You’re exhausted. You’re walking on eggshells. And now someone is suggesting your child needs AAC (Augmentative and Alternative Communication).
Maybe you’re excited about giving your child a voice. Perhaps you’re overwhelmed by all the options. Maybe you’re scared you’ll choose the “wrong” thing.
Let me help.
First: There’s No “Wrong” Choice
The best AAC system is the one your child will actually use. That might be:
- High-tech (speech device/app)
- Low-tech (picture cards)
- No-tech (sign language)
- A combination of methods
All are valid. All work.
Where to Start:
1. Get a Speech-Language Pathologist (SLP) Evaluation
- Ask specifically for an AAC evaluation
- Request trials of different systems
- Ask about funding options
2. Understand Your Options:
NO-TECH AAC (free or very low cost)
- Sign language (ASL or keyword signing)
- Gestures and natural communication
- Simple yes/no systems
LOW-TECH AAC ($0-$100)
- Picture Exchange Communication System (PECS)
- Communication boards
- Visual choice cards
- Core word boards
HIGH-TECH AAC ($0-$10,000+)
- Dedicated speech devices (usually insurance covered)
- iPad/tablet apps (many free or low-cost options)
- Eye gaze technology
- Switch-accessible devices
3. Popular AAC Apps to Explore:
Paid Apps (often insurance covered):
- Proloquo2Go ($300) – Very popular, highly customizable
- TouchChat ($300) – Flexible, multiple vocabulary options
- LAMP Words for Life ($300) – Motor planning-based
- Speak for Yourself ($300) – Quick access to words
Free/Lower Cost Options:
- AssistiveWare Core First (FREE!)
- Coughdrop (free 90-day trial, then subscription)
- Avaz (free version available)
- Predictable (typing-based, $5/month)
DIY Options:
- Print free communication boards online
- Use photos from your own life
- Create custom boards for specific activities
4. How to Get Funding:
Private Insurance
- AAC devices are often covered as “durable medical equipment”
- Requires SLP evaluation and letter of medical necessity
- Appeal if denied – many succeed on appeal!
Medicaid
- Usually covers AAC devices
- Process varies by state
School District
- IEP can include AAC as assistive technology
- School must provide if needed for education
Grants & Foundations
- AAC Institute
- Various autism organizations
- Local service organizations
5. Start Modeling TODAY:
Don’t wait until you “have the right system” to start!
Modeling means: You use AAC alongside your speech when talking to your child.
Examples:
- Point to “more” picture while saying “more”
- Sign “all done” while saying “all done”
- Touch “eat” on their device while saying “time to eat”
This helps your child: ✓ Learn how AAC works ✓ See it as normal communication ✓ Understand symbol meanings ✓ Feel less pressure (you’re learning together!)
What NOT to Do:
- Wait to “see if they talk first”
- Require them to “earn” access to AAC
- Only make them use it for requesting
- Take it away as punishment
- Expect perfect use immediately
- Compare their progress to other AAC users
Real Talk for Exhausted Parents:
Starting AAC feels overwhelming because you’re already overwhelmed. I get it.
You don’t need to:
- Learn 400 vocabulary words immediately (start with 5-10 core words)
- Buy the most expensive system (free options work!)
- Be perfect (messy implementation is better than waiting for perfect)
- Do this alone (find an AAC-knowledgeable SLP)
Core Words to Start With: More, help, stop, go, want, eat, drink, play, mom, dad
That’s it. Master those 10 words first. Everything else builds from there.
Free Resources:
- AssistiveWare (free learning materials)
- Project Core (free core word resources)
- PrAACtical AAC (free blog with strategies)
- Your state’s Assistive Technology Act Program (free device trials)
Download our FREE AAC Starter Kit this Friday with:
- Core word communication boards
- Modeling tips
- Progress tracking sheets
- Funding resource list