Using Augmentative and Alternative Communication (AAC) Presume Competence for ALL Individuals

By: Sheryl Rosin Ph.D.,CCC-SLP, Owner/Director of Palm Beach Speech-Language Specialists, CAS and Trainer for IBCCES, Adjunct Professor, Nova Southeastern University

domMeet Dominik

I have been working with individuals with autism for 20 years and have met many interesting and exciting people along the way. In this blog, I have someone that I would like to introduce to you that I believe is an extraordinary person. His name is Dominik and he is 14-years-old. Dominik has diagnoses of autism and apraxia and is essentially non-verbal with his spoken language, but is definitely NOT non-verbal when using other means to communicate aside from the spoken word. Upon meeting Dominik, you may assume that he has limited communication skills, but since we presume competence when working with our clients, I learned that the opposite it true. Dominik has a passion for writing and using language to communicate his vast interests. One of the ways he has learned to do this is through an augmentative communication application called “Speak for Yourself (SFY).” SFY runs as a communication device on the iPad and uses synthetic speech to aid individuals with their expressive language output. It is based on core vocabulary and allows the person to communicate using generative language. Dominik has learned to use the augmentative communication system to express his wants and needs, feelings, hold conversations with others, and to communicate his expansive knowledge and interests in a variety of topics. Our conversations using AAC have ranged from the etiology of autism to future careers. Dominik thinks that vaccines “are the culprit of autism” and wants to be “a neurologist” when he is older. When Dominik communicates using AAC, he let us into his amazing world of thought. Not only does he use SFY; he can type on a computer keyboard, write with facilitated assistance, and is now starting to use verbal speech as AAC has been a bridge to developing spoken language for him.

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Featured Autism Specialist: Thelma Atha

Thelma Atha, M.Ed, CAS; Director of Counseling Department & Learning Support Specialist at Lincoln International Academy in Managua, Nicaragua; Private practice in Managua, Nicaragua focused on Sensory Integration Therapy, TEACCH, and Behavior Modification Therapy.

Country: Managua, Nicaragua

School/ Organizations/Center: Lincoln International Academy, Managua, Nicaragua

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3 Tips for Social Workers and Autism

socialworkersBy Taveesha Guyton, Social Worker & soon-to-be CAS

I am a social work professional whose expertise is working with the intellectually-disabled and population of individuals with autism. I really love my job and who I work for.  My sole purpose in my position is to provide resources, education and advocacy for this steady growing population, which affects 1 in 68 births in the United States.

1. Listen to you clients.  What I want for my clients is very different from what they want for themselves.  Many times in the field, professionals who work with clients look at the end result versus looking at the here and now. I have learned to listen what is being said and sometimes what is not being said.

2. Provide Choices.  Providing choices. It is important to exercise the ability to choose. Providing options are the best way for people to find out what they like and do not like and it also helps create more conversation about many other things. Choice making is a skill I feel is not exercised enough with this population. (Check out great visual support ideas here.)

3. Ensure proper supports are in place.  What is needed for this individual with autism to maintain a ” normal” life is usually the question asked and how do we as  a professionally supportive community help create this world for this individual? Will the individual need vocational rehabilitation because their goal is to earn competitive wages? If the individual’s goal is to live alone, will this person need the assistance of a Supported Living Coach? Will this individual need guidance for activities of daily living such as medication management, making doctor’s appointments, meal preparation and grocery shopping? What about socialization and community-based outings? Will the individual need someone to help integrate them into the community?

In assisting in the coordination and maintenance of services for the individual with special needs or autism, social workers are able to make the lives of  individuals with autism a little better.

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On the Outside of Life Looking In: Trapped Inside an Autistic Body

anita-lesko-1-500pxBy Anita Lesko, BSN, RN, MS, CRNA

Imagine going the first fifty years of your life with an invisible disorder that you don’t know you have.  It affects every move you make, every word you speak, and simply everything you do. You realize you are different than other people and never fit in, only you don’t understand why.  As a child, other children run away from you.  You try and make friends only no one wants to be your friend.  You have all kinds of sensory issues that others don’t seem to have.  Your sense of taste, smell, touch, hearing, and vision are amplified as if you live in IMAX 24/7, 365 days a year.   Every social interaction seems to end up as a negative one.  When you attempt to join in on conversations at work, everyone ignores you as if you are invisible.  You are a target of bullying and harassment, not only throughout your school years, but at your workplace as well.  You spend fifty years feeling like you are on the outside of life looking in.  As if there’s a glass shield keeping you away from joining in with others.  You see people together out in restaurants, in malls, everywhere you go, you see them laughing, talking, having fun. Yet there you are, alone.  You try and get used to it, but deep inside you long for even just one friend.  The feeling of loneliness at times totally consumes you.  Holidays are the worst, as you are aware that others are gathering for big celebrations, as you are home alone yet again.  Sadly, this is all common to individuals on the autism spectrum.

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Meet Twiddle, a Sensory Resource for Autism

Throughout her life, Lily had been marvelous with her hands. She loved creating beautiful knitted sweaters, delicate embroidery and award-winning recipes. As she aged, Lily’s eyesight began to fade, and those wonderful hands became idle and chilled. The Twiddle gave Lily’s inquisitive hands something to keep them active, engaged and warm. Lily was also reminded of how much she was loved, even when her daughter, the creator of Twiddle, couldn’t be with her.

Meet Twiddle, a new Certified Autism Resource that was created as a sensory tool for individuals with autism, dementia and other sensory conditions. Twiddles are playful comfort aids that assist people of all ages with a range of sensory-related conditions. Providing comfort or activity as needed,Twiddles assist in organizing tactile, visual and auditory input. They are also a way of expanding someone’s personal space, and with more than 25,000 sold since 1997, Twiddles provide an affordable, drug-free therapeutic alternative. Continue Reading →

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15 Behavior Strategies for Children on the Autism Spectrum

by Rachel Wise, CAS

In this article you will find 15 supportive behavior strategies for children on the autism spectrum (some strategies can be used with adults as well). Many of the strategies can also be used to help children without autism who have challenging behaviors.

When caring for or working with a child with autism, a parent, teacher, or other adult may become frustrated with the child’s behavior. Behaviors can come on suddenly, last for hours, be hard to control, or make the adult scared or embarrassed.

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3 Things I’ve Learned from Developing Autism Technology

Contributed by Awake Labs

At Awake Labs we are developing a tool to empower autistic individuals and their caregivers to better understand anxiety with the goal of preventing behaviour meltdowns. This tool is called Reveal. It’s a wearable device (it looks a bit like a fitbit) and app that measures and tracks anxiety in real time. I’m new to the team and the first couple of months have been eye opening. So far, these have been my main takeaways.

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