Specialty Service
Augmentative & Alternative Communication
Everyone deserves a way to communicate. We help individuals of all ages find their voice through AAC tools — from picture boards to speech-generating devices.
Understanding AAC
What is augmentative and alternative communication?
Augmentative and Alternative Communication (AAC) refers to any method of communication that supplements or replaces spoken language. "Augmentative" means adding to existing speech. "Alternative" means providing a different way to communicate when speech is not yet functional or may not develop.
AAC is not a last resort — it is a bridge. Research consistently shows that AAC does not prevent or delay the development of spoken language. In fact, it often supports speech development by reducing frustration, increasing communicative intent, and giving individuals a successful way to express themselves while speech skills are building.
AAC systems range from simple, no-tech solutions like pointing and gestures to sophisticated, high-tech speech-generating devices that produce spoken language at the touch of a button. The right system depends on the individual's motor abilities, cognitive level, language skills, communication needs, and personal preferences.
At Milestones Matter, we provide comprehensive AAC evaluations, device trials, system selection, programming, training for the user and their communication partners, and ongoing support. We also assist with insurance authorization and funding applications for speech-generating devices, and we can help families navigate grant programs when insurance coverage is limited.
Types of AAC
Tools and systems we work with
Low-Tech AAC
Picture exchange systems (PECS), communication boards, visual schedules, choice boards, and sign language. These tools require no batteries and are always available.
Mid-Tech AAC
Simple voice-output devices, recordable buttons (like BIGmack switches), and talking photo albums. Easy to use and effective for building early communication skills.
High-Tech AAC
Tablet-based speech-generating apps (TouchChat, LAMP Words for Life, Proloquo2Go), dedicated speech-generating devices, and eye-gaze technology for individuals with limited motor control.
Sign Language & Gestures
Manual signs, natural gestures, and total communication approaches that combine speech attempts with visual supports to maximize understanding.
Signs & Symptoms
When to consider AAC
- Limited or absent spoken language relative to age
- Relying primarily on gestures, crying, or leading adults by the hand to communicate
- Significant frustration or behavioral outbursts related to inability to express needs
- Difficulty participating in classroom activities due to communication limitations
- Loss of speech following stroke, brain injury, or progressive neurological condition
- Speech that is too difficult to understand for functional communication
- Diagnosis of autism, cerebral palsy, Down syndrome, or other developmental condition affecting speech
- Difficulty with oral motor skills that limits the development of spoken language
Our Approach
How we support AAC users
Our AAC services begin with a comprehensive evaluation to determine the best communication system for the individual. We assess motor skills, vision, cognition, current communication methods, and the environments where communication is most needed.
After selecting and customizing the right AAC system, we provide intensive training — not just for the user, but for everyone who communicates with them. Parents, siblings, teachers, aides, and caregivers all learn modeling strategies that help the AAC user build language and use their system independently.
We believe in a total communication approach. AAC users are encouraged to use every tool available — speech attempts, gestures, signs, and their device — to get their message across. The goal is always functional, independent communication in every setting.
Who We Help
All ages and abilities
We provide AAC services across the lifespan. For children, this often includes toddlers and young children with autism, apraxia of speech, cerebral palsy, Down syndrome, or other developmental conditions that affect spoken language development.
For adults, AAC may be appropriate following stroke with severe aphasia, traumatic brain injury, ALS, Parkinson's disease, or other neurological conditions that impair the ability to speak. We match the AAC system to the individual's current abilities and plan for changes over time.
We also assist with insurance and funding. Many speech-generating devices are covered by health insurance, Medicaid, or other programs. We handle the documentation, evaluation reports, and prior authorization process. When insurance is not an option, we can connect families with grant programs and alternative funding sources.
Related Services
You may also be interested in
Schedule an AAC consultation
Wondering if AAC could help you or your child communicate more effectively? Contact us for an evaluation and let us help find the right communication system.