Fundamentals of AAC: A Case-Based Approach to Enhancing Communication

First Edition

Nerissa Hall, Jenifer Juengling-Sudkamp, Michelle L. Gutmann, Ellen R. Cohn

Details: 350 pages, B&W, Softcover, 8.5" x 11"

ISBN13: 978-1-63550-353-1

© 2023 | Coming Soon

Release Date: 12/31/2021

For Instructors

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Price: $89.95

Available for purchase starting 12/01/2021

Fundamentals of AAC: A Case-Based Approach to Enhancing Communication is a course-friendly textbook designed to walk readers through the theoretical and clinical underpinnings of assessment, intervention, and consultation for individuals with complex communication needs across the lifespan. Augmentative and alternative communication (AAC) encompasses a variety of communication methods and is used by those with a wide range of speech and language impairments. With a consistent framework and descriptive case studies, as well as input from various stakeholders, readers can gain a comprehensive understanding of the needs of persons who use AAC and how to provide them with ethically and culturally considerate support.

Unlike other texts on this topic, this book empowers the reader to visualize AAC in action. Each chapter offers evidence-based information about the topic along with a case study. The case studies combined with short essays from various stakeholders illustrate the variety of ways in which AAC can enhance an individual’s connection with their communication partners and community, and the role of the speech-language pathologist as integral to this process.

Intended to easily translate into a six, eight or 13-week semester course, this textbook is divided into seven distinct sections:

  • Section I provides an overview of AAC, no-tech, mid-tech, and high-tech AAC systems, as well as mobile technology and advancing technology.
  • Section II discusses cultural and linguistic responsivity and how this underlies AAC systems and services.
  • Section III reviews AAC assessment, intervention and implementation for toddlers, preschoolers, and school-aged individuals, along with goal-writing and data collection.
  • Section IV covers assessment, intervention, and implementation for young adults and adults needing AAC.
  • Section V offers the reader detailed information and rich examples of the application of AAC for persons with developmental disabilities.
  • Section VI provides the theoretical foundation and exemplar case studies of AAC for persons with acquired disabilities.
  • Section VII details consultation and training for various stakeholders, as well as tele-AAC services.

Key Features

  • Overviews with key terms set the stage for each section
  • 36 case studies with questions and visuals to clearly depict each case
  • Boxes with practical tips and expert advice
  • A PluralPlus companion website with diverse online resources for instructors in the Instructor’s Manual and video vignettes and tutorials for readers

Preface
Acknowledgments

Contributors

Reviewers

 

Section I. AAC System Fundamentals

Chapter 1. A Co-Constructed Description of AAC
Nerissa Hall, Hillary Jellison, Maria Burke, Will Burke, Craig Burke and Julia Serra

Introduction
Fundamentals

A Change in Focus

A Co-Constructed Understanding of AAC

In Conclusion

Case Study: WB

Clinical Profile and Communication Needs

The AAC System

Next Steps

References

Chapter 3. Mid- and High-Tech AAC

Elena M. Fader
Fundamentals

Mid-Tech AAC

High-Tech AAC

Communicative Purpose

In Conclusion

Case Study: RA

Clinical Profile and Communication Needs

Next Steps

References

Chapter 4. Mobile AAC
Oliver Wendt

Fundamentals

Introduction: What are Mobile Technologies?
The Mobile Technology Revolution in Augmentative and Alternative Communication
Principles in Mobile Technology Application Design
Research Evidence and Funding Issues Related to Mobile Technology

Case Study: LM

Clinical Profile and Communication Needs
AAC Considerations
The AAC System or Service
Next Steps

References

Chapter 5. Physical Access Features of AAC
Kathryn D’Agostino Russo

Fundamentals

What is Alternate Access and Who Is It for?
Types of Alternate Access
Assessment for Alternate Access
Multimodal and Low-Tech Access for Communication
Considering Multiple Methods of Access
Access and Mobile Tablets
Learning Language and Access Skills
In Conclusion

Case Study: JB

Clinical Profile and Communication Needs
AAC Considerations
The AAC System or Service
Next Steps

References

Chapter 5. Physical Access Features of AAC
Kathryn D’Agostino Russo

Fundamentals

What is Alternate Access and Who Is It for?
Types of Alternate Access
Assessment for Alternate Access
Multimodal and Low-Tech Access for Communication
Considering Multiple Methods of Access
Access and Mobile Tablets
Learning Language and Access Skills
In Conclusion

Case Study: JB

Clinical Profile and Communication Needs
AAC Considerations
The AAC System or Service
Next Steps

References 

Essay 1. Clinical Considerations and AAC: The Future of AAC
Mai Ling Chan

Section II. AAC Language Fundamentals

Essay 2. Cultural Considerations and AAC: Culture and Social and Economic Determinants of Health and the Use of AAC
Ellen R. Cohn and Mario C. Browne

What Are Social Determinants of Health (SDOH)?

Scenario 1: A Family Suffering from Societal and Economic Stressors
Scenario 2: A Family with Superior Resources

Digital Resources and SDOH
References

Chapter 6. Cultural and Linguistic Responsivity in AAC
Gloria Soto and Marika King

Fundamentals

Consequences of Subtractive Bilingual Environments for AAC Users
Building Additive Bilingual Environments for AAC Users
Culturally and Linguistically Responsive Assessment
Culturally and Linguistically Responsive Intervention

Case Study: JR

Clinical Profile and Communication Needs
Next Steps

References

Chapter 7. Language and Vocabulary Features of AAC
Brittney Cooper, MariaTeresa “Teri” H. Muñoz, and Gloria Soto

Fundamentals

General Considerations
Vocabulary Selection Frameworks
Types of Vocabulary
Vocabulary Selection Tools
In Conclusion

Case Study: AN

Clinical Profile and Communication Needs
Next Steps

References

Essay 3. Introduction to Models of Culture
Ellen R. Cohn and John W. Gareis

Edward T. Hall’s Cultural Iceberg Model
Purnell’s Model for Cultural Competence
Hofstede’s Cultural Dimensions Model
Conclusion
References

Essay 4. Cultural Considerations and AAC: Introduction to African-American Culture - Cultural Values and Communicating Respect
Paula K. Davis

References

Essay 5. Cultural Considerations and AAC: Introduction to Hispanic Culture - Cultural Values and Communicating Respect
Glen M. Tellis

Cultural Values and Communicating Respect

Respect for Authority
Cultural Values and Other Aspects

References

Essay 6. Cultural Considerations and AAC: LGBTQIA+ Affirmative Practice: Empowering our Queer Clients and Families
Gazit Chaya Nkosi

Vocabulary and Definitions
References

Essay 8. Cultural Considerations and AAC: Religious Considerations
John W. Gareis

Diet
Prescription Medication
Medical Procedures
Conclusion
References

Essay 9. Cultural Considerations and AAC: Essential Faith-Based Vocabulary for Protestant Christian Users of AAC
John W. Gareis

Essay 10. Cultural Considerations and AAC: Essential Vocabulary for Jewish Users of AAC
Karen J. Golding-Kushner

How the Deity Is Referred To
Titles of Religious Leaders and Other Key Figures
Things We Read and Write
Ritual Objects and Related Things
What We Do and Say
Holidays and Celebrations
Praying: Key Prayers, Blessings, and Names of Services
Where We Go: Houses of Worship, Study and Gathering
Family
Life-Span Topics
Food
Who We Are
Guidance on Use of This Vocabulary
References

Essay 11. Cultural Considerations and AAC: Essential Vocabulary for Muslim Users of AAC
Amal M. Maghazil

Guidance on Use of This Vocabulary
Deity/God
Religious Texts
Religious Leaders and Other Key Figures
Houses of Worship
Ritual Objects/ Related Things
Actions
Greetings/Sayings
Holidays and Celebrations
Prayers and Names of Services
Family
Life-Span Topics
Food
Who We Are
References

Section III. AAC Assessment, Intervention and Implementation of AAC for Toddlers, Preschoolers, and School-Aged Individuals

Essay 12. Ethical Considerations and AAC: A Framework for Ethical Communication and Practice
Paula Leslie

References

Essay 13. Ethical Considerations and AAC: A Consumer’s Perspective
Chris Klein and Katya Hill

Chapter 8. Assessing Toddlers and Preschoolers
Meher Banajee

Fundamentals

General Principles of Assessment of Toddlers and Preschoolers
Preparation for the Assessment
Assessment

Case Study: RC

Clinical Profile and Communication Needs
Rationale for Clinical Decision-Making
Next Steps

References

Chapter 9. Intervention and Implementation for Toddlers and Preschoolers Using AAC
Barbara Weber

Fundamentals
Case Study: IB

Clinical Profile and Communication Needs
The AAC System
Rationale for Clinical Decision-Making
Next Steps

References

Chapter 10. Assessing School-Aged Individuals
Sarah Gregory

Fundamentals
Case Study: RJ

Clinical Profile and Communication Needs
The AAC System or Service Considerations
AAC Considerations
Next Steps

References

Chapter 11. Intervention and Implementation for School-Aged Individuals Using AAC
Amanda Soper

Fundamentals

Intervention Across the Five Domains of Language
Intervention Across AAC Competencies
Innovation/Modifications to Existing Language Therapy Tools
Descriptive Teaching Method
Support and Teaching Strategies

Case Study: JV

Clinical Profile and Communication Needs
Ongoing Assessment
Intervention Strategies and Implementation Supports

References

Essay 14. Clinical Considerations and AAC: AAC and Literacy
Lesley Quinn

References

Essay 15. Clinical Considerations and AAC: Visual Support for AAC
Amy Wonkka and Kate Grandbois

Chapter 13. AAC for Children in End-of-Life Care
Rachel Santiago

Fundamentals

The Care Team at End-of-Life
Communication Planning
Common Needs and Symptoms Children May Experience at EoL
AAC Considerations at End-Of-Life
Conclusion

Case Study: GM

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References 

Section IV. AAC Assessment, Intervention and Implementation of AAC for Adults

Chapter 14. Services for Young Adults Using AAC Transitioning to Adulthood
Diane Nelson Bryen

Fundamentals

Prologue
New and Emerging Communication Technologies
AAC and the Importance of Transition

Case Study: CK

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References

Chapter 15. Assessing Adults
Jeffrey K. Riley, Lois Turner, and Stacey Harpell

Fundamentals

CAAP – Communication Assessment and Action Plan  
Final Report

Case Study: GB

Clinical Profile and Communication Needs
The Assessment
Next Steps

References

Essay 16. Ethical Considerations and AAC: Ethical Vendor Relationships
Katya Hill

References

Chapter 16. Intervention and Implementation for Adults with Neurodegenerative Disorders Using AAC
Catherine Kanter, Emily Kornman, and Annette M. Stone

Fundamentals

Education and Counseling
Preservation
Augmentation
Adaptation 
Final Thoughts

Case Study: SH

Clinical Profile and Communication Needs
AAC System or Service Considerations
Next Steps

References

Chapter 17. AAC for Individuals in the ICU
Richard R. Hurtig and Tami Altschuler

Fundamentals

Introduction: Communication Risks and Barriers Including Health Disparities, Diversity and Inclusion
Special Considerations For the ICU
Patient Care Standards
Communication Partner Training and Interprofessional Practice
Life Sustaining Decision Making and End-of-Life Communication
Best Practices Models
Conclusion

Case Study: EG

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References

Chapter 18. AAC for Adults in End of Life Care
Amanda Stead
Fundamentals

Communication Difficulties at EoL
How AAC Can Support Communication, Socialization and Decision Making

Case Study: KM

Clinical Profile and Communication Needs
AAC Considerations
The AAC System or Service
Next Steps

References

Section V. AAC for Persons with Developmental Disabilities

Essay 17. Clinical Considerations and AAC: A Parent’s Perspective
Danielle A. Wagoner

Language
Include
Support
Team
Encourage
Normalize
Always L.I.S.T.E.N.

Chapter 19. AAC for Persons with Developmental Disabilities
Jeeva John

The Fundamentals

Challenging Behaviors and the Role of SLPs
AAC Evolves Across Their Lifespan
Establish ‘Buy-in’ and Prepare for the Communication Journey
Assessment and Selecting a Tool
Investigative Intervention
Designing a Meaningful Communication System
Consultation Services

Case Study: KC

Clinical Profile and Communication Needs
AAC Considerations 
Next Steps 

References

Chapter 20. AAC for Persons with Autism Spectrum Disorders
Tanushree Saxena-Chandhok, Deborah Xinyi Yong, and Sarah Miriam Yong Oi Tsun

Fundamentals

SETT Framework
Communicative Competence
AAC Intervention Strategies
The Role of the Caregiver in AAC Intervention

Case Study: EL

Clinical Profile and Communication Needs
AAC Considerations 
Next Steps 

References

Chapter 21. AAC for Persons with Cerebral Palsy
Katya Hill

Fundamentals

AAC Strategies and Technology
AAC Assessment
Intervention

Case Study: PL

Clinical Profile and Communication Needs
AAC System and Service Considerations
Next Steps

References

Essay 18. Clinical Considerations and AAC: The Other A for “Augmentative”
Rebecca M. Lavelle

Chapter 22. AAC for Persons with Specific Sensory Disabilities
Lesley Quinn and Hillary K. Jellison

Fundamentals

Dual Sensory Impairment
Cortical Visual Impairment (CVI)
AAC and Sensory Impairments

Case Study: HS

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References

Chapter 23. AAC for Individuals with Sensory Integration Challenges
Sarah Gregory and Elisa Wern

Fundamentals

Competencies versus Sensory Integration Areas
Considerations for the Trial Process
Instructional Strategies

Case Study: ES

Clinical Profile and Communication Needs
AAC Considerations
The AAC System or Service
Next Steps

References

Chapter 24. AAC for Persons with Complex Trauma
Lesley Quinn

Fundamentals
Case Study: PW

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References

Section VI. AAC for Persons with Acquired Disorders

Essay 19. Ethical Considerations and AAC: Critical Health Situations, Informed Consent, and the Importance of Appropriate AAC
Paula Leslie

References

Chapter 25. AAC for Persons with Traumatic Brain Injury
Lindsay R. James Riegler and Laura P. Klug

Fundamentals

Review of Cognitive-Communication Deficits in Traumatic Brain Injury

AAC vs. AT vs. ICT

Augmentative and Alternative Communication
Assistive Technology
Information and Communications Technologies

Special Considerations
Case Study: TH

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References

Chapter 26. AAC for Persons with Motor Speech Disorders
Mary Andrianopoulos

Fundamentals

Dysarthria

Case Study: RL

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References

Chapter 27. AAC for Persons with ALS
Telina Caudill

Fundamentals
Communication Symptoms

Dysarthria
Voice Disorder
Cognitive-Communication
Dysphagia

Communication Needs
Intervention Phases

Phase 1: Monitor, Prepare and Support
Phase 2: Assess, Recommend, and Implement
Phase 3: Adapt and Accommodate

Case Study: RP

Clinical Profile and Communication Needs
AAC System or Service Considerations
The Rationale for Clinical Decision-Making
Next Steps

References

Chapter 28. AAC for Persons with Aphasia
Kimberly A. Eichhorn

Fundamentals
Case Study: WP

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References

Chapter 29. AAC for Persons with Dementia
Vanessa L. Burshnic-Neal

Fundamentals

Setting the Stage for AAC Use in Dementia

Strengths and Deficits in Dementia

Memory
Communication

Strengths and Deficits in Dementia: Clinical Implications
Guidelines for Developing AAC for People with Dementia
Examples of AAC for People with Dementia

Supported Preference Assessment
Memory Books
Orientation Aids
Reminder Cards
Activities of Daily Living Support
Supporting Care Partners

Conclusion
Case Study: AM

Clinical Profile and Communication Needs
AAC Considerations
The Rationale for Clinical Decision-Making
Next Steps

References

Chapter 30. AAC for Persons Who Are Medically Involved
Abygail E. Marx and Sarah Marshall
Fundamentals

Introduction
Participation Framework

Case Study: LG

Clinical Profile and Communication Needs
AAC System or Service Considerations
Next Steps

References

Section VII. AAC Services for Stakeholders

Chapter 31. AAC Consultation
Erin S. Sheldon

Introduction

Terminology

The Fundamentals of AAC Consultation

Limits of the Traditional AAC Consultation Process
Collaborative Consultation

The Collaborative Consultation Process

SLPs as Learners
SLPs as Teachers
Developing Consensus on the Problem
Shared Decision-Making
Building Capacity for AAC Implementation

Case Study: JE

Clinical Profile and Communication Needs
Next Steps

References

Chapter 32. Communication Partner Training for Families
Tabitha Jones-Wohleber

Fundamentals
Family Characteristics
AAC in Everyday Life

All the Time Access
Leverage Requesting
“Something Different” - All the Time Choice
Referencing
Before, During, and After

Spiraling Learning Experiences for AAC Communication Partners: Four Key Elements

Information
Tools/Technology
Skills
Habits

Case Study: PH

Clinical Profile and Communication Needs
AAC Service Considerations
Next Steps

References

Chapter 33. Communication Partner Training for Clinicians
Tabitha Jones-Wohleber

Fundamentals
Communication Partner Training

Responsive and Engaging Communication Partners

Supporting Adult Learners to Teach AAC

Models of Support
Designing Effective Learning Opportunities for Communication Partners

Barriers to AAC Implementation

Opportunity Barriers Include Attitude, Knowledge, Skill, Practice, and Policy Barriers

Case Study: JT

Clinical Profile and Communication Needs
AAC Considerations for Training
Next Steps

References

Chapter 34. Communication Partner Training for Staff
Jill E. Senner and Matthew R. Baud

Fundamentals
Case Study: BT

Clinical Profile and Communication Needs
AAC Considerations
Next Steps

References

Chapter 35. Tele-AAC: The Basics
Michelle Boisvert

Fundamentals

Methods of Tele-AAC Service Delivery
Hardware and Software Considerations

Case Study: JS

Clinical Profile and Communication Needs
Tele-AAC Set-up for Optimal Visual Access
Next Steps

References

Chapter 36. Tele-AAC for Service Delivery
Michelle Boisvert

Fundamentals
Case Study: JS

Clinical Profile and Communication Needs
The AAC System or Service
Next Steps

References

Essay 20. Clinical Considerations and AAC: Building My AAC Village
Tannalynn Neufeld

Index

Nerissa Hall

Nerissa Hall, PhD, CCC-SLP, ATP, is co-founder of Commūnicāre, LLC, a company that specializes in augmentative and alternative communication, assistive technology, telepractice, and tele-AAC working primarily with school-aged individuals, providing specialized, evidence-based intervention, assessment and consultation services.

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Jenifer Juengling-Sudkamp

Jenifer Juengling-Sudkamp, PhD, CCC-SLP, is a speech-language pathologist at the Southeast Louisiana Veterans Health Care System/VA and adjunct professor in the Department of Orthopaedics at Tulane University School of Medicine.

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Michelle L. Gutmann

Michelle L. Gutmann, PhD, CCC-SLP, is a clinical professor at Purdue University Department of Speech, Language, and Hearing Sciences, where she teaches a variety of graduate courses including AAC, Counseling in Communication Disorders, and Motor Speech Disorders.

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Ellen R. Cohn

Ellen R. Cohn, PhD, CCC-SLP, ASHA-F, is a professor in the Department of Communication Science and Disorders, University of Pittsburgh. She teaches courses in cleft palate/craniofacial disorders, professional issues, culture, diversity and healthcare, and rhetoric and communication.

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Fundamentals of AAC: A Case-Based Approach to Enhancing Communication comes with access to supplementary student and instructor materials on a PluralPlus companion website.

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