Important Notice: This content is for educational purposes only and is not medical advice. Little Wheels is not a medical service. If you're considering AAC for your child, consult a speech-language pathologist who specializes in augmentative and alternative communication for proper evaluation and guidance.
When your child can't communicate their needs verbally—when they're frustrated, crying, or melting down because they can't tell you what they want—you need reliable information about AAC (Augmentative & Alternative Communication), not fear-based myths about devices "preventing speech."
As a parent myself, I know how scary it feels when someone suggests your child might need AAC. When building the Talk & Listen app, I researched communication development extensively and consulted with SLPs who specialize in AAC. I learned that the biggest barrier to AAC isn't the technology—it's the myth that using AAC will stop children from learning to talk.
Where should parents learn about AAC?
Start with AAC specialists who directly address the 'will it prevent speech?' myth with research backing. Rachel Madel (national AAC specialist), Speech and Language Kids (no prerequisites required), ABC Pediatric Therapy ('AAC makes verbal language explode'), and major hospitals like CHOP and Boston Children's provide evidence-based AAC information. Avoid sources that suggest waiting to 'see if they'll talk on their own first'—research shows early AAC intervention is more effective.
This guide curates the most reliable AAC resources I've found—from national specialists to major children's hospitals. Every source is written by or affiliated with credentialed SLPs who specialize in AAC and provide research-backed information that busts the most harmful myths.
What is AAC?
AAC (Augmentative & Alternative Communication) includes all forms of communication other than oral speech used to express thoughts, needs, wants, and ideas. This ranges from simple gestures to sophisticated speech-generating devices.
Three Levels of AAC
No-Tech / Unaided AAC
Communication that doesn't require external tools:
- Gestures (pointing, waving, head nodding)
- Sign language
- Eye gaze
- Facial expressions
- Body language
Low-Tech AAC
Simple, paper-based communication tools:
- Picture boards (laminated paper with core vocabulary)
- Communication books (organized by category)
- PECS (Picture Exchange Communication System)
- Core word boards with "more," "all done," "stop," "go"
- Writing/drawing
High-Tech AAC
Electronic communication devices:
- Speech-generating devices (dedicated AAC devices)
- Tablet apps (Proloquo2Go, LAMP Words for Life)
- Eye-gaze technology
- Switch devices (1-button for basic needs)
- Keyboards with word prediction
Important: Many children use multiple types of AAC simultaneously. The right type depends on your child's individual needs and may evolve as they grow. AAC is not "all or nothing"—it's a flexible toolbox.
Myth-Busting: The Truth About AAC and Speech Development
The #1 Myth: "AAC Will Prevent My Child From Talking"
THE TRUTH: Research consistently shows AAC does NOT prevent speech development. In fact, AAC often helps children develop verbal language faster.
ABC Pediatric Therapy (Arizona)
Author: Sarah Cicconetti, M.A., CCC-SLP
"AAC makes verbal language explode."
"Having goals in therapy to address AAC doesn't mean your child isn't learning to use their verbal words. In no way does it mean a child's verbal and expressive language skills will fade, stop, or never grow. In fact, the truth is that AAC does the opposite. It makes verbal language explode."
How AAC helps speech develop:
- Gives children confidence and power to communicate
- Teaches active communication seeking
- Provides models, repetitions, and examples
- Children hear words enough from AAC that they start verbalizing on their own
- Reduces frustration that interferes with learning
SpeechBuilders (Florida)
Clinical Director: Adrienne Fuller, M.S., CCC-SLP
"Fortunately, research has shown us that the use of alternative communication, including AAC devices as well as sign language, has only INCREASED a child's ability to communicate verbally."
Real results: "We have seen 3-year-olds increase their communication exponentially after just weeks of using a speech generating device."
The Role of AAC Devices for Children with Communication Disorders
Hopebridge Autism Therapy Centers (Multi-State)
Three Major AAC Myths Debunked:
Myth #1: "I need to wait to see if my child will talk on their own first"
Truth: No need to wait. Early AAC intervention is more effective.
Myth #2: "My child will not learn to speak if they use a device"
Truth: Research shows AAC will NOT stop speech—it typically INCREASES or helps develop speech faster.
Myth #3: "Using an AAC device with my child will be too difficult"
Truth: It's like learning with a new baby—try, make mistakes, learn together. No harm in giving it a shot.
Bonus insight: AAC is great even for verbal children who struggle when upset or frustrated. Real case: Teenager who could speak but only scripted was able to communicate own thoughts for first time with device.
What is an AAC Device and How Does it Enhance Communication?
When to Start AAC: No Prerequisites Required
Speech and Language Kids (National)
Founder: Carrie Clark, M.A., CCC-SLP
When to start: "AAC should be considered for any child when speech output is not adequate to communicate everything the child wants/needs."
NO Prerequisites Required—Your Child Does NOT Need To:
- Understand cause and effect before starting AAC
- Understand that a picture represents an object
- Have good motor skills (alternatives available)
- Understand language before starting
- Be interested in communicating
What this means: If your child can't communicate their needs verbally, AAC can help NOW—not after they meet arbitrary prerequisites.
Keystone Pediatric Developmental Center (Pennsylvania)
Author: Greg Hoover, M.A., CCC-SLP
Research on early intervention: "Studies have shown that children who are age 3 and younger can benefit from the use of AAC by facilitating the natural development of spoken speech and language."
Research on speech development: "Children who used speech generating devices improved their oral ability to communicate more than those who didn't have devices."
National AAC Specialists
Rachel Madel Speech Therapy (National/Online)
Founder: Rachel Madel, M.S., CCC-SLP (AAC Specialist)
Leading AAC specialist with neurodiversity-affirming, child-led approach. Emphasizes that AAC is not just "sleek gadgets"—simple, paper-based options are often most effective.
Key myth-busting: "No research proving that kids stop talking when you give them AAC" - directly addresses the fear that AAC discourages spoken communication.
Topics covered in AAC blog:
- Getting started with AAC for nonspeaking children
- Modeling AAC for parents/therapists
- Supporting children with complex communication needs
- "Inspire vs. Require" approach to AAC
- GLP (Gestalt Language Processing) and AAC
- Literacy for AAC users
Free resource: Downloadable core communication board
Speech Therapy Talk (Illinois/Online)
Founder: Bridget, M.A., CCC-SLP
Research-backed: "Many studies have shown that use of AAC has frequently proven to have a positive impact on speech development, and that children who use AAC often develop speech faster than they would have without using an alternative way of communication."
Benefits: Independence across settings, self-care, increased social interaction
Free resources: Communication board materials in English and Spanish
Regional AAC Specialists
California
Steers AAC Language & Speech (Agoura Hills, CA + Online)
Founded by: Allison Steers (only Certified PODD Trainer west of Colorado) | Mentored by: Linda Burkhart (world-renowned AAC expert)
AAC-exclusive practice: "AAC is not just something we do, it's all we do."
Specialty: PODD (Pragmatic Organisation Dynamic Display), children with complex bodies and motor access needs, eye-gaze technology, alternative access methods.
Philosophy: "No child is 'too anything' to communicate"
Services: 2-day PODD trainings, school consultations, PODD book creation
APA Speech Therapy (California)
Myth-busting: "This is a big myth. No—AAC does not stop a child from learning to talk. Research suggests that using AAC can help children develop their spoken language."
When to start: "The sooner we identify helpful tools, the sooner your child can begin communicating. Early support makes a big difference."
Funding guidance: Insurance coverage, IEP provisions, Medi-Cal in California
What Is AAC? A Parent's Guide to Communication Devices for Kids
Forte Speech & Language Therapy (Los Angeles, CA)
Clear three-tier AAC breakdown: No-tech (gestures, sign language, eye gaze) → Low-tech (core communication boards) → High-tech (speech-generating devices).
Core vocabulary emphasis: Small set of most frequently used words ("more," "all done," "stop," "go")
Texas
Children's Health (Dallas, TX)
Myth-busting: "Pediatric AAC is a risk-free therapy. If your child has the ability to gain verbal speech, AAC will help (and not hinder) the process."
Treatment timeline: Recommends 6 months AAC therapy (1x/week first 3 months, then monthly)
Device trials: 90-day trial period to ensure good fit
Team approach: Speech therapists + Occupational therapists with advanced AAC training
Texas Hearing Institute (Houston, TX)
Myth-busting: "AAC supports speech development—not a replacement for it"
Combination with hearing technology: AAC works with cochlear implants or hearing aids
Illinois
Chicago Pediatric Therapy & Wellness Center (Chicago, IL)
Research-backed: Early intervention with AAC shows more positive outcomes
Universal use: "We all use AAC to communicate throughout the day" (gestures, writing, texting)
Major Children's Hospitals with AAC Programs
Children's Hospital of Philadelphia (CHOP)
Myth-busting FAQs:
- "Is AAC only for non-speaking children?" No. AAC benefits children with partial speech abilities
- "Should AAC only happen after traditional therapy?" No. AAC can be introduced alongside traditional therapy
- "Will AAC prevent verbal speech improvement?" No. Research shows AAC can help improve language skills
Feature matching: SLPs use specialized process to find best communication system for child's unique strengths/needs
Boston Children's Hospital - Augmentative Communication Program (ACP)
Recognition: "Recognized worldwide as a leader in aided communication"
Team: Comprehensive team of SLPs and OTs specialized in AAC
Focus areas: Children and adults with complex communication needs, alternative access to communication, expressive communication, assistive technology integration
How to Get Started with AAC
Step 1: Get an AAC Evaluation
Contact a speech-language pathologist who specializes in AAC. Look for:
- AAC certification or specialization
- Experience with your child's age group
- Familiarity with multiple AAC systems (not just one brand)
- Neurodiversity-affirming approach
Step 2: Start Simple
You don't need to start with high-tech devices. Many AAC specialists recommend starting with:
- Core word boards (free downloadable from Rachel Madel, Speech Therapy Talk)
- Simple gestures and sign language
- Picture boards with 10-20 core words
Step 3: Model, Model, Model
The most important thing you can do is MODEL using the AAC system yourself. Point to words on the board, use signs, or tap buttons on the device while you talk. Your child learns by watching you.
Step 4: Give It Time
AAC takes time to learn—for both you and your child. Don't give up after a few days. Research shows children who use AAC often develop speech faster, but it's a process.
Funding AAC: Many insurance companies now cover AAC devices. Some specialists (like SpeechBuilders) partner with companies for insurance authorization. IEPs can also provide AAC devices for school use.
Device trials: Many programs (like Children's Health Dallas) offer 90-day trial periods to ensure the device is a good fit before committing.
A Note About Little Wheels and AAC
The Talk & Listen app was designed for typical speech development and is not an AAC device. It does not replace AAC evaluation or specialized AAC tools.
If your child needs AAC:
- Consult an AAC specialist for proper evaluation
- Start with recommended AAC systems (picture boards, devices, etc.)
- Work with your SLP to determine if supplemental apps are appropriate
Important: AAC is specialized communication support that requires professional guidance. Little Wheels apps are educational tools that supplement—but don't replace—AAC evaluation and treatment.
Further Reading
Learn more
- Best Speech Development Resources for Parents (2026)11 mins
Trusted speech development resources from ASHA, CDC, and leading SLPs. Evidence-based guides for late talkers, articulation, and language milestones.
- Trusted Gestalt Language Processing Resources13 mins
Expert GLP/NLA resources from Meaningful Speech, neurodiversity-affirming SLPs. Evidence-based guides on echolalia and gestalt language development.
- Late Talker Guide: Signs, Strategies & Apps That Help10 mins
Research-backed guide for parents of late talkers. Evidence-based strategies, milestones, and apps that support speech development.
Remember: This guide is for educational purposes only and cannot replace professional evaluation and guidance. AAC does NOT prevent speech development—research shows it often helps children develop verbal language faster.
If your child struggles to communicate verbally, consult a speech-language pathologist who specializes in AAC. Don't wait to "see if they'll talk on their own"—early AAC intervention is more effective.
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