aac all day, every day

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Handout for a workshop presented for SPOT on DD in August 2011. Video files have been removed for privacy reasons. Further resources and links AAC Myths and Legends Romski, M.A. & Sevcik, R.A. (2005). Augmentative communication and early intervention: Myths and realities. Infants & Young Children, 18:3, 174-185 YAACK http://aac.unl.edu/yaack/ DynaVox Implementation Toolkit http://www.dynavoxtech.com/implementation-toolkit/learning-paths/list/?id=7 Communicative Competence Light, J. Toward a Definition of Communicative Competence for Individuals using Augmentative and Alternative Communication Systems,(1989). Augmentative and Alternative Communication,5, 137-144 Aided Language Displays ComTEC Information Sheet on Aided Language Displays Communication Displays for Engineered Adolescent Environments from Pamela Elder and Carol Goossens’ Boardmaker Share CHAT-Now CHAT-Now (manual and CD) Pragmatics Dewart and Summers Pragmatics Profile PODD Pragmatically Organised Dynamic Displays (PODD) PODD Communication Books: Direct Access Templates Videos of Callaghan using PODD (from YouTube) Core Vocabulary Core Vocabulary list from University of Lincoln Nebraska WordPower video (from YouTube) Pixon Core Vocabulary board to supplement ALDs from Disability Services Commission, WA The Language Stealers video (from YouTube) Communication Technology Range of speech generating devices from Spectronics DynaVox Devices DynaVox Vmax with EyeMax iPad/iPod touch Apps for AAC list AAC Apps – Speaking Appropriately AAC RERC White Paper: Mobile Devices and Communication Apps Small Talk SmallTalk for Children and Adults Sequenced Social Scripts One Voice video (from YouTube)http://www.youtube.com/watch?v=w5ZlUnU8Oeo

TRANSCRIPT

Page 1: AAC All Day, Every Day

AAC All Day Every Day

Jane FarrallSpeech PathologistAAC Support Services ManagerjanespectronicscomauTwitter janefarrall

What is AAC

bull Augmentative and Alternative Communication (AAC) An area of specialised clinical and educational practice that provides communication options and interventions for people with complex communication needs The term augmentative in this context means supplemental or additional to speech Augmentative techniques (eg gestures and facial expressions) are commonly used when communicating and interacting with others

bull The use of the term alternative acknowledges that there are some individuals whose speech is sufficiently impaired that they must rely completely on standard and special augmentative techniques which do not augment speech but are alternatives to speech (Vanderheiden amp Yoder 1996)

(Speech Pathology Australia AAC Position Paper 2004)

AAC System

bull AAC system An integrated group of components including the symbols aids strategies and techniques used by individuals to enhance communication The system serves to supplement any gestural spoken andor written communication abilities

(American Speech and Hearing Association 1991)

Unaided and Aided AAC

bull Unaided AAC All techniques that do not require any physical aids (eg gesture sign facial expression)

bull Aided AAC Techniques where some type of physical object or device is used (eg object symbols communication boards books wallets) Aided AAC is often divided into high technology or lowlight technology systems

(Speech Pathology Australia AAC Position Paper 2004)

AAC Myths and Legends

bull Introducing AAC will stop someone from developing speech

bull Low tech before High techbull Has a little speech so doesnrsquot need AACbull Too cognitively impaired for AACbull AAC will fix all communication difficultiesbull Too young for AACbull Doesnrsquot need AAC as they can express

basic needs

AAC Myths and Legends - Resourcesbull Romski MA amp Sevcik RA (2005)

Augmentative communication and early intervention Myths and realities Infants amp Young Children 183 174-185

bull YAACK httpaacunleduyaack bull DynaVox Implementation Toolkit

httpwwwdynavoxtechcomimplementation-toolkitlearning-pathslistid=7

Good Practice Approaches to AACbull Aided Language Displays (ALDs)bull Engineering the Environmentbull Chat Nowbull PODDbull Core Vocabulary

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 2: AAC All Day, Every Day

Jane FarrallSpeech PathologistAAC Support Services ManagerjanespectronicscomauTwitter janefarrall

What is AAC

bull Augmentative and Alternative Communication (AAC) An area of specialised clinical and educational practice that provides communication options and interventions for people with complex communication needs The term augmentative in this context means supplemental or additional to speech Augmentative techniques (eg gestures and facial expressions) are commonly used when communicating and interacting with others

bull The use of the term alternative acknowledges that there are some individuals whose speech is sufficiently impaired that they must rely completely on standard and special augmentative techniques which do not augment speech but are alternatives to speech (Vanderheiden amp Yoder 1996)

(Speech Pathology Australia AAC Position Paper 2004)

AAC System

bull AAC system An integrated group of components including the symbols aids strategies and techniques used by individuals to enhance communication The system serves to supplement any gestural spoken andor written communication abilities

(American Speech and Hearing Association 1991)

Unaided and Aided AAC

bull Unaided AAC All techniques that do not require any physical aids (eg gesture sign facial expression)

bull Aided AAC Techniques where some type of physical object or device is used (eg object symbols communication boards books wallets) Aided AAC is often divided into high technology or lowlight technology systems

(Speech Pathology Australia AAC Position Paper 2004)

AAC Myths and Legends

bull Introducing AAC will stop someone from developing speech

bull Low tech before High techbull Has a little speech so doesnrsquot need AACbull Too cognitively impaired for AACbull AAC will fix all communication difficultiesbull Too young for AACbull Doesnrsquot need AAC as they can express

basic needs

AAC Myths and Legends - Resourcesbull Romski MA amp Sevcik RA (2005)

Augmentative communication and early intervention Myths and realities Infants amp Young Children 183 174-185

bull YAACK httpaacunleduyaack bull DynaVox Implementation Toolkit

httpwwwdynavoxtechcomimplementation-toolkitlearning-pathslistid=7

Good Practice Approaches to AACbull Aided Language Displays (ALDs)bull Engineering the Environmentbull Chat Nowbull PODDbull Core Vocabulary

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 3: AAC All Day, Every Day

What is AAC

bull Augmentative and Alternative Communication (AAC) An area of specialised clinical and educational practice that provides communication options and interventions for people with complex communication needs The term augmentative in this context means supplemental or additional to speech Augmentative techniques (eg gestures and facial expressions) are commonly used when communicating and interacting with others

bull The use of the term alternative acknowledges that there are some individuals whose speech is sufficiently impaired that they must rely completely on standard and special augmentative techniques which do not augment speech but are alternatives to speech (Vanderheiden amp Yoder 1996)

(Speech Pathology Australia AAC Position Paper 2004)

AAC System

bull AAC system An integrated group of components including the symbols aids strategies and techniques used by individuals to enhance communication The system serves to supplement any gestural spoken andor written communication abilities

(American Speech and Hearing Association 1991)

Unaided and Aided AAC

bull Unaided AAC All techniques that do not require any physical aids (eg gesture sign facial expression)

bull Aided AAC Techniques where some type of physical object or device is used (eg object symbols communication boards books wallets) Aided AAC is often divided into high technology or lowlight technology systems

(Speech Pathology Australia AAC Position Paper 2004)

AAC Myths and Legends

bull Introducing AAC will stop someone from developing speech

bull Low tech before High techbull Has a little speech so doesnrsquot need AACbull Too cognitively impaired for AACbull AAC will fix all communication difficultiesbull Too young for AACbull Doesnrsquot need AAC as they can express

basic needs

AAC Myths and Legends - Resourcesbull Romski MA amp Sevcik RA (2005)

Augmentative communication and early intervention Myths and realities Infants amp Young Children 183 174-185

bull YAACK httpaacunleduyaack bull DynaVox Implementation Toolkit

httpwwwdynavoxtechcomimplementation-toolkitlearning-pathslistid=7

Good Practice Approaches to AACbull Aided Language Displays (ALDs)bull Engineering the Environmentbull Chat Nowbull PODDbull Core Vocabulary

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 4: AAC All Day, Every Day

AAC System

bull AAC system An integrated group of components including the symbols aids strategies and techniques used by individuals to enhance communication The system serves to supplement any gestural spoken andor written communication abilities

(American Speech and Hearing Association 1991)

Unaided and Aided AAC

bull Unaided AAC All techniques that do not require any physical aids (eg gesture sign facial expression)

bull Aided AAC Techniques where some type of physical object or device is used (eg object symbols communication boards books wallets) Aided AAC is often divided into high technology or lowlight technology systems

(Speech Pathology Australia AAC Position Paper 2004)

AAC Myths and Legends

bull Introducing AAC will stop someone from developing speech

bull Low tech before High techbull Has a little speech so doesnrsquot need AACbull Too cognitively impaired for AACbull AAC will fix all communication difficultiesbull Too young for AACbull Doesnrsquot need AAC as they can express

basic needs

AAC Myths and Legends - Resourcesbull Romski MA amp Sevcik RA (2005)

Augmentative communication and early intervention Myths and realities Infants amp Young Children 183 174-185

bull YAACK httpaacunleduyaack bull DynaVox Implementation Toolkit

httpwwwdynavoxtechcomimplementation-toolkitlearning-pathslistid=7

Good Practice Approaches to AACbull Aided Language Displays (ALDs)bull Engineering the Environmentbull Chat Nowbull PODDbull Core Vocabulary

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 5: AAC All Day, Every Day

Unaided and Aided AAC

bull Unaided AAC All techniques that do not require any physical aids (eg gesture sign facial expression)

bull Aided AAC Techniques where some type of physical object or device is used (eg object symbols communication boards books wallets) Aided AAC is often divided into high technology or lowlight technology systems

(Speech Pathology Australia AAC Position Paper 2004)

AAC Myths and Legends

bull Introducing AAC will stop someone from developing speech

bull Low tech before High techbull Has a little speech so doesnrsquot need AACbull Too cognitively impaired for AACbull AAC will fix all communication difficultiesbull Too young for AACbull Doesnrsquot need AAC as they can express

basic needs

AAC Myths and Legends - Resourcesbull Romski MA amp Sevcik RA (2005)

Augmentative communication and early intervention Myths and realities Infants amp Young Children 183 174-185

bull YAACK httpaacunleduyaack bull DynaVox Implementation Toolkit

httpwwwdynavoxtechcomimplementation-toolkitlearning-pathslistid=7

Good Practice Approaches to AACbull Aided Language Displays (ALDs)bull Engineering the Environmentbull Chat Nowbull PODDbull Core Vocabulary

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 6: AAC All Day, Every Day

AAC Myths and Legends

bull Introducing AAC will stop someone from developing speech

bull Low tech before High techbull Has a little speech so doesnrsquot need AACbull Too cognitively impaired for AACbull AAC will fix all communication difficultiesbull Too young for AACbull Doesnrsquot need AAC as they can express

basic needs

AAC Myths and Legends - Resourcesbull Romski MA amp Sevcik RA (2005)

Augmentative communication and early intervention Myths and realities Infants amp Young Children 183 174-185

bull YAACK httpaacunleduyaack bull DynaVox Implementation Toolkit

httpwwwdynavoxtechcomimplementation-toolkitlearning-pathslistid=7

Good Practice Approaches to AACbull Aided Language Displays (ALDs)bull Engineering the Environmentbull Chat Nowbull PODDbull Core Vocabulary

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 7: AAC All Day, Every Day

AAC Myths and Legends - Resourcesbull Romski MA amp Sevcik RA (2005)

Augmentative communication and early intervention Myths and realities Infants amp Young Children 183 174-185

bull YAACK httpaacunleduyaack bull DynaVox Implementation Toolkit

httpwwwdynavoxtechcomimplementation-toolkitlearning-pathslistid=7

Good Practice Approaches to AACbull Aided Language Displays (ALDs)bull Engineering the Environmentbull Chat Nowbull PODDbull Core Vocabulary

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 8: AAC All Day, Every Day

Good Practice Approaches to AACbull Aided Language Displays (ALDs)bull Engineering the Environmentbull Chat Nowbull PODDbull Core Vocabulary

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 9: AAC All Day, Every Day

Additional AAC options to support good practicebull Small Talkbull About Me Booksbull YesNo ++++bull Social Scriptsbull Partner Focused Questionsbull Storytelling

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 10: AAC All Day, Every Day

High Tech AAC

bull Custom Speech Generating Devicesbull Mainstream Technology

bull iPod touchiPadbull Android PhonesTabletsbull Laptops

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 11: AAC All Day, Every Day

Communicative Competence

bull Light (1989) bull Linguistic Competence (mastery of the

linguistic code)bull Operational Competence (access methods

onoff)bull Social Competencebull Strategic Competence (make the most of the

vocab they have)

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 12: AAC All Day, Every Day

Aided Language Displays

bull Prospective users must be provided with frequent examples of interactive generative use to acquire any semblance of proficiency

bull No one would dispute the fact that it would be very difficult to become a fluent speaker of French if your instructor seldom used French in your presence

Goossensrsquo Crain and Elder (1988) Goossensrsquo (1989)

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 13: AAC All Day, Every Day

Aided Language Displays

bull Likewise it is difficult for a nonspeaker to become a proficient AAC user if other people never model interactive use of their system during all aspects of the day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 14: AAC All Day, Every Day

Aided Language Displays

bull Aided Language Displays are NOT choice making boards

bull Choice making boards supplement ALDsbull Eg in music time a choice board of songs

is followed by boards for singing the songs

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 15: AAC All Day, Every Day

It is critical for an individual to not only have symbols but also to have experience with those symbols in a symbol rich environment print rich environment The typically developing child will have been exposed to oral language for approximately 4380 waking hours by the time he begins speaking at about 18 months of age

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 16: AAC All Day, Every Day

If someone is using a different symbol set and only has exposure to it two times a week for 20-30 minutes each it will take the alternate symbol user 84 years to have the same experience with his symbols that the typically developing child has with the spoken word in 18 months

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 17: AAC All Day, Every Day

The typically developing child will demonstrate language competency around 9-12 years of age having been immersed in and practicing oral language for approximately 36500 waking hours For 9-12 years that child has been using and receiving corrective feedback while practicing with the spoken word

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 18: AAC All Day, Every Day

At twice a week 20-30 minutes each time it will take the alternate symbol user 701 years to have the same experience

Jane Korsten (2011) QIAT Listserv 4th April

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 19: AAC All Day, Every Day

Aided Language Displays

bull If children are to gain proficiency in using their aided AAC systems others must begin to use the childrens AAC system to communicate with them

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 20: AAC All Day, Every Day

Aided Language Displays

bull By modelling how to use a display to initiate and maintain communication you show a student how to initiate and maintain ndash not just respond

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 21: AAC All Day, Every Day

Aided Language Display Design

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 22: AAC All Day, Every Day

Aided Language Display Design

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 23: AAC All Day, Every Day

Aided Language Display Design

bull If you (as a person proficient in language) cannot use a communication system or display throughout an interaction then how can you provide Aided Language Stimulation

bull If you cannot use it is it designed well

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 24: AAC All Day, Every Day

wwwboardmakersharecom

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 25: AAC All Day, Every Day

Engineering the Environment

bull Displays must be stored in close proximity to where they are needed

bull Displays must be stored in a way that helps with quick access and set-up

bull Eg in dress-up box on back of bookshelf on walls in plastic bucket inside game box with props in eye gaze arrangement

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 26: AAC All Day, Every Day

CHAT-Now

bull Developed by Gayle Porter (Cerebral Palsy Education Centre) and Marnie Cameron (Communication Resource Centre)

bull Childrenrsquos Aided Language Toolsbull Consists of aided language displays for

early childhood settings and general interactive board(s)

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 27: AAC All Day, Every Day

CHAT-Now ndash Book

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 28: AAC All Day, Every Day

CHAT-Now General Interactive

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 29: AAC All Day, Every Day

CHAT-Now

bull A series of ALDs for different activitiesbull Designed for early childhood but suits

many special education settingsbull Also includes a general interactive board

for use throughout the whole day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 30: AAC All Day, Every Day

Special School Project

bull Approx 80 of students in school with CCN

bull A few have individual systems ndash generally not being used

bull Lots of visual supports in place ndash all staff carry key caddies and all classrooms use visual schedules first then boards etc

bull Commonly used AAC is all adult focused language

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 31: AAC All Day, Every Day

Key Caddies

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 32: AAC All Day, Every Day

Special School Project

bull Baseline observations and videos end of 2010

bull No spontaneous AAC use by students

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 33: AAC All Day, Every Day

Term 1 2011

bull Every student establish yesnobull Begin using CHAT-Nowbull Introducing general interactive boardbull Then aided language displays

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 34: AAC All Day, Every Day

Week 1

bull Problem solve how to make general interactive display available in every situation

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 35: AAC All Day, Every Day

Week 2

bull Model more and finished all week

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 36: AAC All Day, Every Day

Week 3

bull Add I like this

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 37: AAC All Day, Every Day

Week 4

bull Add I donrsquot like this

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 38: AAC All Day, Every Day

Week 5

bull Use whole board

bull Made up in Tap Speak Choice AAC App

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 39: AAC All Day, Every Day

Weeks 6 - 10

bull Consolidate use of whole boardbull Ensure all students have yesno

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 40: AAC All Day, Every Day

Special School Project

bull Repeat observations and videos end of term one

bull 10 spontaneous uses of AAC by students observed

bull Next term introducing ALDs for a range of activities

bull Term 3 introducing multi-page generic displays

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 41: AAC All Day, Every Day

CHAT-Now

bull General interactive multi-level

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 42: AAC All Day, Every Day

YesNo

bull Need to watch the number of yesno questions we ask AAC users

bull BUTbull Every AAC user needs to develop a good

clear YesNo response

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 43: AAC All Day, Every Day

Pragmatics

bull Pragmatics ndash social use of languagebull Using language for different purposes

such as greeting informing demanding promising requesting

bull Changing language according to the needs of the listener

bull Following conversational rules

wwwashaorg

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 44: AAC All Day, Every Day

Pragmatics

bull Need to ensure AAC users have access to and know how to use a range of pragmatic skills

bull Dewart and Summers ldquoPragmatics Profilerdquo (1998)

bull httpwwweditwminacukpsychologypp

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 45: AAC All Day, Every Day

PODD

bull PODD is a way of organising whole word and symbol vocabulary in a communication book or speech generating device to provide immersion and modelling for learning

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 46: AAC All Day, Every Day

PODD

bull The aim of a PODD is to provide vocabularybull for continuous communication all the timebull for a range of messagesbull across a range of topics bull in multiple environments

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 47: AAC All Day, Every Day

PODD

bull PODDs can have different formats depending on the individual physical sensory and communication needs of the person who will use it

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 48: AAC All Day, Every Day

PODD

bull PODDs have been developed over the past 15 years by Gayle Porter a speech pathologist with the Cerebral Palsy Education Centre (CPEC) in Victoria Each PODD format has been shaped by the experiences of both children with Complex Communication Needs (CCN) and their communication partners

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 49: AAC All Day, Every Day

Core Vocabulary

bull Using common English words on an AAC display to enable a user to construct their own sentences

bull Approach used in lots of high tech systems but not used as much in low tech due to difficulty of arranging vocabulary for access

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 50: AAC All Day, Every Day

Core Vocabulary

bull CORE VOCAbull High frequency

wordsbull Can be combined

to get your message across in lots of different situations

bull FRINGE VOCABbull Low frequency

wordsbull Only useful in one

or two situationsbull Often related to a

specific topic

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 51: AAC All Day, Every Day

Core Vocabulary

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 52: AAC All Day, Every Day

Core Vocabulary

bull WordPower 24 in TouchChat AAC App

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 53: AAC All Day, Every Day

Pixon

bull httpwwwvantatenhovecomshowfolderphpid=57

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 54: AAC All Day, Every Day

Core Vocab to supplement ALDSbull From the Disability Services Commission

WA

httpwwwboardmakersharecomActivity969086Core-Vocabulary-Display

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 55: AAC All Day, Every Day

Technology

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 56: AAC All Day, Every Day

High Tech and Light Tech

bull Both are just toolsbull Both need good vocabulary design and

good modelling to ensure successbull High Tech can be less forgiving but can

offer more access optionsbull Some students more motivated by high

tech and some donrsquot like itbull Most people need both ndash for different

situations

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 57: AAC All Day, Every Day

Speech Generating Devices

bull STATIC DISPLAY bull DYNAMIC DISPLAY

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 58: AAC All Day, Every Day

Static Display

bull May be more durablebull Generally cheaperbull Often run off AA or AAA batteriesbull Overlay based - require Boardmaker or

other toolbull Need to work out system for storing and

changing overlaysbull Need to ensure vocabulary is updatedbull Harder to maintain in many ways

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 59: AAC All Day, Every Day

Dynamic Display

bull May be more durablebull Usually rechargeablebull Tools for generating pages in device ndash and

sometimes in free software toobull Can change vocabulary on the spotbull Can change pages and levels easilybull Generally offer a wider range of access

options

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 60: AAC All Day, Every Day

Access Options

bull For a user who need alternative access SGDs can offerbull Large range of access optionsbull Flexibilitybull Complete control over device and other

software

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 61: AAC All Day, Every Day

Scanning and Eye Gaze

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 62: AAC All Day, Every Day

High Tech Scanning

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 63: AAC All Day, Every Day

Low Tech Scanning and Eye Gaze

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 64: AAC All Day, Every Day

bull Add movie file here

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 65: AAC All Day, Every Day

Eye Gaze

>

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 66: AAC All Day, Every Day

Mainstream Mobile Devices for AAC

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 67: AAC All Day, Every Day

wwwspectronicsinozcomarticleiphoneipad-apps-for-aac

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 68: AAC All Day, Every Day

bull How do I choosebull Are they worth the

costbull What do they offer

that traditional speech generating devices donrsquot

bull What donrsquot they offer that SGDs do

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 69: AAC All Day, Every Day

Media Stories Opinionbull httpsocialtimescomiphoneipad-app-helps-autistic-children-comm

unicate_b10778

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 70: AAC All Day, Every Day

Media Stories Opinion

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 71: AAC All Day, Every Day

Media Stories Opinionbull wwwspectronicsinozcomblogresources201104aac-apps-speaki

ng-appropriately

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 72: AAC All Day, Every Day

Media Stories Opinionbull Apple iPad2 launch

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 73: AAC All Day, Every Day

Media Stories and Opinionsbull httpwwwwiredcomgeekdad201103ipads-are-not-a-miracle-for-

autism-geekdad-opinion

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 74: AAC All Day, Every Day

Apps with SymbolsPictures

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 75: AAC All Day, Every Day

Apps with Symbols and Text-to-speech

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 76: AAC All Day, Every Day

Apps with text only

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 77: AAC All Day, Every Day

Traditional SGDs

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 78: AAC All Day, Every Day

Research

httpaac-rercpsueduindexphppagesshowid46

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 79: AAC All Day, Every Day

Accessories

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 80: AAC All Day, Every Day

Access

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 81: AAC All Day, Every Day

Other mobile devices

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 82: AAC All Day, Every Day

Resources

bull wwwspectronicsinozcomblogapple bull httpa4cwsncombull iTeach Special Education ndash iDevices in

Special Education (Facebook group)bull Assistive Technology (Facebook Group)

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 83: AAC All Day, Every Day

Expertise

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 84: AAC All Day, Every Day

Case Study

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 85: AAC All Day, Every Day

Additional AAC options to support good practicebull YesNo ++++bull Small Talkbull About Me Booksbull Storytellingbull Social Scriptsbull Partner Focused Questionsbull Introducing yourselfbull Taking non-obligatory turns

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 86: AAC All Day, Every Day

Social Communication

bull Social communication is a BIG part of our day

bull We use different forms of social communication ndash small talk storytelling greetings wrap ups and farewells

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 87: AAC All Day, Every Day

Social Communication

bull Social communication is more than 50 of our daily conversation

bull Light (1998) found that reasons for communication between adults were (in ranked order)bull Social closenessbull Social etiquettebull Information transferbull Wants and Needs

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 88: AAC All Day, Every Day

Small Talkbull A type of conversational exchange used for initiating and maintaining

conversational interactionbull Some conversation never progresses beyond small talk eg at a cocktail

party

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 89: AAC All Day, Every Day

Small Talk

bull Small talk is used as a transition between the greeting and information sharing stage especially when people donrsquot know each other well or donrsquot possess a lot of shared information

bull Small talk is often the first step towards social closenessbull A quick check at Amazon showed 16 books aimed at

helping people improve their small talk skills Including ldquoHow to get people to like you in 90 secondsrdquo

bull There are even websites to teach you how to small talk eg wwwehowcom wwwenglishclubcom wwwivillagecouk and many more

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 90: AAC All Day, Every Day

AAC Users and Small Talk

bull Many AAC users use little or no small talkbull This can be because

bull They donrsquot have access to small talk in their communication system

bull They donrsquot see the need for itbull They think it is a waste of time

bull Light and Binger (1998) found that AAC users were seen as more intelligent valued and competent communication partners if they used small talk

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 91: AAC All Day, Every Day

Generic Small Talkbull Generic small talk is small talk that people can use with a variety

of different conversational partners because it doesnrsquot refer to specific shared information

bull Particularly effective for many AAC users as it has many different uses

Generic Small Talk

Specific Small Talk

How is your family

How is your wife

Whatrsquos happening

What are you doing

Donrsquot you look nice

Nice haircut

Shersquos great Shersquos a great teacher

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 92: AAC All Day, Every Day

Generic Small Talk

bull Several groups of researchers at the University of Nebraska-Lincoln looked at the frequency and types of generic small talk used by speakers of various ages without disabilities

bull 3 ndash 5 year olds - 48 of all utterances at both home and pre-schoolschool were generic small talk

bull 20 ndash 30 year olds - 39 of all utterances were generic small talk

bull 65 ndash 74 year olds ndash 31 of all utterances were generic small talk

bull 75 ndash 85 year olds ndash 26 of all utterances were generic small talk

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 93: AAC All Day, Every Day

Generic Small Talk

bull Most of the age groups used continuers as the most common form of small talk

bull Really Yeah Great Coolbull Go to aacunledu for more detailed

information

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 94: AAC All Day, Every Day

Differences in Small Talk Vocabularybull The small talk vocabulary lists showed that

some words were used more frequently than others eg OK

bull Some words were common across all age groups eg great

bull Some words were specific to certain age groups eg ldquobummerrdquo was used by the 25 ndash 35 year age group but not by the others

bull Small talk also differs based on your friendship groups your geographical location your interests and life experiences

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 95: AAC All Day, Every Day

Small Talk and Mealtimes

bull Balandin and Iacono (2000) found that it was nearly impossible to script the content-specific vocabulary needed for mealtimes for an adult in the workplace (although there was a good chance on Mondays and Fridays that footie would be the topic during the footie season)

bull In this situation the only predictable thing was small talk

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 96: AAC All Day, Every Day

Pre-school Generic Small Talk

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 97: AAC All Day, Every Day

Adult Generic Small Talk

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 98: AAC All Day, Every Day

Georgersquos Small Talk

bull 21 year old male with athetoid cerebral palsy

bull Attends a day centre for young adultsbull Uses a Dynavox 3100 but only uses the

spelling pagebull Controls communication device with a

head switch

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 99: AAC All Day, Every Day

Georgersquos Small Talk

bull Over 20 other people with disabilities and 6 staff attended Georgersquos centre most of whom talked

bull George rarely used his device during the daybull Staff requested a review of his device because

he didnrsquot ldquoeverrdquo use itbull George had previously had a setup with core

vocabulary on his device but found it frustrating to find words he wanted when he could just spell them

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 100: AAC All Day, Every Day

Georgersquos Small Talk

bull A speech pathology student observed him in two sessions He ldquousedrdquo his device constantly but only spoke with it twice

bull George was accessing his device with a head switch and blockrowcolumn scanning She observed that by the time he had formulated a message the conversation had moved on and he erased and moved onto a new message

bull A two pronged approach was used Firstly a conversational topic was established before each group eg ldquoWhat are your favourite filmsrdquo This allowed George to compose messages in advance

bull A small talk page was programmed and George practiced using this in one-to-one and then small group conversation

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 101: AAC All Day, Every Day

Georgersquos Small Talk

bull At the end of 8 weeks the same speech pathology student observed George in the same two sessions

bull George used his device 46 times Five of these were topic setters 41 were small talk continuers

bull Several other people in the centre commented spontaneously that ldquoGeorge was much cleverer than they thoughtrdquo or that ldquoThey enjoyed talking to George much morerdquo

bull Andhelliphersquos still using it

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 102: AAC All Day, Every Day

Michaelrsquos Small Talk

bull 14 year old with autistic spectrum disorderbull Attends a mainstream school with a full-time

integration aidebull Michael has a Dynavox MiniMo but has recently

developed quite a lot of speech which is only understood by familiar people

bull Michaelrsquos device has core vocabulary with lots of fringe vocabulary around his topics of particular interest eg SpongeBob Squarepants

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 103: AAC All Day, Every Day

Michaelrsquos Small Talk

bull Michael has been very keen to interact with his peers However as his peers have got older verbal skills have become more important to these interactions

bull Michael will often walk up to a group and simply stand there The other children do not try to include him in their conversations nor does Michael try to join in

bull Some of the children Michael was friendly with in primary years will occasionally sit down and talk with him but always on his terms These occasions are decreasing in frequency

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 104: AAC All Day, Every Day

Michaelrsquos Small Talk

bull Introduced Michael to Small Talkbull Each of his favourite topic areas had a

page built with partner directed questions and small talk continuers

bull His old friends are very impressed with this change in Michael They are more likely to have a chat with him and will sometimes call other people over to take part in the conversation

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 105: AAC All Day, Every Day

Sequenced Social Scripts

bull Sequenced social scripts can really help a user tobull Get a feel for the anatomy of a conversationbull Develop turntaking skillsbull Learn to interact with a variety of partners

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 106: AAC All Day, Every Day

What are Social Scripts

bull They support students in learning to claim start and maintain turns in a conversation

bull Much of the information in this section is taken from ldquoCan We Chat Co-Planned Sequenced Social Scripts A Make It Take It Book of Ideas and Adaptationsrdquo by Caroline Musselwhite and Linda Burkhart

bull Also called Participation Scripts

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 107: AAC All Day, Every Day

What are Social Scripts

bull Social Scripts are interactions such as joke-telling sharing life stories and general conversations

bull They help persons using augmentative and alternative communication (AAC) move beyond wants and needs to using real communication for conversational purposes

bull Often give developing communicators a sense of the power of communication

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 108: AAC All Day, Every Day

Anatomy of a social script

bull Attention gettersbull Startersbull Maintainers holders and interjectionsbull Turn transfersbull Closings

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 109: AAC All Day, Every Day

Communication Passports

bull Template available from CALL Centre Scotland

bull wwwcommunicationpassportsorgukbull iPhone App coming soonbull Also from SCOPE UK at

httpwwwscopeorgukhelp-and-informationpublicationsscope-communication-passport

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 110: AAC All Day, Every Day

Communication Passports

bull Useful for exchanging information about an AAC User between others

bull Often not a tool used by the AAC user directly

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 111: AAC All Day, Every Day

This book is about me

My name is Mike

Please read

This book will help you to get to know me and how I communicate

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 112: AAC All Day, Every Day

Page Index1 All about me 2 You need to know3 My Family4 My Friends 5 Special people special things6 Things I like to talk about7 How I communicate8 How I communicate (2)9 You can help me communicate10 Fun things I like to do11 Places I like going12 Things I donrsquot like 13 Irsquom working on this14 Help15 Eating and Drinking16 Whatrsquos my eyesight like

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 113: AAC All Day, Every Day

All About Me

CALL Centre page 1

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 114: AAC All Day, Every Day

You need to know1 I have epileptic seizures They donrsquot last for long

please just make me comfortable and let me have a snooze afterwards

2 I am allergic to penicillin

CALL Centre page 2

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 115: AAC All Day, Every Day

CALL Centre page 3

bull I love my FamilyI like to talk about them so you need to

know who everybody is

This is my Mum and Dad

And my sister Larissa

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 116: AAC All Day, Every Day

My Friends

CALL Centre page 4

This are my friends John Mike

Peter Sally and Sue

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 117: AAC All Day, Every Day

CALL Centre page 5

bullSpecial People Special Things

I love having a weighted blanket on my

lap ndash it helps me concentrate

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 118: AAC All Day, Every Day

You can help me to communicate

Please DObull give me plenty time

Please DONrsquoTbull ask me more than one

question at a time

CALL Centre page 9

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 119: AAC All Day, Every Day

Personal Storytelling

bull As we get older the percentage of small talk decreases and the percentage of storytelling increases

bull Older adults in particular use stories to entertain teach and establish social closeness with their peers

bull As individuals lose their spouses and move to retirement and care facilities the need to socially connect with individuals their own age becomes important and storytelling becomes a vehicle for this

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 120: AAC All Day, Every Day

Personal Storytelling

bull Schank (1990) discussed story formulation refinement and storage in detail He found a few different ldquotypesrdquo of stories in common usebull First person storiesbull Second person storiesbull Official storiesbull Fantasy stories

bull Marven et al (1994) found that for preschoolers 9 of their communication at home and 11 at preschool involves fantasy of some sort

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 121: AAC All Day, Every Day

AAC and Storytelling

bull Storytelling with AAC systems has become practical and possible with improved technology

bull However we must be careful that the stories are ones which the person would choose to tell

bull Storytelling is very personal and must be individualised

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 122: AAC All Day, Every Day

Johnrsquos ldquochatrdquo cards

bull John is an 11 year old with autism spectrum disorder

bull John uses words (which are mostly intelligible to familiar people) signs and a multi-page communication book

bull John also has some challenging behaviour

bull Five years ago John had challenging behaviour every night when he got home from school

bull His mum felt that this was due to his frustration over trying to tell her about his day

bull His team decided that ldquochatrdquo cards about his day would help

bull They setup a process to write a sentence about each day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 123: AAC All Day, Every Day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 124: AAC All Day, Every Day

Johnrsquos ldquochatrdquo cards

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 125: AAC All Day, Every Day

Johnrsquos ldquochatrdquo cards

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 126: AAC All Day, Every Day

Johnrsquos storytelling

bull Many of Johnrsquos old chat cards are in a milk crate in his room

bull John began spontaneously using them with new people a couple of years ago

bull He selects a few cards and then brings them to the new person They read them with him and if they show particular interest in one topic eg playing basketball he will go and get more things around this topic

bull He brings out fewer chat cards as people become more familiar with him and understand more of his speech

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 127: AAC All Day, Every Day

Tedrsquos Storytelling

bull Ted is a 78 year old who had a CVA when he was 72

bull Following the CVA he regained some spontaneous speech mostly small talk He can understand everything that is said and can read the paper and magazines He cannot speak (apart from small talk) and he cannot write

bull Prior to the stroke he was president of his local RSL Club His wife and his friends miss his storytelling

bull His wife was able to work with him and write out many of his stories These have now been stored in a Macaw with one of his friends doing the recording

bull He and his wife are delighted as he is once again able to tell stories and delight his family and friends

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 128: AAC All Day, Every Day

Personal Photo Stories

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 129: AAC All Day, Every Day

Sarahrsquos Storytelling

bull Sarah is a woman in her sixties who lives in her own house

bull In her forties she was in a motor vehicle accident and is now a quadriplegic

bull She has a good understanding of spoken English but very limited expressive communication including very little facial expression

bull She has control of a single switch with her left thumb but tends to fatigue quickly although her stamina is increasing

bull She has a multi-level communication book which she accesses with eye pointing

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 130: AAC All Day, Every Day

Sarahrsquos Storytelling

bull She has a range of in-house care staff who tend to stay around for between 5 months and 3 years

bull Many of these staff assume she doesnrsquot understand what is said to her because she doesnrsquot give body language feedback

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 131: AAC All Day, Every Day

Sarahrsquos Chat BookInside this book are some of my photos The writing tells

you about them The questions are things I am interested in about you Please read out the writing and the questions and we can find out about each other together - but be

warned - it might take more than one visit

Sarah

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 132: AAC All Day, Every Day

Sarahrsquos Chat Book

bull Sarahrsquos chat book has completely changed the way staff see her

bull Each new staff member sits down and goes through the book with her over a few different sessions

bull They realise how interested Sarah is in them and they gossip with her more

bull It also gives them topics to talk about that they think will interest her

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 133: AAC All Day, Every Day

Maggiersquos Storytelling

bull A series of photos about a person to give the ldquolistenerrdquo a sense of who the person is

bull Can be used to let them have a ldquoconversationrdquo with their ldquolistenerrdquo

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 134: AAC All Day, Every Day

httpsheldonhickeycommaggieAll20about20meindexhtml

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 135: AAC All Day, Every Day

Just how important is social communicationbull In Building Communicative Competence with

individuals who use Augmentative and Alternative Communication Light and Binger (1998) looked at just three different social communication skillsbull 1 Use of an introductory strategy when meeting new

peoplebull 2 Use of nonobligatory turns to increase participation

in social interactionsbull 3 Use of partner-focused questions to demonstrate

an interest in the partner

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 136: AAC All Day, Every Day

Use of an introductory strategy when meeting new peoplebull Teaching a 35 year old with a closed head injury to use

an introductory strategy to explain his use of AAC and his communication resulted in much more positive interactions with unfamiliar people with fewer breakdowns and made the new partners more at ease

bull Teaching a 44 year old with cerebral palsy to use an introductory strategy allowed her to be more confident and assertive with new people Twenty adults with no previous experience of AAC viewed tapes of Maureen meeting new people pre and post 100 of them reported she was a more competent communicator when she used an introductory strategy

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 137: AAC All Day, Every Day

Use of nonobligatory turn taking

bull Teaching a young (4frac12 year old) child with cerebral palsy to use non-obligatory turn taking via AAC meant that the child was initiating more frequently and was more eager to participate in group activities One of her peers said she was more fun to play with Her speech improved and she acquired 30 new words

bull Teaching a 14 year old with autism to take non-obligatory turns also resulted in a increase in initiating and turn taking There was a decrease in his inappropriate behaviours and he was less disruptive in class 20 adults who were not familiar with AAC rated his pre and post videotapes and rated him as a much more competent communicator in the post tapes (although they didnrsquot know which were pre or post)

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 138: AAC All Day, Every Day

Use of partner focused questionsbull Teaching a 13 year old child with developmental

disability to use partner focused questions produced a change in the focus of his interactions His partners began to see his communication as more appropriate

bull Teaching a 24 year old with athetoid cerebral palsy to use partner focused questions meant that he became a more valued communication partner with those he regularly communicated with

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 139: AAC All Day, Every Day

So how do I decide whatrsquos important in an AAC systembull Beukelman (2004) wrote that

ldquovocabulary selection in AAC can be viewed as the process of choosing a small list of words or items from a pool of all possibilitiesrdquo

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 140: AAC All Day, Every Day

Choosing vocabulary for pre-literate individualsbull For people who are pre-literate those designing

an AAC system face a hard task Generally we consider there are two forms of vocabulary for this group ndash vocabulary that is needed to communicate essential messages and vocabulary to develop language (which includes small talk and narratives)

bull Many people like to make this decision around core vocabulary ie words and messages which are commonly used and occur frequently Small talk vocabulary fits well within these criteria

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 141: AAC All Day, Every Day

Choosing vocabulary for non-literate individualsbull Aim to meet their daily ongoing

communication needs in a variety of environments

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 142: AAC All Day, Every Day

Choosing vocabulary for literate individuals

bull For literate individuals they may need some phrases or words which need to be pre-stored for quick access either so they can participate in the conversation in a timely way or so they can reduce fatigue

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 143: AAC All Day, Every Day

What do we know about aided AAC use

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 144: AAC All Day, Every Day

Many people who use AAC

bull (Kraat 1985 Light 1989 Muller and Soto 2002)

bull Play a passive rolebull Rarely initiate interactionbull Express a limited number of speech actsbull Use restricted linguistic formsbull Limited opportunities to interact with

other people

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 145: AAC All Day, Every Day

Communication board use is frequently less than one might expect

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 146: AAC All Day, Every Day

When the communication board is used it is often used primarily to provide information requested by the facilitator

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 147: AAC All Day, Every Day

The range of communicative functions produced is typically restricted

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 148: AAC All Day, Every Day

Functionally non-speaking partners tend to assume a respondent role using primarily yesno answers and other short provisions of information

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 149: AAC All Day, Every Day

Patterns of turntaking initiation and conversational control tend to be asymmetrical in nature ie the speaking partner dominates the conversational exchange

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 150: AAC All Day, Every Day

Speaking partners are frequently observed a) to ask closed-ended questions and specific Wh-questions and b) to repeat and rephrase previous turns often initiating topics without expecting a response from the child

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 151: AAC All Day, Every Day

In the classroom setting AAC users tend to communicate predominantly with the adults in the class not their classmates

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 152: AAC All Day, Every Day

AAC should behellip

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 153: AAC All Day, Every Day

Used frequently interactively and generatively to express a wide

range of communicative intents

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 154: AAC All Day, Every Day

Occurring during at least 80 of ongoing classroom programming

(as speech or manual sign use is)

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 155: AAC All Day, Every Day

Being used to mediate communication with classmates as

well as personnel (ie teachers aides therapists clinicians)

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 156: AAC All Day, Every Day

Being designed and implemented in as time and cost effective a

manner as possible

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 157: AAC All Day, Every Day

What we know

bull Communication displays and devices are often not used

bull AAC users are typically responders not initiators

bull Interaction patterns focus on ldquoclosedrdquo questions such as ldquoWhat do you wantrdquo

bull Conversational partners control interactions (turn taking is unequal)

bull Peer interaction is minimal

(Kraat 1985)

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 158: AAC All Day, Every Day

Four main issues

bull Lack of Modellingbull Lack of Access to Vocabularybull Communicative Competencebull PassivityLearned Helplessness

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this
Page 159: AAC All Day, Every Day

We know how to fix this

bull We just need to do it

bull And model model model

  • AAC All Day Every Day
  • Slide 2
  • What is AAC
  • AAC System
  • Unaided and Aided AAC
  • AAC Myths and Legends
  • AAC Myths and Legends - Resources
  • Good Practice Approaches to AAC
  • Additional AAC options to support good practice
  • High Tech AAC
  • Communicative Competence
  • Aided Language Displays
  • Aided Language Displays (2)
  • Slide 14
  • Slide 15
  • Aided Language Displays (3)
  • Slide 17
  • Slide 18
  • Slide 19
  • Slide 20
  • Aided Language Displays (4)
  • Aided Language Displays (5)
  • Aided Language Display Design
  • Aided Language Display Design (2)
  • Aided Language Display Design (3)
  • wwwboardmakersharecom
  • Engineering the Environment
  • CHAT-Now
  • CHAT-Now ndash Book
  • CHAT-Now General Interactive
  • CHAT-Now (2)
  • Special School Project
  • Key Caddies
  • Special School Project (2)
  • Term 1 2011
  • Week 1
  • Week 2
  • Week 3
  • Week 4
  • Week 5
  • Weeks 6 - 10
  • Special School Project (3)
  • CHAT-Now (3)
  • YesNo
  • Pragmatics
  • Pragmatics (2)
  • PODD
  • PODD (2)
  • PODD (3)
  • PODD (4)
  • Core Vocabulary
  • Core Vocabulary (2)
  • Core Vocabulary (3)
  • Core Vocabulary (4)
  • Pixon
  • Core Vocab to supplement ALDS
  • Technology
  • High Tech and Light Tech
  • Speech Generating Devices
  • Static Display
  • Dynamic Display
  • Access Options
  • Scanning and Eye Gaze
  • High Tech Scanning
  • Low Tech Scanning and Eye Gaze
  • Slide 66
  • Eye Gaze
  • Mainstream Mobile Devices for AAC
  • wwwspectronicsinozcomarticleiphoneipad-apps-for-aac
  • Slide 70
  • Media Stories Opinion
  • Media Stories Opinion (2)
  • Media Stories Opinion
  • Media Stories Opinion (3)
  • Media Stories and Opinions
  • Apps with SymbolsPictures
  • Apps with Symbols and Text-to-speech
  • Apps with text only
  • Traditional SGDs
  • Research
  • Accessories
  • Access
  • Other mobile devices
  • Resources
  • Expertise
  • Case Study
  • Additional AAC options to support good practice (2)
  • Social Communication
  • Social Communication (2)
  • Small Talk
  • Small Talk (2)
  • AAC Users and Small Talk
  • Generic Small Talk
  • Generic Small Talk (2)
  • Generic Small Talk (3)
  • Differences in Small Talk Vocabulary
  • Small Talk and Mealtimes
  • Pre-school Generic Small Talk
  • Adult Generic Small Talk
  • Georgersquos Small Talk
  • Georgersquos Small Talk (2)
  • Georgersquos Small Talk (3)
  • Georgersquos Small Talk (4)
  • Michaelrsquos Small Talk
  • Michaelrsquos Small Talk (2)
  • Michaelrsquos Small Talk (3)
  • Sequenced Social Scripts
  • What are Social Scripts
  • What are Social Scripts (2)
  • Anatomy of a social script
  • Communication Passports
  • Communication Passports (2)
  • This book is about me My name is Mike
  • Page Index
  • All About Me
  • You need to know
  • Slide 117
  • My Friends
  • Slide 119
  • You can help me to communicate
  • Personal Storytelling
  • Personal Storytelling (2)
  • AAC and Storytelling
  • Johnrsquos ldquochatrdquo cards
  • Johnrsquos ldquochatrdquo cards (2)
  • Johnrsquos ldquochatrdquo cards (3)
  • Johnrsquos ldquochatrdquo cards (4)
  • Johnrsquos storytelling
  • Tedrsquos Storytelling
  • Slide 130
  • Personal Photo Stories
  • Sarahrsquos Storytelling
  • Sarahrsquos Storytelling (2)
  • Sarahrsquos Chat Book
  • Sarahrsquos Chat Book (2)
  • Maggiersquos Storytelling
  • Slide 137
  • Just how important is social communication
  • Use of an introductory strategy when meeting new people
  • Use of nonobligatory turn taking
  • Use of partner focused questions
  • So how do I decide whatrsquos important in an AAC system
  • Choosing vocabulary for pre-literate individuals
  • Choosing vocabulary for non-literate individuals
  • Choosing vocabulary for literate individuals
  • What do we know about aided AAC use
  • Many people who use AAC
  • Communication board use is frequently less than one might expec
  • When the communication board is used it is often used primaril
  • The range of communicative functions produced is typically rest
  • Functionally non-speaking partners tend to assume a respondent
  • Patterns of turntaking initiation and conversational control t
  • Speaking partners are frequently observed a) to ask closed-ende
  • In the classroom setting AAC users tend to communicate predomi
  • AAC should behellip
  • Used frequently interactively and generatively to express a wi
  • Occurring during at least 80 of ongoing classroom programming
  • Being used to mediate communication with classmates as well as
  • Being designed and implemented in as time and cost effective a
  • What we know
  • Four main issues
  • We know how to fix this