Access to AAC in All Environments: Josh's Story Josh is a young adult with Rubinstein-Taybi syndrome (RTS). Like most people with RTS, he has an intellectual impairment with myriad medical, muscular/skeletal, and complex communication challenges. Josh did not develop functional speech and relies on augmentative and alternative communication (AAC) methods. I am Josh's mom, personal support worker, ... Article
Article  |   December 01, 2007
Access to AAC in All Environments: Josh's Story
Author Affiliations & Notes
  • Pamela Harris
    Western Springs, IL
Article Information
Augmentative & Alternative Communication / Articles
Article   |   December 01, 2007
Access to AAC in All Environments: Josh's Story
SIG 12 Perspectives on Augmentative and Alternative Communication, December 2007, Vol. 16, 9-12. doi:10.1044/aac16.4.9
SIG 12 Perspectives on Augmentative and Alternative Communication, December 2007, Vol. 16, 9-12. doi:10.1044/aac16.4.9
Josh is a young adult with Rubinstein-Taybi syndrome (RTS). Like most people with RTS, he has an intellectual impairment with myriad medical, muscular/skeletal, and complex communication challenges. Josh did not develop functional speech and relies on augmentative and alternative communication (AAC) methods. I am Josh's mom, personal support worker, and advocate. Together, we develop family friendly AAC strategies and materials while organizing a variety of social and recreational opportunities for people who use AAC and their families. If you would like to see what we are doing, visit our blog at http://aacfamily.vox.com/.
Josh uses a Vantage Plus speech generating device (SGD) from Prentke Romich Company with Word Power 84, designed by Nancy Inman. Prior to the Vantage, Josh used a DynaMyte 3100 for about 8 years and a DigiVox for 4 years before that, both from DynaVox. His SGD is the anchor of his communication system. There are times when his SGD is not available or appropriate, so Josh also relies on a variety of light technology communication tools. His environment is supplemented with visual schedules, choice boards, topic boards, and communication boards. In this article, we explore Josh's past and present use of light technology strategies including the barriers presented by the environment or activity.
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