What is AAC? (Augmentative and Alternative Communication)
AAC stands for Augmentative and Alternative Communication, i.e. the tools, technologies, and strategies used to support people who find speech difficult or impossible. At Berry Therapy, we specialise in AAC for people with complex communication needs, including children and adults with cerebral palsy, brain injuries, autism, learning disabilities, and other neurological conditions.
AAC can take many forms from simple paper-based systems to high-tech (electronic) devices that generate speech. Our role is to help individuals find the most effective and accessible way to communicate.
Who uses AAC?
AAC is for anyone who can’t rely on speech to meet all of their communication needs. This includes people with:
- Cerebral palsy
- Autism spectrum disorder
- Traumatic brain injury or stroke
- Genetic conditions and developmental delays
- Progressive neurological disorders, like MND or Rett syndrome
We also support individuals who are temporarily non-speaking for example, following surgery or intubation. Whether someone is non-speaking, minimally verbal, or has unclear speech, AAC can offer a reliable way to connect with others.
Types of AAC
We support a wide range of AAC approaches, depending on the person’s strengths, needs, and preferences:
Unaided communication
- Natural gestures, pointing, facial expressions
- Signing systems like Makaton and British Sign Language (BSL)
Low-tech (paper-based) AAC
- PODD books, communication boards, symbol books, alphabet charts
- Tools that don’t require batteries or screens but are powerful in the right hands
High-tech (electronic) AAC
- Voice output-communication aids (VOCAs)/Speech-generating devices (SGDs) including iPads or dedicated communication devices.
- Software like Grid 3, Proloquo2Go, or TD Snap
- Eye gaze technology, switch access, and other alternative access methods
- Voice output tools tailored to each person’s needs
We combine these tools as part of a holistic AAC therapy plan that evolves as the communicator’s skills grow.
Frequently Asked Questions
Does AAC replace speech?
No. Many people who use AAC also have some speech, AAC is simply an additional way to communicate. For some people with cognitive-communication difficulties following a brain injury, AAC helps structure thoughts and clarify meaning. For others, it offers a voice when speech is limited, unreliable, or causes frustration.
Importantly, research shows that introducing AAC does not stop speech development. In fact, AAC often supports spoken language by reducing pressure, making communication more successful and motivating.
What if someone is “non-verbal”?
We aim to move away from the label “non-verbal,” which can unintentionally imply a lack of potential. Instead, we talk about people who are non-speaking or minimally speaking, and we focus on what’s possible with the right support.
Everyone has the right to communicate. We presume competence, no matter how complex someone’s physical or cognitive profile may be. Our team works to unlock communication for every individual – even those with the most profound and multiple learning difficulties.
Finding the right AAC support
At Berry Therapy, we deliver specialist AAC assessment and therapy across the UK. We help individuals, families, and professionals choose the most appropriate communication tools and support them to use those tools with confidence. This includes support with:
- Mounting and positioning devices
- Training teams and families
- Developing personalised vocabulary and communication functions
- Ongoing therapy to maximise communication potential