SpeechPathology.com Phone: 800-242-5183

EDU Healthcare Opportunities

22q.11 & AAC

October 1, 2012



Do you recommended use of a visual communication device, communication book or iPad® as a means of a child's communication or serve as another cueing technique such as for pacing and expanding language in children with 22q?


We do recommend augmentative and alternative communication occasionally in kids with this syndrome.  We often reserve it for those who truly have several autistic features. They might be struggling with expressive communication or they are older, like late school age to early adolescence, and they're severely unintelligible and have not made good progress with speech. We really need to help them be a better communicator.  I think the one caution I have with augmentative communication as a whole is that I have often seen kids that were given up on too early in terms of their articulation and speech sound skills. I have seen people jump off the articulation and speech therapy bus and jump on to AAC instead of pushing harder and pushing longer on more oral communication. Each year that goes by that we don't improve their speech, their prognosis for oral communication will go down dramatically.  So I think you have to assess what is best for that patient and ensure that you feel that is the best option and the best use of any therapy time. If there is a way to integrate AAC and not take away from treatment time, especially in a younger patient, I think that would be ideal.  Unfortunately, there are patients who are more severely affected from a cognitive or social interaction standpoint. They are older and not responding to treatment and we're getting to the point where they're so limited from social interaction and communication that they require nonverbal approaches to augment communication. 

Adriane Baylis, Ph.D., CCC-SLP, is Speech Scientist and Speech-Language Pathologist for the Section of Plastic and Reconstructive Surgery at Nationwide Children's Hospital (Columbus, OH). Dr. Baylis serves as Co-Director of the 22q Center at Nationwide Children’s Hospital and also provides clinical services to the Cleft Lip and Palate Center.

Related Courses

20Q: Pediatric Voice Disorders: Diagnostic and Treatment Approaches
Presented by Susan Baker Brehm, PhD, CCC-SLP, Barbara (Derickson) Weinrich, PhD, CCC-SLP, Lisa Nelson Kelchner, PhD, CCC-SLP, BCS-S


Susan Baker Brehm, PhD, CCC-SLPBarbara (Derickson) Weinrich, PhD, CCC-SLPLisa Nelson Kelchner, PhD, CCC-SLP, BCS-S
Course: #8972Level: Introductory1 Hour
  'I appreciated the organization of the course and the information presented'   Read Reviews
This course provides the practicing speech-language pathologist with information on special considerations in the treatment of children with voice disorders. The various causes of voice disorders are discussed as well as the treatment of specific types of disorders.

20Q: Evaluation and Treatment of Speech/Resonance Disorders and Velopharyngeal Dysfunction
Presented by Ann W. Kummer, PhD, CCC-SLP


Ann W. Kummer, PhD, CCC-SLP
Course: #8729Level: Intermediate1 Hour
  'Currently have a client that I suspect has VPI'   Read Reviews
Children with speech and resonance disorders (hypernasality, hyponasality, and cul-de-sac resonance) and/or nasal emission present challenges for speech-language pathologists (SLPs) in all settings. This article will help participants to recognize resonance disorders and the characteristics of velopharyngeal dysfunction, and provide appropriate management.

Understanding Skin Physiology and Management After Total Laryngectomy
Presented by Julie Bishop-Leone, MA, CCC-SLP


Julie Bishop-Leone, MA, CCC-SLP
Course: #9002Level: Intermediate1 Hour
  'a topic I knew little about, and am slowly learning'   Read Reviews
This course will describe the function of skin, as well as types of and reasons for skin breakdown after total laryngectomy surgery. Participants will learn about practical solutions for preventing and treating irritation from peristomal baseplates, in order to facilitate patients’ ability to wear a Heat Moisture Exchanger for pulmonary rehabilitation. This course is presented jointly with Atos Medical.

Laryngectomy Basics: An Introduction to Voice and Pulmonary Changes
Presented by Samantha Jones, MA, CCC-SLP


Samantha Jones, MA, CCC-SLP
Course: #10299Level: Introductory1 Hour
  'very good information'   Read Reviews
Basic clinical management skills related to pulmonary function and communication after a total laryngectomy are described in this course. Information about medical/surgical treatments, anatomic and physiologic changes, communication options, and pulmonary rehabilitation management is provided.

Optimizing Voice and Breathing After Total Laryngectomy: Guidelines for Stomal Attachment Selection
Presented by Meaghan Kane-Benjamin, M.A., CCC-SLP


Meaghan Kane-Benjamin, M.A., CCC-SLP
Course: #8508Level: Intermediate1 Hour
  'Extremely informative, comprehensive, provided great problem solvingquestions to ask/considerations, step-by-step intervention therapeutic techniquesto employ'   Read Reviews
This course describes the various intraluminal and peristomal attachment options for attaching a Heat Moisture Exchange (HME) system and/or hands-free device. It will discuss how to select the appropriate attachment for your patient, techniques for placement/application of the attachment for optimal adhesion, and troubleshooting attachments for difficult stomal topography. This course is presented jointly with Atos Medical.

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.