Embracing Alternative Communication Options for Non-Vocal Autistic Children

For many autistic children, verbal communication can be a significant challenge. In fact, around 25 to 30% of children with autism spectrum disorder (ASD) are minimally verbal or non speaking, meaning they speak fewer than 30 words or don't speak at all and we don’t fully understand why that is. 

To bridge the communication gap, many nonspeaking children with autism use augmentative and alternative communication (AAC) methods. These methods range from simple, no-tech solutions to advanced technological devices, catering to individual needs and preferences.

  1. No-Tech and Low-Tech Options:

    • Gestures and Body Language: Simple gestures can effectively convey needs and emotions. Your child may communicate quite well with their gestures and body language my pointing or leading you to things you require assistance with. 

    • Writing and Drawing: Some children find it easier to write or draw their thoughts. This can be a powerful way to express themselves creatively and meaningfully.

    • Picture Cards: Pictures can be a low-tech option that can support language and communication goals. Often in this case, the child has access to a set of picture cards and can use those to express their wants and needs.

  2. High-Tech Solutions:

    • iPads and Tablets: These devices, loaded with specialized apps, can transform into powerful communication tools. Apps designed for communication allow children to select words or phrases, which the device then speaks aloud.

    • Speech-Generating Devices (SGDs): These dedicated devices produce spoken words when the user selects symbols, pictures, or words on a screen. They are highly customizable and can cater to the specific needs of each child.

Nonspeaking children with autism have a rich inner world and unique perspectives. By embracing alternative communication options and fostering an inclusive and supportive environment, we can help them express themselves fully and connect meaningfully with those around them. Let’s work together to ensure that every voice is heard, regardless of how it is expressed.

References:

Rose V, Trembath D, Keen D, Paynter J. The proportion of minimally verbal children with autism spectrum disorder in a community-based early intervention programme. J Intellect Disabil Res. 2016 May;60(5):464-77. doi: 10.1111/jir.12284. PMID: 27120989.

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