AAC Devices & Communication Tools: A Complete Parent's Guide

Comprehensive guide to Augmentative and Alternative Communication (AAC) devices and tools for autistic children, including types, selection criteria, and implementation strategies.

Child using AAC device to communicate with therapist
JH
Reviewed by Jennifer Harbour, M.S., BCBA
Published: December 6, 2025

Our Perspective

"We know seeing a child struggle to communicate is hard. At Buzz ABA, we believe every child deserves a voice. AAC isn't just technology. It's about connection. We've seen how the right tool builds confidence. It opens up a new world for families."

Augmentative and Alternative Communication (AAC) covers many ways to communicate. It includes anything beyond speech. According to ASHA, AAC does not delay speech.

Understanding AAC: More Than Just Devices

AAC includes a wide range of tools and strategies:

  • Unaided AAC: Body language, gestures, facial expressions, sign language
  • Low-tech AAC: Picture boards, communication books, PECS
  • Mid-tech AAC: Simple voice output devices, recorded message buttons
  • High-tech AAC: Tablets with communication apps, dedicated speech-generating devices

The PECS System

The Picture Exchange Communication System (PECS) is one of the most widely used AAC approaches for autistic children. It follows six phases:

Phase 1-3: Foundations

  • 1. Exchanging single picture for item
  • 2. Generalizing across distance/people
  • 3. Discriminating between pictures

Phase 4-6: Advanced Skills

  • 4. Building sentences ("I want...")
  • 5. Answering "What do you want?"
  • 6. Commenting and responding

High-Tech AAC: Communication Apps

Tablet-based apps have revolutionized AAC. Popular options include:

  • Proloquo2Go: Comprehensive symbol-based app, highly customizable.
  • TouchChat: Customizable with multiple page sets and vocabularies.
  • LAMP Words for Life: Based on Language Acquisition through Motor Planning.
  • TD Snap: Symbol and text-based with robust vocabulary options.
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Clinical Director's Insight

"Communication is a fundamental human right, and AAC opens doors for children who struggle with verbal speech. With my background in verbal behavior and functional communication training, I've seen how AAC doesn't replace speech—it often supports it. When children can finally express their needs and connect with others, it transforms their entire world."

– Jennifer Harbour, M.S., BCBA

Implementing AAC Successfully

  • 1.Model AAC use constantly: Show your child how to use the device in natural contexts.
  • 2.Make AAC available everywhere: The device should always be within reach, not just during 'therapy time'.
  • 3.Honor all communication attempts: Respond to AAC use immediately to reinforce the behavior.
  • 4.Train all partners: Teachers, therapists, grandparents, and siblings should all know how to support use.

Frequently Asked Questions

Will AAC prevent my child from learning to talk?

No. Research consistently shows that AAC does not prevent or delay speech development. It often supports verbal communication by reducing frustration and modeling language structure.

When should we start AAC?

There is no prerequisite skill level for AAC - it can be introduced as soon as a communication need is identified. Early intervention is key to preventing frustration and behavioral challenges.

Will insurance cover an AAC device?

Many insurance plans cover AAC devices as durable medical equipment when medical necessity is documented by a Speech-Language Pathologist (SLP). Our team can help guide you through this process.

Start Your Child's Journey Today

Buzz ABA provides comprehensive, evidence-based ABA therapy in Concord, Manchester, Nashua, and surrounding NH communities. Our neurodiversity-affirming approach helps children thrive.

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Related Resources

About Buzz ABA Therapy in New Hampshire

Buzz ABA is a leading provider of evidence-based Applied Behavior Analysis (ABA) therapy services throughout New Hampshire. Founded by parents who understand the journey of raising a child with autism, our mission is to provide compassionate, family-centered care that empowers children to reach their full potential.

Our team of Board Certified Behavior Analysts (BCBAs) and Registered Behavior Technicians (RBTs) specializes in early intervention, social skills development, and managing challenging behaviors. We believe in a neurodiversity-affirming approach that respects each child's unique personality while teaching functional skills that improve quality of life and independence.

Serving Families Across the Granite State

We bring expert ABA therapy directly to your community. Our in-home and community-based programs are available in major compassionate hubs including:

Why We Prioritize Evidence-Based Treatment

At Buzz ABA, we strictly adhere to updated scientific research. Whether it's Early Intensive Behavioral Intervention (EIBI), Natural Environment Teaching (NET), or Pivotal Response Training (PRT), our methodologies are rooted in decades of clinical proof. We focus on "generalization"—ensuring the skills your child learns in therapy transfer seamlessly to school, home, and social settings. This commitment to data-driven progress is why families trust us for their autism support journey.

Next Steps for Your Family

If you have questions about your child's development or want to learn more about our intake process, our clinical team is ready to help.

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