
Key Points:
- Augmentative and alternative communication (AAC) is a crucial tool for children with autism who face challenges with verbal communication.
- AAC includes both high-tech devices and low-tech options, offering different levels of support.
- Speech therapy and ABA therapy can work together to support AAC systems, helping to improve communication skills.
Autism Spectrum Disorder (ASD) affects how a person communicates, often creating challenges for verbal expression. In fact, approximately 25-30% of children with autism are nonverbal or have limited verbal communication.
For these children, augmentative and alternative communication (AAC) can be a powerful tool to help them express their needs, thoughts, and emotions. AAC is a broad term that encompasses various methods of communication beyond speech, ranging from simple gestures to advanced technological devices.
What is Augmentative and Alternative Communication for Autism?
Augmentative and alternative communication (AAC) for autism is a set of tools and strategies designed to help individuals with communication challenges. AAC can assist children with autism in expressing themselves when traditional speech isn’t possible or effective. There are two main types of AAC: augmentative, which supplements existing communication skills, and alternative, which replaces speech altogether.
The primary goal of AAC is to empower children with autism to communicate more effectively. When children are unable to express themselves verbally, it can lead to frustration, anxiety, and behavioral challenges. By using AAC tools, children gain the ability to communicate their needs, making their environment more predictable and less overwhelming. This improves their social interactions, reduces frustration, and enhances their overall quality of life.
Types of Augmentative and Alternative Communication Systems
AAC systems can be divided into two categories: low-tech and high-tech. Each type serves different needs and can be used in combination to provide the best support for an individual.
Low-Tech AAC Systems
Low-tech systems are simple, often non-digital, tools that do not require electricity. These include picture boards, communication books, or symbols. Children with autism can use pictures or symbols to represent words or ideas, making it easier for them to communicate without speaking.
- Picture Exchange Communication System (PECS): One of the most well-known low-tech AAC systems, PECS uses pictures to help children with autism request items, express feelings, or engage in basic conversations.
- Communication Boards: These can be used to display a variety of pictures or symbols. Children point to the image they want to communicate.
High-Tech AAC Systems
High-tech AAC systems use digital devices such as tablets, smartphones, or specialized communication devices. These systems often come with voice-output capabilities, allowing users to press buttons or touch screens to generate speech.
- Speech-Generating Devices (SGDs): SGDs are portable devices equipped with touch screens that allow children to select pictures, words, or symbols to generate speech.
- Apps and Software: Many mobile apps are available to help with augmentative and alternative communication for autism. These apps often include customizable boards, word banks, and voice output features.
When Should AAC Be Introduced for Children with Autism?
Introducing augmentative and alternative communication for autism can vary depending on the child’s development. Early intervention is often recommended to prevent frustration and help children develop communication skills as early as possible. However, AAC can be introduced at any stage of development if verbal communication is not meeting the child’s needs.
The decision to introduce AAC should be based on the child’s individual communication abilities and challenges. If a child is unable to use speech effectively or expresses frustration when trying to communicate, AAC may be a helpful solution to improve their communication.
What Are the Benefits of Using AAC for Children with Autism?
AAC offers numerous benefits, especially for children who struggle with verbal communication. Some of the key advantages include:
- Enhanced Communication: AAC provides children with alternative ways to express themselves, improving their ability to share ideas, emotions, and needs.
- Reduced Frustration: By having a way to communicate, children are less likely to experience frustration, which can lead to behavioral issues.
- Improved Social Skills: AAC systems can help children with autism engage with peers and adults, leading to stronger social relationships.
- Better Academic Performance: By increasing communication skills, AAC can help children participate in educational activities more effectively.
- Increased Independence: With AAC, children can take a more active role in their own care and decision-making.
What Are Some Challenges in Implementing AAC?
While AAC is a helpful tool, implementing it can come with some challenges. These include:
- Adapting to New Systems: It can take time for children with autism to adjust to a new way of communicating, especially if they’ve been relying on other methods.
- Learning to Use Technology: Some high-tech AAC systems require a learning curve, which may be overwhelming for some children.
- Consistency Across Environments: It is important for AAC systems to be used consistently across home, school, and social environments to be effective.
- Support and Training: Parents, teachers, and caregivers must be properly trained to use AAC systems to ensure they are being used correctly and consistently.

How Can Speech Therapy and ABA Therapy Support AAC Systems?
Augmentative and alternative communication systems are most effective when they are integrated into a comprehensive therapy plan, including speech therapy and applied behavior analysis (ABA).
- Speech Therapy: Speech therapists play a key role in assessing communication needs and recommending appropriate AAC systems. They also help children with autism learn how to use AAC systems effectively.
- ABA Therapy: ABA therapy can reinforce communication skills through positive reinforcement, teaching children how to use AAC to request items, express needs, or engage in social interactions.
Using AAC in Everyday Life
To maximize the effectiveness of AAC, it is important for caregivers and educators to incorporate it into everyday life. This can be done by:
- Modeling Use: Adults should consistently model the use of AAC, pointing to symbols or using devices when communicating with the child.
- Creating Opportunities for Communication: Children should be given plenty of chances to use their AAC systems to make requests, ask questions, and engage in conversations.
- Engaging in Interactive Activities: Playtime, mealtime, and other daily routines provide great opportunities for practicing communication.
Augmentative and Alternative Communication for Autism: A Lifelong Tool
For many children with autism, augmentative and alternative communication is not just a temporary solution. It can be a lifelong tool that evolves as their communication needs change. As children grow, they may move from simpler low-tech AAC tools to more advanced, high-tech systems. However, the goal remains the same: to provide children with the ability to communicate effectively and participate fully in their world.
If you’re considering augmentative and alternative communication for your child with autism, Storybook ABA can help. Our in-home ABA therapy services provide personalized support, focusing on improving communication skills and enhancing everyday interactions. Our expert team will work with you and your child to create a plan tailored to their unique needs.
Contact us today to learn more about our ABA therapy services in Maryland and Virginia. We’re here to support your child’s communication journey!