Augmentative and alternative communication for individuals with autism : additional considerations

Abstract

Augmentative and alternative communication (AAC) is often recommended to support the inclusion of autistic individuals who have complex communication needs. This conceptual paper discusses commonly used theoretical frameworks which are utilised to make clinical decisions to match AAC systems and devices, and the implementation of these on an individual level. The purpose of this paper is to explore the utility of these existing frameworks for autistic individuals. This paper describes issues that are specific to autistic individuals which may impact the AAC clinical decision making process with a specific focus on sensory processing differences. The hypothesis of this conceptual paper is that the sensory processing differences commonly found in autistic individuals impact the AAC clinical decision making process and should therefore be considered when making AAC decisions to ensure optimal AAC assessment and interventions. The authors suggest adaptations to existing frameworks which can accommodate these differences.