Adults deliver and support daily one-to-one targets or small group interventions based on support and guidance from external services (e.g. Speech and Language Therapist).
Additional adult support is provided to contribute to group activities using a range of communication methods (e.g. gesture, vocalisations, instruments, visuals) alongside/ instead of spoken language.
Use of an additional or augmented communication system. (ACC) These may include:
Signalong is a key word sign-supported communication system. It uses speech, sign, body language, facial expression and voice tone to link between sign and spoken word.
Makaton is a language programme that uses symbols, signs and speech to enable people to communicate.
PECS (Picture Exchange Communication System) is an alternative augmentative communication system in which simple picture cards are used to communicate simple needs initially, but then work
towards more complex sentence structures, signing, or high-tech communication systems and software (such as Proloquo2Go).
Variable level of support is provided which is reduced/ increased as appropriate to develop the child’s independence (e.g. ‘hand over hand’, modelling, visual strategies – see mediation strategies in ‘Thinking Skills’ section of Cognition and Learning).