Does my child with childhood apraxia of speech (CAS) need AAC?

For many children with CAS, augmentative and alternative communication (AAC) devices and programs can bring language alive and make communication possible. Examples can range from a high-tech speech-generating device to a low-tech picture board. Some kids use PECS, but many kids prefer signing instead.

The decision should be made collaboratively with the family and the speech-language pathologist. It’s important to consider all the environments where the child communicates — not just at home, but also at school, in the community, and with peers. A parent might understand what a child is trying to say, but others — such as grandparents, teachers, or classmates — might not. At preschool, school, or even the park, a child might struggle to communicate with others, which can be frustrating, especially when they want to engage with peers. Providing an alternative way for them to express themselves is essential while they continue developing speech.

Just because a child learns signs or has a communication device doesn’t mean they’re not going to work on speech or that they’re not going to learn speech. Most children with CAS, even ones with high support needs, are not going to need an AAC device more than a year or two if they get the right kind of therapy and if it’s frequent enough. We know that it’s beneficial for those children to have an alternate way to communicate while they’re still working on their speech.

For more information, see our full article Childhood Apraxia of Speech (CAS) 101.