augmentative and alternative communication (AAC)
Preventing AAC Device Abandonment in Adults with Developmental Disabilities Summary: Discover strategies to prevent AAC device abandonment in adults with developmental disabilities. This article will address common challenges like inadequate training and poor device fit, exploring their impact on communication and daily partici- pation. Readers will learn practical solutions, including personalized assessments, customized training, device personaliza- tion, and community integration. Backed by evidence-based insights and realworld examples, the article will empower assis-
Augmentative and Alternative Communication (AAC) devices play a crucial role in supporting adults with developmental disabilities by providing a reliable means of communication. These devices empower users to express their needs, engage in social interactions, and fully participate in their communities. Despite their potential, many AAC devices are discontinued due to various challenges. Factors such as mismatched devices, inadequate training, and systemic barriers often contribute to this ongoing issue. Addressing this issue requires a comprehensive, person- centered approach focusing on the user’s communication needs and their support network. Evidence-based practices in AAC emphasize the critical role of person-centered planning in supporting adults with developmental disabilities. Person- centered planning ensures that interventions align with indi- vidual needs, preferences, and goals rather than imposing generalized solutions. This approach integrates the user’s voice into every process stage, from device selection to training and community integration. By emphasizing personal agency and collaboration with caregivers, professionals, and the broader support network, person-centered planning enhances the usability of AAC devices and fosters meaningful participation in daily life. Research consistently demonstrates that tailoring AAC interventions to reflect individual priorities leads to better
communication outcomes, greater device retention, and improved quality of life. This article explores the common barriers to AAC device retention, outlines evidence-based strategies for preventing abandonment, and provides actionable insights for assistive technology professionals and paraprofessionals. UNDERSTANDING DEVICE ABANDONMENT Device abandonment occurs when users discontinue using their AAC assistive technology due to personal, systemic, or environmental factors. Understanding these barriers is the first step in addressing the problem. AAC device abandonment is often linked to issues like inad- equate system maintenance, negative attitudes, insufficient training, lack of support, poor device fit, and environmental or social barriers. Devices that are not regularly updated to align with the user’s changing needs can become irrelevant, resulting in disuse. Negative attitudes or misconceptions from caregivers, professionals, or the broader community—such as believing natural speech is the only valid form of commu- nication—further discourage AAC use. Moreover, insufficient training for users and support networks leads to improper use, frustration, and eventual abandonment. Environments that fail to support AAC use consistently across settings, combined
CELESTE R. HELLING, M.A., CCC-SLP, ATP is a speech-language pathologist specializing in augmentative communication and assistive technology service delivery for children and adults with developmental and acquired disabilities. Her background includes assistive technology service delivery for children and adults with developmental and acquired disabilities. Celeste is employed by the North Carolina Assistive Technology Program in Charlotte, NC.
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