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.

Supporting Expressive Language with Visuals

Supporting Expressive Language with Visuals

In our last post, we learned a little about how visuals can help with receptive language. This time, let’s spend some time looking at how visuals can help with expressive language. Visuals can be used to increase expressive language skills in both people who are non-verbal, and those who have verbal skills. They can serve as reminders (cues) to a person about the word they want to use, or the word order for what they want to express. In addition, visual supports for expressive language decrease the cognitive load for verbalization, and allow the individual to focus on talking.

There are two general categories of visuals that can be used for expressive language purposes: low tech/no tech with no voice (speech) output, and high tech with voice output. Individuals can use these visual tools to express themselves by: pointing to pictures/words that are available to express the word, handing the visual to their communication partner, or using eye gaze to look at the visual.

Three main types of low tech visuals that are used for increasing the expressive language communication of individuals are: choice boards/books, core language vocabulary notebooks, and PODD books. Choice boards are what they sound like, boards that have pictures or text choice options on them. A PECs (Picture Exchange Communication System) book would be a type of choice book. Choice boards/books are not solely limited to PECs style communication notebooks, and can be any type of board or book where the user is able to pick from a variety of choices to communicate. A core vocabulary communication board/book is a communication system that is comprised of a combination of frequently occurring vocabulary words that occur in a wide variety of communication environments. A PODD book (Pragmatic Organization Dynamic Display) is a book that is Pragmatic (uses realistic social language), Organized (words and symbols arranged in a systematic way), and uses a Dynamic Display (the ability to change pages to incorporate a robust vocabulary system).

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. High tech device use can be used both alternatively, and also augmentatively. If an individual has little to no verbal ability, their use of a high tech device (or a low tech one) is considered to be alternative- it is used instead of verbal speech. But a high tech device is not limited to individuals who are completely non-verbal. Many people who have some verbal skills use them augmentatively, or in addition to their verbal speech output. They may use the device to help them with vocabulary that is difficult to say, to make longer sentences than they are able to produce on their own, or to help repair or clarify verbal messages that they have spoken that may not have been fully understood by their listener.

In our next two posts, we will go over more details about the specific types of low tech visuals and high tech visuals that can be used to increase expressive communication skills for those who have difficulties with expressive language. Sign up to follow our blog on the right side of this page so you don’t miss anything!