural or robotic
A common misconception is that AAC, especially high-tech devices with synthetic voices, creates communication that feels unnatural or impersonal, making it a less-ideal option for users to build genuine relationships and connect with those they care about. In reality, AAC tools are designed to support authentic and meaningful interactions, empowering users to share jokes, express emotions, and participate in the back-and-forth of conversation just like anyone else. A user’s “voice” through AAC is a true reflection of their personality and identity, just like any other form of communication. Far from being a barrier, AAC can help foster deeper connections and allows users to engage naturally with those around them—whether in daily routines, friendships, or family settings.
How Do I Get an AAC Device?
The best way to acquire an AAC device for yourself or a loved one is to consult with a speech-language pathologist who has skills in the evaluation, selection, and coaching process. Here at Resonate, our speech therapists have experience in selecting the most appropriate device, providing client and family education and implementation, and also collaborating with local AAC company representatives to provide the most extensive support possible. Not located in the Colorado Springs area? We do provide telehealth services, but are also happy to help you connect to a local speech therapist.
A typical AAC evaluation looks at the client’s needs, their fine/gross motor and vision abilities, and not only their current communication needs, but also how that device will grow with them as they expand their communication. If you have a school-aged child, your child’s school SLP may also be able to assist in the process!
