Adult Only (Acquired): Three Phase Different levels of AAC support per need Adults with Varies; from Beukelman and Mirenda Intervention progressive initial dx (2013) Model (early, conditions through death middle, late) (ALS, MS, etc) Partner Develop foundational communication skills Adults with Varies Garrett and Lasker (2005); Dependent profound Buekelman and Mirenda Intervention disorder (2013) strategies for across all emergent modalities communicators Partner Symbol comprehension, initiate through Adults able to Varies Garrett and Lasker (2005); Dependent gestures or intonation point, Buekelman and Mirenda Intervention recognize (2013) strategies for symbols. contextual choice Unable to communicators initiate or add to conversation Partner Initiation of AAC-supported conversations with Adults with Varies Garrett and Lasker (2005); Dependent as little cueing as possible; establish successful severe aphasia Buekelman and Mirenda Intervention exchange of meaning that require (2013) strategies for cues to use transitional external communicators strategy Independent Access entire phrase or sentence in a specific Adults with Varies Garrett and Lasker (2005); strategy use context aphasia that Buekelman and Mirenda intervention for can locate (2013) stored message messages on communicators low or AAC system Independent Participate in conversations and transactional Adults with Varies Garrett and Lasker (2005);
Adult Only (Acquired): Three Phase Intervention Model (early, middle, late) Different levels of AAC support per need Adults with progressive conditions (ALS, MS, etc) Varies; from initial dx through death Beukelman and Mirenda (2013) Partner Dependent Intervention strategies for emergent communicators Develop foundational communication skills Adults with profound disorder across all modalities Varies Garrett and Lasker (2005); Buekelman and Mirenda (2013) Partner Dependent Intervention strategies for contextual choice communicators Symbol comprehension, initiate through gestures or intonation Adults able to point, recognize symbols. Unable to initiate or add to conversation Varies Garrett and Lasker (2005); Buekelman and Mirenda (2013) Partner Dependent Intervention strategies for transitional communicators Initiation of AAC-supported conversations with as little cueing as possible; establish successful exchange of meaning Adults with severe aphasia that require cues to use external strategy Varies Garrett and Lasker (2005); Buekelman and Mirenda (2013) Independent strategy use intervention for stored message communicators Access entire phrase or sentence in a specific context Adults with aphasia that can locate messages on low or AAC system Varies Garrett and Lasker (2005); Buekelman and Mirenda (2013) Independent Participate in conversations and transactional Adults with Varies Garrett and Lasker (2005);