AAC and the Digital Divide. Access and Money

Posted by on 31 March 2011 | 3 Comments


I am the first to raise my hand or nod in agreement when and if the question "Do you think current top of the line AAC devices are cost prohibitive?" 

Absolutely they are!  They have always been. Alot of things are expensive...

As a consultant and evaluator of Assistive Technology, I was and still am currently excited about how the world is moving to create technology devices for people with disabilities.  I am impressed with the apple iPad, iTouch, and iPhone products.  I am excited about the Android apps.  I am thrilled with Tablet touch screen computers.  I am enthusiastic about the technology reaching the consumer level.

I just wish someone would just say that the iPad, iTouch, and iPhone were created for all consumers.  If they were completey geared towards people with special needs..challenges seen in Motor Access, Visual Access, and Hardware flexibility would not be present.  Do I own apple products? Yes!  Do I use them in assessments? Yes  Do I recommend them?  Sometimes. 

I am glad that so many useful apps are being created.  I am saddened that training is not a component.  The apps for AAC seem to present to consumers as  a Magical button to families and make the non tech SLP an AAC expert.  It looks visually welcoming and more socially acceptable than a larger dedicated speech generatinng device.  The apps meet the demand without quality assurance or review...Consumers are screaming for the tool that will work for their family members with communication impairments.  It is our job as a profession to impart knowledge, training with whatever tool is being recommended.

Along with challenges of motor and visual access is the economic access.  Insurance is nonsupportive in reimbursement or paying for non speech generating devices.  Most people want and should be able to use their medical benefits.  Not every family can afford to purchase with experimentation and hope that this new app will get Johnny talking! 

Sure the medical insurance panel community should step into this century.  At the same time, we need to have more reasons for recommendations than "it works".  They need data...and so should SLPs and other AAC Consultants.  I'm amazed at the number of professionals abandoning sound analysis and sacrificing that last $700 a family has to use an iPad.  Let' make our analysis look like a true evaluation with a process map that will actually get the person talking.  If the iPad is the recommendation, so be it!  But give them a plan to actually get talking. 

Last Christmas the Hollyrod Foundation accepted donations for the iPad and the Proloquo2Go. It was/is a wonderful program.  I gave and was happy as an SLP that the child's SLP had to be listed and actually be part of the planning of the device. 


Here is a link to a white paper by AAC-RERC  discussing AAC apps and mobile devices: 


My utopia wish:

1. Develp an affordable AAC device using the One Child Per Laptop mode.

2. Insurance Panels allow people to use their benefits for durable medical equipment suitable in this century.

3. Stop the cool AAC app and focus on quality control and letting parents know what the APPS are capable and incapable of doing...and asking parents "Does this app work with the communication vision you have for your child?"

4. Apple donates iPads to families as learning tools as a way of saying Thank you  to a market they did not think of when they created the iApple family products.


Enjoy and Be Empowered,

Landria Seals Green, M.A., CCC-SLP

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  • I was and still am currently excited about how the world is moving to create technology devices for people with disabilities. This was always an accepted initiatives from the people who are working for the disables peoples.

    Posted by read more here, 31/12/2012 3:05am (2 years ago)

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    Posted by پیچ و مهره, 02/05/2012 11:05am (3 years ago)

  • These comments are so right on! Why is it that we have to choose between devices that either cost $9,000+ (dedicated device) with ALL the features OR an outfitted iPad/Android, for $800+ that is not accessible for all but is COOL? The insurance system is geared to keeping the prices high on the ALL features devices while never reimbursing for the lower cost device. There must be a way to provide real data to show the device is needed no matter what the price. I love what the new Mobile devices have done for some kids but I am always concerned with the focus becomes the device and not communication. Well said, Landria!
    AT Specialist

    Posted by Anne Callies, 07/04/2011 9:53am (4 years ago)

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