AAC: find a starting point that fits

More than one way to communicate

Augmentative and alternative communication (AAC) can add to speech or provide another way to express a message. It can be used sometimes or throughout the day. It is not limited to a particular diagnosis.

A combination can include gestures, pictures, a communication board, writing or a speech-generating device. In German, this field is called Unterstützte Kommunikation (UK). The ASHA/NJC introduction explains these approaches.

Start with a situation that matters to you

Choose one ordinary activity: meeting a friend, taking part in a group, asking a question at work or making an appointment. You do not need to describe your whole medical history.

Questions to bring to a discussion:

• What would you like to say or do in that situation?
• What already works, and what gets in the way?
• Do you prefer pictures, symbols, text, speech or a combination?
• What changes when you are tired, outside or with unfamiliar people?

Find an assessment route

Active Communication is a Swiss starting point for communication aids and adapted access. A speech-language professional can also help you explore suitable support. Ask whether a trial is possible, who would provide training, and what happens if the first option does not suit you.

FRAGILE Suisse’s interview describes both non-electronic and electronic communication options. Do not buy an expensive device solely on the basis of this page.

Access matters as much as the device

Typing and pointing are not available to everyone. Ask about access suited to your movement, vision, hearing and language needs. A large screen alone does not establish that a device is usable.

Useful trial questions:

• Can I use it in the places where I actually need it?
• Can I communicate choices, disagreement and questions, not just basic requests?
• Who can help with setup or repairs?
• What can I use when the device is unavailable?

Agree the practical details

Ask for costs, trial terms, training and any funding steps in writing or another accessible format. PCHO does not decide eligibility, reimbursements or clinical suitability. These questions are preparation for an individual discussion, not a treatment programme.