The Truth Behind Common AAC Misconceptions
By: Taylor Maggard, M.A. CCC-SLP

AAC, or augmentative and alternative communication, is a term that includes a variety of tools and supports to help children communicate when spoken language is impaired or not able to meet their needs. This can include low tech options like a picture exchange system or gestures, and high tech options like a speech generating device. When AAC is introduced to a new user and family, there can be many questions and misconceptions about this method of communication. Let’s talk about it!
AAC use will replace and stop development of spoken language.
While caregivers may sometimes worry that using an AAC device will stop or replace the development of spoken language, AAC users often demonstrate exactly the opposite! AAC systems are designed to support the functional use and development of language, and recent studies show a strong correlation between use of AAC and gains in spoken language.
AAC is only for non-speaking people
AAC is used for a wide variety of communicators. While we most commonly may think of AAC being used by individuals with limited or no verbal communication, it can also aid with unreliable or unintelligible spoken language. For some children, AAC is their primary form of communication. For others, it may be a secondary form of communication to be used as a support to clarify messages, engage with unfamiliar listeners, and a communication method to fall back on when having difficulty accessing and efficiently using spoken language.
My child is not ready to begin using an AAC device.
There are NO prerequisite skills needed for a child to begin using an AAC device! There is no specific age or skill level needed before a child has access to use of aided language. Early introduction of AAC device serves as a foundation for establishing intentional communication and for language development. AAC is sometimes seen as a last resort when all else fails, resulting in later introduction to AAC, or later introduction to a high tech robust device. Research from the American Speech-Language Hearing Association argues that the earlier AAC is introduced, the greater potential is for improving communication outcomes.
AAC is only for requesting
When parents, and sometimes even therapists, are working with a child towards functional communication using an AAC device, it is easy to get stuck modeling only how to make requests. While a child having the ability to make their wants and needs known is crucial, we all communicate for a much larger variety of reasons! AAC users should have access to these communication intents too, including commenting, engaging socially, telling stories, expressing feelings and frustrations, offering information, and asking questions. This can be achieved by not only adding appropriate vocabulary, but modeling these different types of communication as well.
Using an AAC device in sessions 1-2x a week is enough.
It is important for new AAC users to receive skilled speech and language therapy to foster functional use of an AAC device, targeting skills including operation of device, navigation and modification of vocabulary, and making selections to request, comment, deny, and label. However, using an AAC device 1-2x a week is not enough for a child to become proficient in independently using a device. This is where an HEP (home education program) comes in! By using strategies provided by your therapist to model at home, school, and in the community the use of an AAC device, you can help your children to learn what the words and symbols on their device mean, similar to the way typically developing children need exposure to spoken language before beginning to talk. Model, model, model to provide your child with exposure to new vocabulary, different sentence structures, and various communication contexts.
“If AAC learners only see symbols modeled for communication twice weekly for 20-30 minutes, it will take 84 YEARS for them to have the same exposure to aided language as an 18-month old has to spoken language.” Korsten, J. (n.d.). AAC Language Learning and Exposure Estimate. Retrieved from professional presentations and AAC training materials.
How Hogg Therapy Can Help
Introducing a new method of communication for your child can feel complicated, and we are here to help! If you feel your child could benefit from using AAC, Call (859) 353-3666, or fill out our Patient Inquiry Form to get started. We can work together to help your child access communication and engage with their world!






















![We’ve loved seeing your stories roll in over the past couple weeks and wanted to share one of our own, thanks to therapists Lauren & Maya and their friend Tiffany. ❤️
Last week, OT Ms. Lauren and ST Ms. Maya accompanied Tiffany on a HUGE adventure, attending the Special Needs Camp of Kentucky for activities, friendship, and growth ? Headquartered in Bath County, SNCKI is free to attend, with nearly 100 campers enrolled this year! Ms. Lauren shared her thoughts with the HTP team when she got home: “The other campers welcomed [Tiffany] with open arms, and she made so many new friends…A space where 76 teens/adults with disabilities of all kinds were free to just be them and make those connections with each other while having tons of fun. We have had moments that were trickier to navigate, but we did it together.”
One of the nights was family and community night, featuring a group dance and a talent showcase. ?Lauren said, “The amount of love and support in the gym was out of this world. For her mom to see that, to know that we’ve got her girl no matter what, means more than any treatment code or note I could ever write. She is already asking when she gets to come back…and even told her mom to ‘buy a new house at camp’? If you are not already, follow Special Needs Connections of Kentucky, Inc on facebook. They are doing such AMAZING things for our community here and deserve so much support.” ? We couldn’t agree more!
Therapy isn’t about treatment codes, billable hours, documentation, or recertification. It’s about the meaningful moments and the love we pour into these children every single day. This is why Hogg Therapy exists—to give every child the opportunity to experience a meaningful, joyful life. ✨ Thank you, Lauren and Maya for your support both in and outside of the clinic and for sharing this story! ?](https://scontent-iad3-1.cdninstagram.com/v/t51.82787-15/747807719_18212073508337241_9129116297997701917_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=108&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0FST1VTRUxfSVRFTS5iZXN0X2ltYWdlX3VybGdlbi5DMyJ9&_nc_ohc=XHWOHNKbqngQ7kNvwGKtpDH&_nc_oc=AdpD1N7EEKFGLcetAcoPsF1JJh4vwTzSD9n6d8kcOahql-iU0iJt3NqA-pKm_MaWSd0&_nc_zt=23&_nc_ht=scontent-iad3-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=m0JlOggyxEgVZOWJ2UXKyA&_nc_tpa=Q5bMBQFiyOkR72JmK-FscvpL2Ui4ccqWiF_t0T2uwHgCrq5EjdJCthgeRtl-sOXjkWP1fDchurHN77NuUA&oh=00_AQD25riHntTZp8XAUNk6A22p5IECZZWQ9rVB7Rc_hvN7qQ&oe=6A6DA04A)





![We’re sharing an occupational therapy success story from OT Mrs. Abby today! ? Meet Grayson! When he first started occupational therapy, everyday life felt hard. He was experiencing significant picky eating, struggled with daily routines and transitions, and had a difficult time managing big emotions.
Since then, Grayson has put in so much hard work. Through OT, he has built confidence, strengthened his self-regulation skills, and learned to take on new and challenging tasks with courage. Every small step has added up to something truly amazing! One of the biggest reasons for Grayson’s success has been the incredible partnership with his parents. They fully embraced therapy beyond the clinic by consistently practicing strategies at home through his Home Exercise Program (HEP). Their dedication, encouragement, and willingness to try new approaches have made all the difference.
Today, Grayson is trying new foods every week, navigating daily routines with greater independence, and enjoying more successful, joyful moments with his family. His growth is a wonderful reminder of what can happen when a determined child, committed caregivers, and a supportive therapy team work together.
?Congratulations, Grayson! We are so proud of everything you’ve accomplished, and we’re celebrating your amazing parents, too. Your hard work, perseverance, and teamwork are inspiring! ?
[This story & all photos shared with parent permission ??] #occupationaltherapy #hoggtherapypediatrics #hoggtherapy #feedingtherapy](https://scontent-iad6-1.cdninstagram.com/v/t51.82787-15/742695277_18211398901337241_3568386461214310976_n.jpg?stp=dst-jpg_e35_tt6&_nc_cat=100&ccb=7-5&_nc_sid=18de74&efg=eyJlZmdfdGFnIjoiQ0FST1VTRUxfSVRFTS5iZXN0X2ltYWdlX3VybGdlbi5DMyJ9&_nc_ohc=oR7_fz2gWMoQ7kNvwEWZN9L&_nc_oc=Adoh2AYxH9DlsikCebeIVq3gpXYqRWL-LikMAchgL7IJ8EIWd55gIqAKLoEI1gi6CBI&_nc_zt=23&_nc_ht=scontent-iad6-1.cdninstagram.com&edm=ANo9K5cEAAAA&_nc_gid=m0JlOggyxEgVZOWJ2UXKyA&_nc_tpa=Q5bMBQEbB4QrZluSKNZ4_UPTsn-X38ySG7r83tMiYdFGTGh2EwAJ7qaZNb8hHPohSo8l7tfCiyfoW1MQMQ&oh=00_AQAyiMiDjzVUhfvuQYOaTcry3W2JWP166bSxuQdkZEf3lg&oe=6A6DB70E)

















































































