Preparing for the future: ageing and alternative and augmentative communication

Despite a large body of literature focusing on how the normal aging process affects quality of life, little is known about how aging influences the lives of those who use alternative and augmentative communication (AAC). This article explores issues relevant to aging and AAC, examining the responses of 78 augmented communicators aged 30 years and older who participated in a larger national survey of 270 adults with cerebral palsy. The survey sought information about health, modes of communication, and access to information. The results indicate that those involved in the AAC field must work with individuals who use augmentative communication to ensure that they maintain their health, well-being, and effective communication as they age.

AAC and Australian speech pathologists: a report on a national survey

A total of 971 speech pathologists from across Australia participated in a survey that investigated their knowledge of augmentative and alternative communication (AAC), their AAC practices, the AAC resources available to them, and their preferred format for further education. The results indicated that 98% of respondents had at least some knowledge of AAC and only 13% never recommended AAC in their practice. However, 29% had recommended a device they had never seen and 36% indicated that they would not recommend AAC for a client who was presymbolic. Access to resources appeared to be related to the location of respondents in relation to a capital city. Overall, there appeared to be a lack of AAC expertise within the profession in Australia. A lack of interest in obtaining further information on AAC and an unwillingness to enroll in further education highlighted the need for collaboration among the professional organization, training institutions, and employment bodies in ensuring adequate levels of knowledge and skills among speech pathologists.

Alternative service delivery models for families with a new speech generating device: perspectives of parents and therapists

Purpose: Research has revealed limitations in the provision of in-person services to families with a new speech generating device (SGD), both in Australia and overseas. Alternative service models such as parent training, peer support and telepractice may offer a solution, but their use with this population has not been researched to date.

Method: Using interviews and focus groups, this study explored the experiences and opinions of 13 speech-language pathologists and seven parents regarding alternatives to in-person support and training for families with a new SGD. Data were analysed using grounded theory. Themes explored in this paper include the benefits and drawbacks of alternative service models as well as participants’ suggestions for the optimal implementation of these approaches.

Result: Participants confirmed the utility of alternative service models, particularly for rural/remote and underserviced clients. Benefits of these models included reduced travel time for families and therapists, as well as enhanced information access, support and advocacy for parents.

Conclusion: Participants viewed the provision of ongoing professional support to families as critical, regardless of service modality. Additional issues arising from this study include the need for development of organizational policies, resources and training infrastructure to support the implementation of these alternative service models.