When a person struggles to communicate effectively using their speech, a decision must be made about how to spend time improving communication. Do you focus on improving articulation (speech) or do you concentrate on learning to use an AAC device?

Both of these strategies can involve a significant amount of time and effort. One may be more likely to succeed than the other.  The decision is nuanced and individualized. In the past, speech has been predominantly advocated as the primary means of communication. However, the fundamental goal of communication is effectively sharing your message. For individuals whose speech does not meet this need, reliance on speech alone can be a barrier to meaningful interaction and expression. For children, it can impact development of age appropriate language and social skills.

AAC devices are a valuable alternative, ensuring effective communication when speech is insufficient. It is important in all  contexts to value communication in all its forms. A sole focus on speech or AAC, without considering an individual’s unique circumstances, doesn’t move us toward achieving the best communicative outcomes.

The priority must be to support effective communication, through any means, tailored to each individual’s capabilities and needs, guaranteeing that every person has the opportunity to communicate successfully.