Augmentative and alternative communication (AAC) assessment and prescriptive practices for young children with disabilities: Preliminary examination of state practices *

An increasing number of young children with disabilities and their families are being provided with augmentative and alternative communication (AAC) devices. Early intervention professionals involved in making decisions about AAC devices typically consider a variety of child characteristics, technology features, and service system issues to identify appropriate devices to be used by children and families. Family issues may not be considered as frequently in AAC assessment processes. This article describes a preliminary study designed to explore current AAC assessment and prescriptive practices nationally. Findings of the study suggest that family issues may be considered less frequently in AAC decision-making. Implications are discussed, including the possibility of increased stress for families, technology abandonment by young children and family members, and inefficient use of scarce fiscal resources in service systems.