Assessment tools and practices used by clinicians in AAC, non-verbal, and non-speaking communication

Tracks
5
Across the lifespan
Alternative and Augmentative Communication (AAC)
Assessment
Complex communication needs (CCN)
Disability
Sunday, June 15, 2025
11:20 AM - 11:30 AM

Overview

Stephanie Weir and Jenna O'Brien


Details

⏫ Research insights
⏲️ 11.20am - 11.40am
⌛20-minutes
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)


Presenter

Agenda Item Image
Ms Stephanie Weir
Scope & University of Melbourne

Assessment tools and practices used by clinicians in AAC, non-verbal, and non-speaking communication

11:20 AM - 11:40 AM

Presentation summary

When conducting communication assessment, speech pathologists typically seek to understand, among other things, the potential of verbal speech to meet communication needs, symbolic understanding and use, the role of body movements and facial expressions, use of objects and non-symbolic gestures, environmental supports, communication partner knowledge and skill, and the ‘goodness of fit’ of current communication supports. For speech pathologists, when working with people who cannot rely on speech alone to meet their communication needs, a comprehensive and robust assessment process combining several complementary approaches to collecting information is typically advocated as best practice.

This presentation will discuss the results of a research project which aimed to explore the assessment tools and practices used by professionals for communication assessment with people who cannot rely on speech alone to meet their communication needs. An international survey sought to explore which tools are typically used in practice, and the reasons why professionals choose to use the tools that they do in different practice settings. The survey also sought to understand the perceived gaps in currently available assessment tools, whether professionals have developed their own assessment tools to address those gaps, and the rationale, criteria and underlying frameworks of those self-developed tools.

The implementation of communication supports that do not to address the specific needs of individuals often leads to suboptimal outcomes, such as abandonment of supports and disillusionment with the potential of AAC. The findings of this research will inform critical evaluation of communication assessment tools and practices, and therefore have the potential to lead to more accurate and effective evaluations and ultimately improve service quality and outcomes for individuals who use alternative communication modes.

Refrences

Batorowicz, B., Stadskleiv, K., Renner, G., Sandberg, A. D., & von Tetzchner, S. (2018). Assessment of aided language comprehension and use in children and adolescents with severe speech and motor impairments. AAC: Augmentative & Alternative Communication, 34(1), 54–67. https://doi.org/10.1080/07434618.2017.1420689

Deckers, S. R. J. M., van Onna, M., Gros, E., & van Balkom, H. (2024). Developing a screening instrument for underlying core domains of communicative competence in children with communication support needs. AUGMENTATIVE AND ALTERNATIVE COMMUNICATION. https://doi.org/10.1080/07434618.2024.2367991

Dietz, A., Quach, W., Lund, S. K., & McKelvey, M. (2012). AAC Assessment and Clinical-Decision Making: The Impact of Experience. AAC: Augmentative & Alternative Communication, 28(3), 148–159. https://doi.org/10.3109/07434618.2012.704521

Lackey, S., Burnham, S., Hyatt, G. W., Shepherd, T., Pinder, S., Davies, T. C., & Batorowicz, B. (2023). Voices from the field: exploring service providers’ insights into service delivery and AAC use in Canada. AAC: Augmentative & Alternative Communication. https://doi.org/10.1080/07434618.2023.2295929

Lund, S. K., Quach, W., Weissling, K., McKelvey, M., & Dietz, A. (2017). Assessment With Children Who Need Augmentative and Alternative Communication (AAC): Clinical Decisions of AAC Specialists. Language, Speech & Hearing Services in Schools, 48(1), 56–68. https://doi.org/10.1044/2016_LSHSS-15-0086

Lynch, Y. & Murray, J. (2023). The I-ASC Explanatory Model as a Support for AAC Assessment Planning: A Case Report. In M. M. Smith (Ed.) Clinical Cases in Augmentative and Alternative Communication. Routledge.

Ogletree, B. T., Wofford, M. C., & Barton-Hulsey, A. (2022). Practical Approaches and Socially Valid Assessment Considerations for Learners with Emergent Communication and Severe Intellectual Disability. Advances in Neurodevelopmental Disorders: Multidisciplinary Research and Practice Across the Lifespan, 6(4), 426–441. https://doi.org/10.1007/s41252-022-00303-4

Theodorou, E., & Pampoulou, E. (2022). Investigating the Assessment Procedures for Children with Complex Communication Needs. Communication Disorders Quarterly, 43(2), 105–118.

**********

Stephanie is a speech pathologist with Scope Australia and researcher in the Department of Audiology and Speech Pathology at the University of Melbourne. Stephanie has worked in disability and education services for over 15 years, across support, clinical and academic roles. In her research, Stephanie is interested in exploring the paradigms and drivers of speech pathology practice and education, with a focus on the authentic integration of lived experience knowledge. Stephanie is currently in the final year of her PhD candidature, exploring how the international human rights framework can be applied to the work of speech pathologists.
Jenna O'Brien

Assessment tools and practices used by clinicians in AAC, non-verbal, and non-speaking communication

11:20 AM - 11:40 AM

**********

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.

 

© Copyright 2024 Speech Pathology Australia


We acknowledge the Traditional Custodians of 
lands, seas and waters throughout Australia,
and pay respect to Elders past, present and
future.

We recognise that the health and social and
emotional wellbeing of Aboriginal and Torres
Strait Islander peoples are grounded in
continued connection to Culture, Country,
Language and Community and acknowledge
that sovereignty was never ceded. 

    Torres Strait Islander flag

.

              

loading