UGA Speech & Hearing Clinic
AAC Consult
Ben Satterfield, Ed.D.
Center for AT Excellence
Ben@C4ATX.com
GA Tools for Life
www.gatfl.gatech.edu
Agenda
• Welcome & Introductions
• Client 1 - Adult female with dysarthria, MOID, with expressive
language disorder
• Client 2 - Adult client (female) who is autistic and nonverbal.
• Client 3 – 47 yo. female stroke patient with non-fluent aphasia
and apraxia of speech.
• Client 4 - Adult, male with Receptive & Expressive Language
Disorder, Intellectual Disability, Cerebral Palsy
• Q&A
• Our Favorite AAC Resources
Client 1
Client:
–
–
–
adult female with dysarthria,
expressive language disorder
moderate intellectual disability
Status:
1.
2.
3.
4.
5.
6.
7.
using verbal communication and Dynavox
unsure if she uses it at home - does not use it at her day program.
verbal communication is highly unintelligible
Prefers to communicate verbally rather than use the Dynavox.
demonstrates knowledge of favorite pages such as games and music,
rarely independently navigates to other pages
readily identifies and matches pictures using the Dynavox and follows
verbal directions
Client 1
1.
2.
3.
4.
5.
6.
Readily identifies and matches pictures using the Dynavox and follows
verbal directions
Moderate motivation to the use the Dynavox in structured activities
especially when her communication partner is also using an AAC device
On-site training for the caretakers at the client’s day program on how to use
and troubleshoot the Dynavox
Limited to no improvement after the training session
Goals this semester target getting the client to independently choose the
Dynavox in conversation
Client’s accurate navigation among Dynavox pages to participate in
conversation and accurate use of icons on a variety of pages
Client 1
Questions
• Would you suggest adding a toolbar so that she always has access to icons
such as “yes, no, my name is…, please, thank you”? If so, how can we do
that?
• What are some treatment strategies that you find helpful for encouraging a
client to use the Dynavox?
• Do you have any suggestions for getting the caregivers and/or family more
involved in using the device?
Client 2
•
•
•
•
•
Adult client (female) who is autistic and nonverbal.
Has both a receptive and expressive language disorder.
She has used PECS and is now using mini iPad.
She uses a mini-iPad to request.
She lives with her family and is coming to clinic for maintenance of social
skills.
• In session, we work on using appropriate touch to select icons
• She imitates the clinician's selection of appropriate icons.
• She has a particular interest in music.
Client 2
• Any suggestions for promoting appropriate light touch of the
iPad?
• Are there any iPad apps that you believe would benefit our
client?
Client 3
• Client is a 47-year-old female who uses AAC primarily for word-finding and
grammatical sentence production.
• Her relevant past medical history includes a left-hemisphere stroke which
resulted in non-fluent aphasia with some intact repetition and apraxia of
speech.
• She has mixed expressive and receptive language deficits, although her
comprehension (via a combination of auditory and reading) is relatively
intact, given ample time to process short phrases.
• Her current device is a Dynavox Series V which has been programmed to
match her preferences and goals for treatment.
• She has had this device since 2011, but she does not use the device at home,
and therefore is still learning basics of navigation and programming.
Client 3
• She is using single word icons and
• we are targeting subject+verb+object phrases.
• We are currently looking to update her device to be more portable, socially
acceptable, and functional for everyday use.
• Some of the options we are testing out with her are the iPad applications
Proloquo2go, Tobii Sono Flex, and TalkTablet.
• Ideally, she would have an application which could :
– match her current Dynavox set-up
– has typing/keyboard functions
– with word-prediction and grammar inflection.
Client 4
• Age: Adult, male
• Diagnosis: Receptive & Expressive Language Disorder, Intellectual Disability,
Cerebral Palsy
• Current Status:
– Client is in his second semester of therapy at UGA.
– Client is currently using the device to answer "wh" questions and "comment" by selecting
the appropriate icon when prompted by a picture, object or key phrase.
– Client is demonstrating difficulty with navigating folders (i.e., opening the correct folder to
then select a predetermined icon).
– Client demonstrates an understanding that the icon must be selected in order for others to
hear the device, but has occasional difficulty with getting the device to respond. It appears
that he either presses too low on the icon or presses without the right amount of pressure.
– He will try the same icon several times without success and will sometimes stop pressing
the icon unless prompted by clinicians.
– Client knows approximately half of his board's vocabulary and occasionally uses the device
spontaneously to communicate..
Client 4
• Device: Proloquo 2 Go iPad Application (using a 9-option grid, no scrolling)
• Objectives:
– (1) Client will use app to comment in each page/folder of app.
– (2) Client will respond to "Show me __" or "Point to __" in the "My Care" folder given a
verbal prompt.
– (3) Client will use the app to answer "wh" questions in each page/folder.
– (4) Client will use "Tap to Talk" strategy to use the iPad (i.e., will press the icon until others
hear it).
– (5) Client will use the "Go Back to Home" strategy to use the iPad when given a verbal
prompt (i.e., client will use the Home icon to return to the main page).
– (6) Client will use the "Touch 'More' to Go to Folders" strategy to use the iPad given a
verbal cue (i.e., client will use the more button to see the next page).
– (7) Client will navigate folders on the iPad for each folder.
Client 4
Special Considerations:
• As aforementioned, client's motoric difficulties present a problem with
getting the device to respond audibly to client's touch.
• In addition, client cannot turn on the device (from a sleeping state) because
it requires a swiping motion.
– Although Apple and Ablenet have been used as resources to try to solve this issue,
– cannot figure out how to turn off this necessary swiping motion.
• Additionally, future objectives include:
– targeting client's use of the "back" button to return to the previous page,
– targeting the client's use of the power button once the swiping motion has been solved,
and
– targeting the client's use of the iPad to spontaneously communicate throughout his day.
Questions?
Our Favorite
AAC
Resources
Dynavox Resources
• Dynavox Implementation Toolkit:
http://www.dynavoxtech.com/implementation-toolkit/
– Communication Partner Training Video Series w/ Study Guide
• Series 5 Page Editing software:
http://www.dynavoxtech.com/support/downloads/Trial.aspx?id=87?
• Compass software/app:
http://www.mydynavox.com/DynaVoxCompass#Overview
PrAACtial AAC
• http://praacticalaac.org/
BridgingApps
BridgingApps Cont.
• program of Easter Seals Greater
Houston that provides access to
educational and therapeutic tools
• created by parents and therapists
who began using the iPad with
children who have special needs
• goal is to provide caregivers and
professionals with the best
resources for choosing apps
• www.bridgingapps.org
• custom-built App Search Tool
allows users to access app
reviews conducted by therapists
and special education teachers
and focuses on skill
• Real-time search in iTunes store
Webinar Updates & Schedule
Liz Persaud