Using Visuals for Expressive Language: High Tech Visuals

Using Visuals for Expressive Language: High Tech Visuals

In our last post, we talked about the use of low-tech/no-tech visuals to help with expressive communication. Now, we will look at some high tech visual support options that provide speech output. High Tech Visual use is typically done with a communication device that is either a dedicated communication device, or an iPad with a communication app. In this post, we are going to focus on iPad communication apps. Later posts will feature dedicated communication devices.

There are two free apps that I have regularly recommended to students/clients, their families, therapists and other educators working with them. Free apps are a great place to start because they are: FREE. Here they are:

GoTalk Now Lite is the free version of the GOTalk Now app. This app is based on the popular static display GoTalk device (a static display device is one that is not computer based, relies on physical overlays, but has speech output). The free version of this app will:

  • Allow the creation of up to 5 individual boards that can be saved for future use (the paid version allows for an indefinite number of boards).
  • The boards can have from 1-25 icon spaces for pictures per page
  • The boards can be set up to link to each other
  • Capable of having message window to show combined pictures for a sentence, or not having a message window
  • Speech output can be either recorded human speech or synthesized computer speech
  • Pictures can be photos (uploaded or pulled into the boards from google images), symbolic pictures from GoTalk Now’s symbol library, or text

Verbally (free version) is a keyboard based app that also has a list of frequently used words available for quick selection. Once a message has been created in the small message window, the speak button can be selected to play the message. There is also a paid version of this app that has more complex features such as the ability to save a variety of predetermined messages.

There are also a large (and growing) number of communication apps available for iPad. From my years of specialization as an AT Specialist/AAC Specialist I can vouch for all of these apps as being strong, functional apps. The apps I will be listing below (which are by no means all the communication apps that are available at this time) have the following features:

  • They are robust: capable of containing a very large number of symbols and vocabulary
  • They are dynamic: capable of having pages link to other pages with different vocabulary
  • They can use either recorded human speech or synthesized computer speech
  • They can be used with either picture based symbol systems or keyboards (the exception is Proloquo4text which is only text based)
  • They have word prediction capabilities built into their keyboards (word prediction is what happens when we try to text and are given a list of possible options for words)
  • The icon spaces can have photographs (imported from personal photo library or downloaded), symbol set based pictures or word based icon spaces

Lamp Words for Life: by PRC-Saltillo

Proloquo2Go: by Assistive Ware

Proloquo4text: by Assistive Ware

Snap Core: by TobiiDynavox

Tobii Sonoflex: by TobiiDynavox

So which one of these apps is best? The answer is: it depends. All of these apps are complex apps that are best trialed first before investing in a purchase (price ranges from $50-300). I ALWAYS recommend to families that they work with a licensed SLP (speech therapist) to thoroughly evaluate their child/loved one’s communication needs first, then look into determining with the SLP which, if any app is the best fit for those needs. It is imperative to have the most up to date information about communication needs, across a wide variety of areas, in order to make the best possible determination about the use of high tech communication devices. This allows a good fit to be made, as well as a comprehensive plan for teaching both your child/loved one and your family how to use their communication device to meet these needs. The process for looking into the best fit for a communication device would be through a specific type of speech therapy evaluation called an AAC (Alternative & Augmentative Communication) evaluation. This is sometimes called an Assistive Technology Evaluation (AAC is a type of Assistive Technology).

So where do you start when looking for someone to help with an AAC evaluation? First, it is always best to start with the school system. As we have mentioned in previous blog posts, this is free. Talk to your child’s school SLP about your interest in looking at device options. Another option is to look for a private SLP in your local area who is an AAC Specialist. An AAC Specialist is an SLP who has spent dedicated time learning how to work with people who use AAC. Ideally, your private SLP will be able and willing to work with your school system, so that both the private SLP and public school SLP are on the same page in regard to device acquisition and use.

If you live in the Rockwall, Dallas or Collin County area I would love to talk with you for a free consultation about your child’s needs to see if I might be able to help you. I spent the majority of my career to date working as an AT Specialist (AAC Specialist) in both OH schools and in TX schools before starting my private practice. If you live outside those areas, and are in need of guidance, you are also welcome to contact me, and I will do my best to guide you to someone in your local area who can help.

In future posts we will delve into more details on some of these apps, as well as looking at how communication needs are evaluated, and how we can help you help your child with those needs. Sign up on the right to follow our blog.

Using Visuals for Expressive Language: Low-Tech (No-Tech) Visuals

Using Visuals for Expressive Language: Low-Tech (No-Tech) Visuals

In our last post, we talked about the use of visuals to help with expressive communication. Now, we will take a look at some of the types of low-tech/no-tech visuals that can be used for this purpose. Low-tech/no-tech means that there is no speech output.

There are many types of visuals that can be used as tools to help with expressive language. One of the best places to start using visuals for expressive language is through the use of environmental labels. An environmental label is a picture, photo, or text based word that is placed in a physical location by the item it represents. For example, pictures of food that is inside a refrigerator can be put on the refrigerator. Pictures of items that a child likes to play with can be put right by the place their toys are stored. Having these visual supports available right near where they are located helps give the person using the visual a way to express what they want.

A choice board is another great way to provide visuals for expressive language. One of the most widely recognized types of choice boards is called a PECs choice board (Picture Exchange Communication System). It is a series of pictures that are on a 3 ring notebook used along with the PECs system. But a choice board does not need to be a PECs choice board, it can be any type of board with a selection of pictures that are available for a person to choose from to express something that they want.

Here, we see an example of a PECs style choice board

And an example of a non PECs style choice board

Another type of visual support that can be used for expressive language is a core vocabulary communication notebook. A core vocabulary communication board or book is a communication system that is compromised of a combination of frequently occurring vocabulary words that occur in a wide variety of communication environments.

Yet another type of visual support for expressive communication is a PODD book. PODD stands for:
P
ragmatic – realistic social language.
Organization – words and symbols arranged in a systematic way.
Dynamic Display – changing pages

All of these communication systems can be excellent choices for a person that is having difficult using verbal language. It is important to keep in mind that there is no one single system that is the best fit for every person. Work with your child or loved one’s speech therapist to help find the type of low-tech/no-tech visual support that will work best for them. Keep in mind, that as your child or loved one’s expressive communication abilities increase, it may be necessary to add to their current communication system, or consider changing systems to meet their current need at that time.

In our next post, we will look at some high tech visual support options that provide speech output. Sign up on the right of this post to make sure you don’t miss out on learning more about using visual supports for expressive language.