Our Philosophy

What is AAC?

AAC refers to Augmentative and Alternative Communication. AAC is used by individuals of all ages who have difficulty with speech and/or language skills, including those with congenital disabilities (such as cerebral palsy or Childhood Apraxia of Speech), acquired disabilities (such as a stroke), or neurological differences (such as Autism). AAC can be low-tech, such as picture boards and visual supports, or high-tech, such as a robust, communication software system on a tablet. Individuals benefit from a combination of low-tech and high-tech supports on their communication journey. Research demonstrates that no pre-requisite skills are required for AAC and that access to robust, high-tech AAC reduces communication frustration while promoting overall communication skills.

AAC Evaluation

At MST, we take the investment into a specific high-tech AAC system extremely seriously! Our journey with each client’s AAC starts with a general comprehensive intake assessment to gain a complete understanding of strengths and needs. Treatment will then be initiated with the use of clinic high-tech devices, as well as low and mid-tech supports, to determine the multimodal approach that is the best fit for the individual. We can also partner with different AAC vendors to acquire a trial AAC device for you to practice with at home during the initial treatment period if necessary. 

After your primary therapist has established a therapeutic relationship, a separate evaluation will be conducted for the AAC system. As part of the AAC evaluation, we employ evidence-based assessment tools and methodologies to gain deep insights into the patient’s communication strengths and challenges, solidifying the right fit. Depending on completion of paperwork and insurance processing, note that it is common for it to take several months from submission of the AAC evaluation to acquire your personal device. Because of this, your primary therapist can also explore out of network options (i.e., purchase of an app on a personal tablet, etc.) in accordance with your family’s individual needs.

AAC Treatment

Your primary therapist will use every resource possible to provide access to a comparable device during clinic sessions until your personal device is acquired. AAC treatment requires the collaboration of the triad: your therapist, the patient, and the caregiver. Learning a device is like learning a new language! Just as you would model verbal language, so to is it recommended that device use be modeled at home, school, and in the community. Your primary therapist will empower both the AAC user and/or caregiver(s) to have a comprehensive understanding of device planning, programming, and personalization, identifying natural home routines to implement the new technology. At MST, we are strong advocates for our clients’ rights to accessible communication. We actively work to promote inclusive environments where our clients can engage fully and have their voices heard.

AAC Devices

AAC devices are powerful tools that support communication for individuals with a variety of communication challenges. Our AAC Clinic has strong partnerships with a variety of device vendors, including PRC-Saltillo, Tobii Dynavox, and Talk to Me Technologies. Our therapists have experience with a wide variety of AAC vocabularies, including but not limited to, TouchChat, TD Snap, LAMP WFL, Avaz, Grid, and more!

AAC Device Selection

We stay updated with the latest AAC technology. Our team has expertise in different AAC devices and assists in selecting the most suitable device based on individual needs, preferences, and capabilities.

Communicate with Confidence

We guide individuals on how to effectively use AAC devices for communication. Our therapists provide hands-on training, teaching techniques, and strategies to optimize communication using AAC devices.


If you or a loved one could benefit from an AAC evaluation, therapy services, or assistance with AAC device selection, contact Metro Speech Therapy today. Our compassionate professionals are dedicated to empowering individuals with effective communication skills and improving their quality of life. Let us help you on your communication journey.

Questions about our AAC process? Reach out to our AAC Clinic Coordinator, Madeline Swerdlow, M.S., CCC-SLP (madeline@metrospeech.com).