What happens during an AAC evaluation? Nina conducts a comprehensive assessment examining your communication strengths, speech and language abilities, cognitive function, motor control, vision, and daily communication needs. She evaluates your environments, technology comfort, and support system. You'll trial different AAC tools during the evaluation to determine which systems feel most intuitive and effective. The evaluation typically takes 60-90 minutes and results in a detailed plan with specific AAC recommendations.

Can AAC help if I still have some speech? Absolutely. AAC is often used to augment existing speech rather than replace it entirely. Many individuals use AAC as a supplement when fatigued, experiencing word-finding difficulty, in noisy environments, or when speech clarity is reduced. AAC can reduce communication frustration and actually support speech recovery by lowering stress during conversations. You can use AAC as much or as little as needed on any given day.

Will using AAC make my speech worse or prevent recovery? No—this is a common myth. Research consistently demonstrates that AAC use does not hinder speech development or recovery. In fact, AAC often reduces frustration and provides successful communication experiences that can support language and speech improvement. Many people use AAC while simultaneously working on speech therapy exercises, gradually transitioning to more natural speech as recovery progresses.

Does insurance cover AAC therapy or devices? Many insurance plans, including Medicare, cover AAC evaluations and therapy when medically necessary and prescribed by a physician. Coverage varies by plan and requires documentation demonstrating medical necessity. Speech-generating devices may be covered as durable medical equipment (DME) with proper authorization. Nina assists with documentation, prior authorization, and the funding application process to maximize your likelihood of coverage.

How long does it take to learn to use an AAC device? This varies greatly depending on the complexity of the device, your cognitive and motor abilities, and your previous technology experience. Simple systems may be functional within a few sessions, while complex high-tech devices may require weeks or months of training. Most individuals begin communicating basic needs quickly and continue expanding their skills over time. Nina provides ongoing training at a pace that works for you.

What if my condition is progressive—is AAC still worth it? Yes. For progressive conditions like ALS or dementia, AAC planning is crucial. Early implementation allows you to learn the system while you have maximum cognitive and physical abilities. Many devices can be adapted as your condition changes (adding eye gaze, switch access, etc.). Voice banking preserves your natural voice for future use. AAC provides communication access throughout the disease progression, maintaining quality of life and connection with loved ones.

Can I use my own iPad or tablet for AAC? Many effective AAC apps run on standard iPads and Android tablets, which can be more affordable and less stigmatizing than dedicated devices. Nina helps you evaluate whether a tablet-based solution meets your needs or whether a dedicated device with specialized features (durability, mounting, access methods) would be more appropriate. Both options have advantages depending on individual circumstances.

What if I don't understand technology very well? You don't need to be tech-savvy to benefit from AAC. Nina provides patient, step-by-step training tailored to your learning style and pace. For individuals uncomfortable with technology, low-tech options like communication boards may be ideal. For those willing to learn, Nina breaks down high-tech devices into manageable steps, and family members are trained to provide ongoing support.

How do I get started with an AAC evaluation? Contact Palm Beach Speech Therapy to schedule your initial consultation. Nina will discuss your communication challenges, medical history, and goals by phone to determine if AAC assessment is appropriate. If you have a physician's order for speech therapy, bring it to your first appointment. If not, Nina can guide you through obtaining necessary referrals.