Alternative Communication Methods (AAC) for Children Who Struggle to Speak

Alternative and augmentative communication, or AAC, is any way of communicating that does not rely on speech. It can be pointing to pictures, using cards, signing, or a speech app on a tablet. It gives children who cannot rely on words a way to be understood.

Your child needs communication support beyond verbal speech

Steps

  1. Explore AAC (Augmentative and Alternative Communication) options with a speech therapist
  2. Start with low-tech options: PECS (Picture Exchange Communication System), Makaton signs
  3. For older or more able children, try high-tech options: speech-generating apps (Proloquo2Go, TouchChat)
  4. Model AAC use yourself: use the system alongside your verbal speech
  5. Give them time to explore and learn the system without pressure

What you need

Speech therapy referral, AAC device or app, patience

Why it works

AAC doesn't prevent speech from developing — research consistently shows it supports language development. For non-speaking or minimally speaking children, AAC provides a communication pathway that verbal speech alone can't offer, reducing frustration and opening up social and learning opportunities.

Age guidance

Can be introduced from age 1 onwards. Low-tech options (PECS, Makaton) work for very young children; high-tech apps suit older children with the motor skills to use a tablet.

Real-world example

A parent introduced a PECS board with just three images: 'drink', 'snack', and 'play'. Within a month their child was using it unprompted to request things. Far from replacing speech, the child started verbalising some of the words alongside pointing to the pictures.

Troubleshooting

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