We are like every other AAC family.

Despite all the blog posts I've written this month about providing an AAC immersion educational setting for kindergarten at home for our son, we struggle daily. Sometimes we go long stretches of the day without modeling language on Nathaniel's device. There are times we have to search for the device to advert a communication frustration meltdown. Sometimes we leave the device in the car. Under the bed. In the other room. Sometimes we are too tired, too hurried, to doubtful that this will really work.

Like other AAC families, we need constant encouragement to keep on keeping on.

We need simple ideas of incorporating language into our lives that require little set up, little clean up, and no expense.

This week the augmentative alternative communication (AAC) activities in our homeschool focused on the words SAME, READY, IS, WITH. I selected these from the PrACCtical AAC's list of core words for July. My goal is do one fifteen to twenty minute activity per day that allows me to model the words and motivate Nathaniel to use his device and learn new language skills. I am currently trying to model three to five word utterances. In my examples below, I model all the words except those in parentheses. I have put this week's core words in all capitals to draw attention to them. Simpler modeling option would be to only model the targeted core word.

We are using PrACCtical AAC's list of core words for our July augmentative and alternative communication work with Nathaniel. My goal is do one fifteen to twenty minute activity per day that allows me to model the words and motivate Nathaniel to use his device and learn new language skills. There are twelve words in the list; that is a lot to take on all at once. I've found success with focusing on four words per week for three weeks and then having the last week of the month to mix it all up and revisit some of our favorite activities. The words we are worked on this week were FIND, COLOR, AND, and LOVE. Nathaniel loves to speak in one word utterances and let his communication partner do the work, but he more than capable of two to three word utterances; longer utterances are emerging. I tend to model between three and five word phrases and sentences. He is becoming aware of pronoun use, present progressive verb endings, and adding a plural s.

Nathaniel pinched play dough bits off the ball I held out to him. He poked each piece into the Fun Factory press.  Diligently and silently, he worked at the task. Once the press was full, he pushed down on the lever. He watched the play dough ooze through the three holes moving blue snakes across the table. For the twenty minutes that he worked, I modeled language on his communication device.

For the last three months, Nathaniel has benefited from a very brief time of rote drill or recitation with me every morning. Using his talker, we count to ten, say the ABC's, and practice questions and appropriate responses. For example, I will ask, "What is your name?" to which he selects the one button on his device to respond, "My name is Nathaniel." Drawing on this skill yesterday when we were at a Labor Day picnic, he introduced himself to new friends. Within the last month he has shared his name with strangers at a playground. I do not believe these small social steps would be taking place if we were not working daily to recite.

Just as young children frequently memorize nursery rhythms and songs through repetition, the preschool years are often the time when children raised in Christian homes begin to learn their first Bible verses. Spiritual growth is as important to us as Nathaniel's emotional, physical, cognitive, and social growth. For generations of Rankins, the tool to encourage spiritual growth has been memorizing Bible verses. As a child and young adult, my husband memorized Bible verses weekly using Bible Memory Association, now called Scripture Memory Fellowship. Our children memorized Bible verses weekly through participating in the AWANA program. When they were small, we memorized the Sermon on the Mount as a family. We used motions, not American Sign Language, but our own creative fine and gross motor movements to help with the memorizing. The children were three years old to eleven years old when we recited the chapters of Matthew as a family standing in front of our church congregation. I have sweet memories not only of their incredible ability to learn and share long passages of scripture, but of working together daily after breakfast on the verses. The discipline of daily scripture memorization was formative to the children's minds and characters; the words they memorized had value to their souls.

We meet with our AAC team Wednesday afternoon for one of our quarterly consultations. It will be a transitional meeting for Nathaniel as his weekly speech therapist is anticipating a new baby soon. Nathaniel and Miss Rebecca had their last "before baby comes" session yesterday. (Many blessings to you and your little one, Rebecca!) Our therapy plans for the fall include continuing in Development Language Group two mornings a week and private therapy (Occupational and Speech) one morning a week.

As I prepare for our AAC meeting, I am again shuffling papers, making lists, and thinking about goals I have for Nathaniel's language growth. I reflect on times Nathaniel experiences communication frustrated as that often indicates areas that need solutions and work. This document, Language Functions & Early Generative Language Production by Gail M. Van Tatenhove, PA, MS, CCC-SLP, was given to me very early on in Nathaniel's AAC journey. It continues to be a help when I prepare for our AAC meetings. I revisited Tatenhove's word lists and compared the list to open words on Nathaniel's device. I have created a list of words that I feel we need to work on learning.

I shared earlier this week how I print low tech version of Nathaniel's talker symbols. (Read here.) Just as a reminder, Nathaniel uses Speak for Yourself. The symbol set is called Smarty Symbols and I use Custom Boards to create printables. Most of the time, that has worked flawlessly for me. Occasionally, I can not find the correct symbol on Custom Boards. I have asked some questions behind the scenes of both SFY and Smarty Symbols folks and learned that yes, some symbols used when SFY was originally developed are not currently available. I use the following options when I am unable to find the SFY symbol on Custom Boards.

POOP
PEE
POTTY
UH OH!
I NEED TO GO POTTY!

We started potty training a few weeks ago. Day one my focus was just on the task. Running to the potty, resetting the timer, running to the potty again fifteen minutes later. I signed TOILET to represent this process and I suspect this will be Nathaniel's first way to communicate the need. But I quickly realized we need potty language on the talker. Speak for Yourself (SFY), the speech generating app that Nathaniel uses, had TOILET pre-programmed. That will be helpful in years to come, so I made the word available. We may use it from time to time in modeling. But TOILET is not age appropriate language for all the stuff little ones learn about through potty training.

Augmented communication is hard. Nothing about it is easy or normal. 

Take last Saturday morning.

Rich, Joe and Nathaniel were outside working on Josiah's bike. When I walked into the situation, Nathaniel was upset and on the verge of a big melt down tantrum. Rich filled me in that it was regarding a tool that Nathaniel had confiscated as his own, but Josiah needed periodically. I asked where the talker was, hoping to offer everyone another tool to work through the situation. The talker was not outside.