Autism: CommunicationOptions Using the iPad   Gwendolyn Meier, MA, CCC-SLP, MT-BCSpeech Language Pathologist, Music Therap...
Autism: Communication Options Using the iPad             March 1, 2013
The Speech & Language Center                    x``Autism: Communication Options Using the iPad             March 1, 2013
x``                                     AAC ServicesAutism: Communication Options Using the iPad             March 1, 2013
App Explosion   “What app should I buy?”Currently over 100 iPad apps designed ascommunication toolsVariety of levels of co...
A Tale of AAC Failure•   Parent bought an iPad...•   AT Specialist provided an iPad...         But, “It’s not working”    ...
Non-oral Learners with Autism Much of the info and education on teaching AAC focuses on non-oral individuals with         ...
So much more than the appAn AAC System should•   Increase participation (classroom, work,    community, home)•   Address I...
So much more than the appAn AAC System should                                       Y                                    H...
Early Language Stages1. One word/hit at a time2. Two- and three-word/hit phrases3. Building phrases and early sentences4. ...
Getting Communication GoingIn autism we know we can teach:Cause-and-Effect RequestingCause-and-Effect Rejecting       Autism...
START with One-word/One-button Requestingfor items, actions or recurrence (“more”)•   Builds “buy-in”•   Adds pay-off to th...
START with One-word/One-button Requesting    for items, actions or recurrence•   BUT DON’T STOP HERE!•   It’s very easy to...
Early Pragmatic Communicative Functions    •   Attention Directing    •   Requesting    •   Rejecting    •   Greeting    •...
Communicative Functions         In Nonverbal Autism•   Attention Directing•   Requesting•   Rejecting•   Greeting•   Self-...
Communicative Functions*Sometimes Present* In Nonverbal Autism•   Attention Directing•   Requesting•   Rejecting*•   Greet...
Early Pragmatic Communicative Functions    •   Attention Directing                                        The s    •      ...
•   It is rare for difficult-to-    motivate students to naturally    move out of the requesting    function•   No matter th...
Model and Expand Language•   Oral language development       Autism: Communication Options Using the iPad                 ...
Model and Expand Language•   Non-oral language development    Sign language                   Speech Generating Device    ...
Augmented Input                                  Partner Augmented Input                                                  ...
In autism, modeling is essential to: First) Demonstrate the use and power of additional functions of communication: attent...
Augmented Input in ASD      VIDEO  •   Ryan (20 years old) - Bracket Assembly        ✴ Requests for items - Mastered      ...
Augmented Input    Our terminology:•   “Augmented Input”              •   “Aided language                                 ...
Augmented Input    VIDEO•   Milo (4 years old)         ✴ Naming - Modeled    Pogg - $0.99         Autism: Communication Op...
Drawbacks to Augmented Input at         Early Language Stages•   Requires pre-planning•   Occupies valuable ‘real estate’ ...
One-Hit at a Time• Requests• Attention Directing                                        Do• Sharing Opinions              ...
One-Hit at a Time             Inexpensive Apps• Answers:YesNo ($1.99)• Sounding Board (FREE)• Picture Card Maker (FREE, $5...
Can be Done with          More Expensive Apps• Full-featured Communication Apps with  a Robust Language system ($150-$300)...
One-hit: Moving Beyond Choice-Making              Attention Directing  • Delivering a message        ✴ Delivering/picking ...
AnswersYes/No - Requests      A RD    NDSTA                                   CUS                                         ...
AnswersYes/No                                DeliveriesAutism: Communication Options Using the iPad             March 1, 2...
Sounding BoardOne-hit Requests                Various Functions       Autism: Communication Options Using the iPad        ...
Pic Card MakerAttention Directing - Delivering Messages    Autism: Communication Options Using the iPad                 Ma...
Pic Card MakerAttention Directing - Delivering Messages                                     3-button script;              ...
Pic Card Maker3-button Script in Choiceboard View    Autism: Communication Options Using the iPad                 March 1,...
One-hit: Moving Beyond Choice-Making   VIDEO   Nicolas (6 years)           • Attention Directing, Delivering              ...
AnswersYes/No - Deliveries   Autism: Communication Options Using the iPad                March 1, 2013
AnswersYes/No - Deliveries  Autism: Communication Options Using the iPad               March 1, 2013
Pic Card Maker   Attention Directing - Making AnnouncementsOne-hit:“It’s time for...”           Autism: Communication Opti...
Pic Card Maker   Attention Directing - Making AnnouncementsOne-hit:“It’s time for...”           Autism: Communication Opti...
One-hit: Moving Beyond Choice-Making            Attention Directing   ✴“Look!”   ✴Naming    • Item or action label   ✴Desc...
One-hit: Moving Beyond Choice-Making             Attention Directing✴“Look!” - Versatile             - Best use of real es...
One-hit: Moving Beyond Choice-Making    Comments & Sharing Opinions    • Expressing taste       • Cool, oh man, good, bad,...
Sounding Board appOne-hit: Mixed Function BoardAttention Directing, Comments, Sharing Opinions     Autism: Communication O...
Sounding Board appOne-hit: Mixed Function Board     Comments, Sharing Opinions   Autism: Communication Options Using the i...
Sounding Board appOne-hit: Mixed Function Board            Attention Directing     N     a     m     i     n     g   Autis...
Sounding Board appOne-hit: Mixed Function Board                                         Directing Action   Autism: Communi...
One+ Hit: Moving Beyond Choice-Making      VIDEO - Augmented Input  •   Gissette - (16 years old)         Comments, Descri...
AnswersYes/No (Compliments)    Autism: Communication Options Using the iPad                 March 1, 2013
Sounding Board app      Just CommentsAutism: Communication Options Using the iPad             March 1, 2013
Autism: Communication Options Using the iPad             March 1, 2013
One-hit: Moving Beyond Choice-Making     • Versatile Requests for actions     • Attention Directing     • Sharing Opinions...
Sounding BoardCore Vocabulary Board:               Sym bol          wed ns    B orro x ico         Sti             Autism:...
Sounding BoardCore Vocabulary Board:  Request Action            Autism: Communication Options Using the iPad              ...
One-hit: Request Action     VIDEO •   Milo - Firefighters          - Augmented Input, Core Words board             Questio...
Sounding BoardCore Vocabulary Board:   Request Action            Autism: Communication Options Using the iPad             ...
One-hit: Moving Beyond Choice-Making                      Greetings✴Hey / Good Morning / Hi✴Bye / See you later / Have a g...
One-hit: Moving Beyond Choice-Making            Attention Directing               Sharing Opinions                     Com...
One-hit: Mixed FunctionsBook Reading - Requests, Comments, Directions       Autism: Communication Options Using the iPad  ...
One-hit: Mixed FunctionsButterfly Coffee filter craft -Requests, Comments, SharingOpinions         Autism: Communication Op...
Early Language Stages1. One word at a time2. Two- and three-word phrases3. Building phrases and early sentences4. Learning...
2- and 3-hit Goals    Choice-Making and Beyond•   Elaborated requests: “I want” + item, “More”    + item/activity, “I want...
2- and 3-hit Goals    Choice-Making and Beyond•   Elaborated requests: “I want” + item, “More”    + item/activity, “I want...
2- and 3-hit Goals  Choice-Making and BeyondElaborated requests          Wi l l                                   requ    ...
2- and 3-hit Goals      Choice-Making and Beyond    Elaborated requests          Wi l l                                   ...
Apps for 2- and 3-hit  2- and 3-Button Phrases• Sounding Board (FREE)• Picture Card Maker (FREE; $5.99)• Full-featured Com...
Sounding Board - Requests   Autism: Communication Options Using the iPad                March 1, 2013
Sounding Board - Requests   Autism: Communication Options Using the iPad                March 1, 2013
Request embedded in a Multi-Function board  At Work                               Break Choices     Autism: Communication ...
Picture Card Maker  Sentence Strip - 2, 3, or 4 symbolElaborated request         Autism: Communication Options Using the i...
2- and 3-hits       Directing Actions & Attention    VIDEOS•   Gissette (16 years)       1. Descriptive request, funny dan...
2- and 3-hits   Moving Beyond Choice-Making• We know we can teach: Elaborated requests:  “I want” + item, “More” + item/ac...
Sounding BoardCore Vocabulary       Autism: Communication Options Using the iPad                    March 1, 2013
TouchChatHD ($149.99)Autism: Communication Options Using the iPad             March 1, 2013
2- and 3-hitsCore Vocab, Directing Actions & Attention    VIDEO•   Gissette (16 years old)    Comments, Directing actions ...
Teaching the Power of Core Vocab  •   Single button - or - a sequence  •   Same page - or - navigating between      board/...
Teaching the Power of Core Vocab•   Gissette’s Symbol Recognition?    Requesting action - “Put on”       Autism: Communica...
Motor Plans are extremely important               when...•   Teaching the use of core vocabulary and    use of more abstra...
Picture Communication          BooksRely on symbol understandingAutism: Communication Options Using the iPad             M...
Motor Plan VS. Icon Recognition•   We have found that consistent placement of    icons may be more important than symbol  ...
Location, Location, Location!         When teaching AAC: Teach location                           Why??• Motivating outcom...
We can take advantage of motor            planning when:•   Each word has its own motor pattern due    to consistent icon ...
Motor patterns don’t changeAutism: Communication Options Using the iPad             March 1, 2013
As language system grows...        Autism: Communication Options Using the iPad                     March 1, 2013
PIC Core Vocab hidden buttons    Autism: Communication Options Using the iPad                 March 1, 2013
Using Motor Planning to Our              Advantage...•   Our lower-functioning students can    generate multi-word phrases...
Multi-Word Language Stages1. One word at a time                           3+ words                                        ...
Stage 3+ Goals    Beyond 3-word phrases...•   Visual sentence strip or message window•   Useful for the learner•   Useful ...
Language Stage 3+ Goals    Meaningful word order    Adding more verbs and adjectives to requests    Describing phrases (Ob...
SGDs                       Apps        Full-Featured       Communication- Expanded, Word-based Vocabulary- Variety of Phra...
Apps for Stages 3+        ProLoQuo2Go                          TouchChat HD    •   $189.99                          •   $1...
TouchChat Family of Apps                                      Today’s presentation:                                   Stud...
TouchChat Starter Vocabularies•   Different users: Different needs•   Main key to success of a communication app -          ...
The iPad is not the best Communication            Tool for everyonePlay on the iPad may not necessarily lead         to co...
That being said…exposure to visually supported communication and a variety of communicativefunctions may lay the foundatio...
•    Monthly email blast - write to join     socalaacnetwork@gmail.com•    Blog - www.scaacn.blogspot.com    Updated weekl...
•   FREE Quarterly “support group” meetings,    Pasadena, CA    Next meeting: Tuesday, 4/23/13                       6:30-...
Thank you!   Gwendolyn Meier, SLP, MT    Villa Esperanza Servicesgmeier@villaesperanzaservices.org
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Autism: Communication Options Using the iPad (Meier, 3/1/13, CSUN Conference)

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Slide presentation from today's presentation by Gwendolyn Meier at the 28th Annual International Technology and Persons with Disabilities Conference in San Diego, March 1, 2013.

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Autism: Communication Options Using the iPad (Meier, 3/1/13, CSUN Conference)

  1. 1. Autism: CommunicationOptions Using the iPad Gwendolyn Meier, MA, CCC-SLP, MT-BCSpeech Language Pathologist, Music Therapist Villa Esperanza Services Pasadena, CA
  2. 2. Autism: Communication Options Using the iPad March 1, 2013
  3. 3. The Speech & Language Center x``Autism: Communication Options Using the iPad March 1, 2013
  4. 4. x`` AAC ServicesAutism: Communication Options Using the iPad March 1, 2013
  5. 5. App Explosion “What app should I buy?”Currently over 100 iPad apps designed ascommunication toolsVariety of levels of complexity and co$tDecision-making:Speech Language Pathologists, specialeducators, AT specialists and parents ALLneed guidance
  6. 6. A Tale of AAC Failure• Parent bought an iPad...• AT Specialist provided an iPad... But, “It’s not working” “He’s not using it”• Teaching AAC is often the missing link Autism: Communication Options Using the iPad March 1, 2013
  7. 7. Non-oral Learners with Autism Much of the info and education on teaching AAC focuses on non-oral individuals with INTACT SOCIAL SYSTEMS • More is needed on how exactly to teach AAC to learners who have social deficits • Individuals with autism often have to be taught to take pleasure in social engagement as part of their AAC-learning Autism: Communication Options Using the iPad March 1, 2013
  8. 8. So much more than the appAn AAC System should• Increase participation (classroom, work, community, home)• Address IEP, work and personal goals• Support efficient and interactive communication• Provide the user with meaningful language• Support language and literacy learning• Provide a positive support to behavior Autism: Communication Options Using the iPad March 1, 2013
  9. 9. So much more than the appAn AAC System should Y Hwork,• t W ting Increase participation (classroom, community, home) ou l a b unica alwork andm• It’s com personal goals Address IEP,• Supportre u’ efficient and interactive app yo communication ut the• o userabo meaningful language Provide the t with N• Support language and literacy learning• Provide a positive support to behavior Autism: Communication Options Using the iPad March 1, 2013
  10. 10. Early Language Stages1. One word/hit at a time2. Two- and three-word/hit phrases3. Building phrases and early sentences4. Learning grammar and sentence structure5. Sentences with more grammatical endings Autism: Communication Options Using the iPad March 1, 2013
  11. 11. Getting Communication GoingIn autism we know we can teach:Cause-and-Effect RequestingCause-and-Effect Rejecting Autism: Communication Options Using the iPad March 1, 2013
  12. 12. START with One-word/One-button Requestingfor items, actions or recurrence (“more”)• Builds “buy-in”• Adds pay-off to the effort of communicating Autism: Communication Options Using the iPad March 1, 2013
  13. 13. START with One-word/One-button Requesting for items, actions or recurrence• BUT DON’T STOP HERE!• It’s very easy to get stuck on requesting Autism: Communication Options Using the iPad March 1, 2013
  14. 14. Early Pragmatic Communicative Functions • Attention Directing • Requesting • Rejecting • Greeting • Self-Expression and Self-Assertion • Naming • Commenting • Giving Information / Requesting Information Autism: Communication Options Using the iPad March 1, 2013
  15. 15. Communicative Functions In Nonverbal Autism• Attention Directing• Requesting• Rejecting• Greeting• Self-Expression and Self-Assertion• Naming• Commenting• Giving Information / Requesting Information Autism: Communication Options Using the iPad March 1, 2013
  16. 16. Communicative Functions*Sometimes Present* In Nonverbal Autism• Attention Directing• Requesting• Rejecting*• Greeting*• Self-Expression and Self-Assertion• Naming• Commenting• Giving Information / Requesting Information Autism: Communication Options Using the iPad March 1, 2013
  17. 17. Early Pragmatic Communicative Functions • Attention Directing The s • torie sI Requesting • Rejecting hear • Greeting ... • Self-Expression and Self-Assertion • Naming • Commenting • Giving Information / Requesting Information Autism: Communication Options Using the iPad March 1, 2013
  18. 18. • It is rare for difficult-to- motivate students to naturally move out of the requesting function• No matter the AAC system...Modeling and Augmented Input are KEY to the process of expanding communicative functions Autism: Communication Options Using the iPad March 1, 2013
  19. 19. Model and Expand Language• Oral language development Autism: Communication Options Using the iPad March 1, 2013
  20. 20. Model and Expand Language• Non-oral language development Sign language Speech Generating Device Autism: Communication Options Using the iPad March 1, 2013
  21. 21. Augmented Input Partner Augmented Input Point to pictures while you areSpeech p talking.* • Use parallel talk, self-talk, break down, build up. Pictures • Produce a variety of communicativePictures functions such as questions, comments, greetings, requests, etc. • Use a large percentage of available vocabulary • Use a large percentage of vocabulary as they appear in your speech Build language skills by • 80:20 ratio of statements to questions/commands demonstrating use of AAC! • Strive to provide Partner Augmented Input at least 80% of ongoing daily p g g y Copyright notification: User may not copy or distribute these materials except for use with the students, patients, clients, or other individuals who Autism: Communication Options Using the iPad activities receive instruction, therapy, supervision, assessment, care or other services • March 1, 2013Use scripts to develop ideas directly from the User. Otherwise, these materials may not be copied without the 1 written consent of DynaVox Mayer-Johnson. * See references for sources
  22. 22. In autism, modeling is essential to: First) Demonstrate the use and power of additional functions of communication: attention directing, commenting, sharing opinions, greeting Then) We can worry about teaching the vocabulary/symbol location for these functions Autism: Communication Options Using the iPad March 1, 2013
  23. 23. Augmented Input in ASD VIDEO • Ryan (20 years old) - Bracket Assembly ✴ Requests for items - Mastered ✴ Attention Directing - ModeledWhat he’s saying / What I’m saying Autism: Communication Options Using the iPad March 1, 2013
  24. 24. Augmented Input Our terminology:• “Augmented Input” • “Aided language stimulation” (ALgS)• “Modeling”• “Demonstration” • “Aided language support”• “Aided language input” • “Simultaneous Communication”AAC, the iPad and Autism - Moving Beyond Choice-making. CSHA 2013
  25. 25. Augmented Input VIDEO• Milo (4 years old) ✴ Naming - Modeled Pogg - $0.99 Autism: Communication Options Using the iPad March 1, 2013
  26. 26. Drawbacks to Augmented Input at Early Language Stages• Requires pre-planning• Occupies valuable ‘real estate’ on the visual display• Takes dedicated modeller(s)• Like oral language development, aided language development also TAKES TIME Autism: Communication Options Using the iPad March 1, 2013
  27. 27. One-Hit at a Time• Requests• Attention Directing Do• Sharing Opinions n’t for get• Commenting the se!• Greeting Autism: Communication Options Using the iPad March 1, 2013
  28. 28. One-Hit at a Time Inexpensive Apps• Answers:YesNo ($1.99)• Sounding Board (FREE)• Picture Card Maker (FREE, $5.99)• Digitized (recorded) voice• Icons: Take a pic, online pic, Photos Autism: Communication Options Using the iPad March 1, 2013
  29. 29. Can be Done with More Expensive Apps• Full-featured Communication Apps with a Robust Language system ($150-$300) Autism: Communication Options Using the iPad March 1, 2013
  30. 30. One-hit: Moving Beyond Choice-Making Attention Directing • Delivering a message ✴ Delivering/picking up items ✴ Social scripts • Making announcements ✴ Before transitions, “It’s time for...” Autism: Communication Options Using the iPad March 1, 2013
  31. 31. AnswersYes/No - Requests A RD NDSTA CUS TOM IZED Autism: Communication Options Using the iPad March 1, 2013
  32. 32. AnswersYes/No DeliveriesAutism: Communication Options Using the iPad March 1, 2013
  33. 33. Sounding BoardOne-hit Requests Various Functions Autism: Communication Options Using the iPad March 1, 2013
  34. 34. Pic Card MakerAttention Directing - Delivering Messages Autism: Communication Options Using the iPad March 1, 2013
  35. 35. Pic Card MakerAttention Directing - Delivering Messages 3-button script; one-hit per turn Autism: Communication Options Using the iPad March 1, 2013
  36. 36. Pic Card Maker3-button Script in Choiceboard View Autism: Communication Options Using the iPad March 1, 2013
  37. 37. One-hit: Moving Beyond Choice-Making VIDEO Nicolas (6 years) • Attention Directing, Delivering flyers - Teaching Autism: Communication Options Using the iPad March 1, 2013
  38. 38. AnswersYes/No - Deliveries Autism: Communication Options Using the iPad March 1, 2013
  39. 39. AnswersYes/No - Deliveries Autism: Communication Options Using the iPad March 1, 2013
  40. 40. Pic Card Maker Attention Directing - Making AnnouncementsOne-hit:“It’s time for...” Autism: Communication Options Using the iPad March 1, 2013
  41. 41. Pic Card Maker Attention Directing - Making AnnouncementsOne-hit:“It’s time for...” Autism: Communication Options Using the iPad March 1, 2013
  42. 42. One-hit: Moving Beyond Choice-Making Attention Directing ✴“Look!” ✴Naming • Item or action label ✴Descriptive word • Broken, dirty, cute... Autism: Communication Options Using the iPad March 1, 2013
  43. 43. One-hit: Moving Beyond Choice-Making Attention Directing✴“Look!” - Versatile - Best use of real estate✴ Naming • Item or action label✴Descriptive word • Broken, dirty, cute... Autism: Communication Options Using the iPad March 1, 2013
  44. 44. One-hit: Moving Beyond Choice-Making Comments & Sharing Opinions • Expressing taste • Cool, oh man, good, bad, gross... • Giving Compliments Autism: Communication Options Using the iPad March 1, 2013
  45. 45. Sounding Board appOne-hit: Mixed Function BoardAttention Directing, Comments, Sharing Opinions Autism: Communication Options Using the iPad March 1, 2013
  46. 46. Sounding Board appOne-hit: Mixed Function Board Comments, Sharing Opinions Autism: Communication Options Using the iPad March 1, 2013
  47. 47. Sounding Board appOne-hit: Mixed Function Board Attention Directing N a m i n g Autism: Communication Options Using the iPad March 1, 2013
  48. 48. Sounding Board appOne-hit: Mixed Function Board Directing Action Autism: Communication Options Using the iPad March 1, 2013
  49. 49. One+ Hit: Moving Beyond Choice-Making VIDEO - Augmented Input • Gissette - (16 years old) Comments, Describing (cute) - Modeling Autism: Communication Options Using the iPad March 1, 2013
  50. 50. AnswersYes/No (Compliments) Autism: Communication Options Using the iPad March 1, 2013
  51. 51. Sounding Board app Just CommentsAutism: Communication Options Using the iPad March 1, 2013
  52. 52. Autism: Communication Options Using the iPad March 1, 2013
  53. 53. One-hit: Moving Beyond Choice-Making • Versatile Requests for actions • Attention Directing • Sharing Opinions • Commenting • Greeting Autism: Communication Options Using the iPad March 1, 2013
  54. 54. Sounding BoardCore Vocabulary Board: Sym bol wed ns B orro x ico Sti Autism: Communication Options Using the iPad March 1, 2013
  55. 55. Sounding BoardCore Vocabulary Board: Request Action Autism: Communication Options Using the iPad March 1, 2013
  56. 56. One-hit: Request Action VIDEO • Milo - Firefighters - Augmented Input, Core Words board Question:What will be Milo’s first core word? Autism: Communication Options Using the iPad March 1, 2013
  57. 57. Sounding BoardCore Vocabulary Board: Request Action Autism: Communication Options Using the iPad March 1, 2013
  58. 58. One-hit: Moving Beyond Choice-Making Greetings✴Hey / Good Morning / Hi✴Bye / See you later / Have a good weekend (Any of the low cost apps) Autism: Communication Options Using the iPad March 1, 2013
  59. 59. One-hit: Moving Beyond Choice-Making Attention Directing Sharing Opinions Comments Greeting Teach it! Model and demonstrate Reinforce it! Provide motivation to perform Autism: Communication Options Using the iPad March 1, 2013
  60. 60. One-hit: Mixed FunctionsBook Reading - Requests, Comments, Directions Autism: Communication Options Using the iPad March 1, 2013
  61. 61. One-hit: Mixed FunctionsButterfly Coffee filter craft -Requests, Comments, SharingOpinions Autism: Communication Options Using the iPad March 1, 2013
  62. 62. Early Language Stages1. One word at a time2. Two- and three-word phrases3. Building phrases and early sentences4. Learning grammar and sentence structure5. Sentences with more grammatical endings Autism: Communication Options Using the iPad March 1, 2013
  63. 63. 2- and 3-hit Goals Choice-Making and Beyond• Elaborated requests: “I want” + item, “More” + item/activity, “I want” + “to go” + place• Attention Directing: “Look” + item/location, “It’s time for” + activity• Directing other’s actions, core vocab: Open it, give me, my turn, put in, you go• Greet using names Autism: Communication Options Using the iPad March 1, 2013
  64. 64. 2- and 3-hit Goals Choice-Making and Beyond• Elaborated requests: “I want” + item, “More” + item/activity, “I want” + “to go” + place• Attention Directing: “Look” + item/location, “It’s time for” + activity• Directing other’s actions, core vocab: Open it, give me, my turn, put in, you go• Greet using names Autism: Communication Options Using the iPad March 1, 2013
  65. 65. 2- and 3-hit Goals Choice-Making and BeyondElaborated requests Wi l l requ links ire sAttention Directing ome betw navigDirecting other’s actions een ation boar /Greet using names ds Autism: Communication Options Using the iPad March 1, 2013
  66. 66. 2- and 3-hit Goals Choice-Making and Beyond Elaborated requests Wi l l requ links ire s Attention Directing ome betw navig Directing other’s actions een ation boar / Greet using names ds• Comments/Sharing Opinions often still one-hit Rather than expecting a sequence of hits Lots of modeling/augmented input & reinforcement Autism: Communication Options Using the iPad March 1, 2013
  67. 67. Apps for 2- and 3-hit 2- and 3-Button Phrases• Sounding Board (FREE)• Picture Card Maker (FREE; $5.99)• Full-featured Communication Apps ($149+) Autism: Communication Options Using the iPad March 1, 2013
  68. 68. Sounding Board - Requests Autism: Communication Options Using the iPad March 1, 2013
  69. 69. Sounding Board - Requests Autism: Communication Options Using the iPad March 1, 2013
  70. 70. Request embedded in a Multi-Function board At Work Break Choices Autism: Communication Options Using the iPad March 1, 2013
  71. 71. Picture Card Maker Sentence Strip - 2, 3, or 4 symbolElaborated request Autism: Communication Options Using the iPad March 1, 2013
  72. 72. 2- and 3-hits Directing Actions & Attention VIDEOS• Gissette (16 years) 1. Descriptive request, funny dance - Emerging Autism: Communication Options Using the iPad March 1, 2013
  73. 73. 2- and 3-hits Moving Beyond Choice-Making• We know we can teach: Elaborated requests: “I want” + item, “More” + item/activity, “I want” + “to go” + place• Directing attention: “Look” + item/ location, “It’s time for...”• Directing other’s actions, core vocab: Open it, give me, my turn, put in, you go• Greet using names Autism: Communication Options Using the iPad March 1, 2013
  74. 74. Sounding BoardCore Vocabulary Autism: Communication Options Using the iPad March 1, 2013
  75. 75. TouchChatHD ($149.99)Autism: Communication Options Using the iPad March 1, 2013
  76. 76. 2- and 3-hitsCore Vocab, Directing Actions & Attention VIDEO• Gissette (16 years old) Comments, Directing actions - Put on (nail polish) - Emerging Autism: Communication Options Using the iPad March 1, 2013
  77. 77. Teaching the Power of Core Vocab • Single button - or - a sequence • Same page - or - navigating between board/pages Autism: Communication Options Using the iPad March 1, 2013
  78. 78. Teaching the Power of Core Vocab• Gissette’s Symbol Recognition? Requesting action - “Put on” Autism: Communication Options Using the iPad March 1, 2013
  79. 79. Motor Plans are extremely important when...• Teaching the use of core vocabulary and use of more abstract vocab/symbols• When using multiple pages of vocabulary• When symbol recognition is weak Autism: Communication Options Using the iPad March 1, 2013
  80. 80. Picture Communication BooksRely on symbol understandingAutism: Communication Options Using the iPad March 1, 2013
  81. 81. Motor Plan VS. Icon Recognition• We have found that consistent placement of icons may be more important than symbol recognition• Learners dont need to be able to recognize/"point to"/"give" a symbol that is named before they can use that symbol to get something done in the world. THIS IS COUNTER-INTUITIVE... Autism: Communication Options Using the iPad March 1, 2013
  82. 82. Location, Location, Location! When teaching AAC: Teach location Why??• Motivating outcomes/consequences of the act strengthen motor plans• Stable key location enables the development of motor automaticity• Consistent motor plans reduce the cognitive requirement of symbol recognition Autism: Communication Options Using the iPad March 1, 2013
  83. 83. We can take advantage of motor planning when:• Each word has its own motor pattern due to consistent icon location• Motor patterns don’t change• Patterns build upon themselves as language grows - preserve relative location Autism: Communication Options Using the iPad March 1, 2013
  84. 84. Motor patterns don’t changeAutism: Communication Options Using the iPad March 1, 2013
  85. 85. As language system grows... Autism: Communication Options Using the iPad March 1, 2013
  86. 86. PIC Core Vocab hidden buttons Autism: Communication Options Using the iPad March 1, 2013
  87. 87. Using Motor Planning to Our Advantage...• Our lower-functioning students can generate multi-word phrases...• ...across multiple pages• ...using core vocabulary We’re ready for Language Stage 3 Autism: Communication Options Using the iPad March 1, 2013
  88. 88. Multi-Word Language Stages1. One word at a time 3+ words in length2. Two- and three-word phrases3. Building phrases and early sentences4. Learning grammar and sentence structure5. Sentences with more grammatical Autism: Communication Options Using the iPad March 1, 2013
  89. 89. Stage 3+ Goals Beyond 3-word phrases...• Visual sentence strip or message window• Useful for the learner• Useful for the communication partner Autism: Communication Options Using the iPad March 1, 2013
  90. 90. Language Stage 3+ Goals Meaningful word order Adding more verbs and adjectives to requests Describing phrases (Object+Action+Location) Including word endings (-ing, -s)• Navigation between multiple pages (Core vocab, actions, descriptors, multiple categories, etc.)• Extensive icon library is a plus for abstract vocab• Larger vocab: Synthesized (text-to-speech) voice Autism: Communication Options Using the iPad March 1, 2013
  91. 91. SGDs Apps Full-Featured Communication- Expanded, Word-based Vocabulary- Variety of Phrase Types- Multi-Word Language Construction- Intuitive Navigation- Grammatical Endings- AAC Assessment and Therapy is Essential!
  92. 92. Apps for Stages 3+ ProLoQuo2Go TouchChat HD • $189.99 • $149.99 • The first, not necessarily the • Highly customize-able best • Unique features: Button Actions more varied, Copy and move pages between users, iShare mobile upload/ download • Language Stages 4, 5 - WordPower version $299.99Other apps: Words For -Life, Sonoflex, GoTalk Now, Talk Tablet AAC, the iPad and Autism Moving Beyond Choice-making. CSHA 2013
  93. 93. TouchChat Family of Apps Today’s presentation: Students used customized TouchChat HD vocabulariesAAC, the iPad and Autism - Moving Beyond Choice-making. CSHA 2013
  94. 94. TouchChat Starter Vocabularies• Different users: Different needs• Main key to success of a communication app - VOCABULARY• Autism: Communication Options Using the iPad Vocabularies set this app apart March 1, 2013
  95. 95. The iPad is not the best Communication Tool for everyonePlay on the iPad may not necessarily lead to communication skills
  96. 96. That being said…exposure to visually supported communication and a variety of communicativefunctions may lay the foundation for future skills!!
  97. 97. • Monthly email blast - write to join socalaacnetwork@gmail.com• Blog - www.scaacn.blogspot.com Updated weekly with AAC-related news, materials, trainings, jobs• Facebook - SoCal Aac Scaac-n• Twitter - @SCAACN Autism: Communication Options Using the iPad March 1, 2013
  98. 98. • FREE Quarterly “support group” meetings, Pasadena, CA Next meeting: Tuesday, 4/23/13 6:30-8:30 p.m. Topic: TBD Autism: Communication Options Using the iPad March 1, 2013
  99. 99. Thank you! Gwendolyn Meier, SLP, MT Villa Esperanza Servicesgmeier@villaesperanzaservices.org

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