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Access
• Switchsitesdevelop&increaseovertime
• Childrengrow&change
• Scanningcanleadtodirectselection(2switchstepscanà 3switchmouseemulationà headmouse)
• Directselection&scanningcanbeusedsimultaneously KarenKangas,OT
“Kenny”– EarlySwitchAccess
KennyPALtoday
VisiongamesoniPad
HighContrastPASCommunicationbook
SBS:songs,books
SwitchToys
Poweredmobilitypractice
Fun,engagingswitch-adapted
activities!
Makeyourownanimalsounds,funnysounds,songs,etc!
GoTalkNowAttainmentCompany
Animals!PXL
SBKeyguard
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ToolsRecapList:Participation&AccessPractice
Pictello
GoTalkNow(free)*
SoundingBoard*
CanTunes *
Voki (Basic)*
StepbyStepCommunicator
Animals!*
LanguageLIGHTTECHTOOLS&STRATEGIES
Language
• Modeling(aidedlanguagestimulation)
• AACforexpressiveandreceptive• Light-techhaseasieraccess
• ‘SmartPartners’
Modeling=(Aided)LanguageStimulation
HowMuchModeling?
Howmuchspeechdoesababy/childhearbeforeusingit?
Howmuchbeforetheyarecompetentcommunicators?
LearningAACinaNon-AACWorld!
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Whatisa‘SmartPartner’?
Ø Peoplearesmarterthantechnology
Ø SmartPartnerssupport:• Access•Memory(stayingontask)•Makingmeaningfromattempts,earlycommunication• Engagement
DuringConversations
LindaBwithPODD• Accesssupport
•MakingMeaning
• Engaging
(Smart)PartnerAssistedScanning
AccessSupportforChoicemaking:
Waittime
Reducetalking
Partneractivate
Light-TechPODD
FinnusingPODD
•WatchhishandrestontheTVpage
•Accesscanbechallengingevenfordirectselectors
Light-TechBook
Spanish/EnglishCoreBoardwithFringeVocabulary
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Light-Tech‘AlternativeAccess’Anylight-techsystemcanbedesignedforalternativeaccess
Light-TechCommunicationSupports
ü Importantpartofmulti-modalsystem
üMoreefficientfor:◦ Earlylearners◦ Difficultaccess(regardlessofage)
üAlwaysgoodtohaveaBack-up (techfails)
Smartpartnersenablesuccess!
OrganizingToolsPALAPPROACH
CommunicationTools&Strategies
Participation Access Language
Combined:
“Ellie”-Participation
Singing🎶
“Ellie”- Access
iPadfun!
Also:Vision,RefineY/N,Seating,Mounting
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“Ellie”- Language
AuditoryScanning–EarlyPODD
Modelingfirst!
Read labels one at a tirne, acrosa the top, and walt for the chlld to reepond yes or no. lf no, contlnue readlngacroas. lf yes, red down the column. Once the chlld makes a selectlon, recap your undenstandlng ol themessage and then respond to the messag6. Use a monotone volce for the scan, but use a soclal volce forrespondlng to the message.
don't like
yes t
no.Dno.f
MoreDoneDifferentStop, wait
HelpI love youGood byeThank you
Hurry upI don-t knowMe, l, mineYou, your
ListenLookJust kiddingUh oh
PleaseSorryLeave me
something else
TiredHurt
StomachHeadEarNeck/throatLegffootltoesArm/handlfingersEyesMouthlteethNoseBackBottomSomewhere else
Uncomfortablewiggle, movechange positiontoo tighttoo looserub it
Hungry
Want someone(people list)
HotColdWet
Diaper, bathroomBrokenLostDon't know what's
wrong
something else
FunnyFunSillyYummy
FavoriteGreatGood fiob)Awesome
Love itCoolNiceBeautiful
something else
YuckyBoringMakes me madDon-t want to
ScaryWrongToo hardToo easy
BadToo noisystinky
something
something'squick word
@yes t
like
ye*3-PartExample:
Preschool
Ellie’s Tools & Strategies 3-Part Approach for Emerging Communication
Participation Access Language
• Step-by-Step for singing,
simple stories, & preschool
activities
• Auditory scan for
choices/direction
• Apps on iPad:
1 switch - Big Bang Patterns, Tap
Speak Sequence (songs, animal
sounds)
2 switch - Sounding Board
• 2 switch play (massager & SBS;
music & fan; Beat-Bo)
• Mylar Objects/Shapes- vision
therapy
• Model PODD Book (auditory only)
• Auditory scan for choices (Y/N
buttons)
• Touch cues (receptive &
expressive – during scan)
• Mylar/preferred color object
symbols - receptive
Combined
Later: Go Talk Now
“Ellie”- mostrecent
GoTalkNowoniPad
• Switchaccessor
• Partnersmodel
Questions&Discussion
EvaluationLink:
DROP-INHOURS:Thursdays12– 5pm
CarrieLuse,MSR,OT/L,ATPKimElliott,MS,CCC-SLP,ATP
503-292-4964x1522475SELaddAve.Portland,OR
@cvatlab