What is a Speech-generating Device?

Speech-generating devices (SGDs) are defined by the Centers for Medicare and Medicaid Services as, "durable medical equipment that provides an individual who has a severe speech impairment with the ability to meet his or her functional speaking needs."

What they are, however, is life-changing.

AAC devices not only have robust language systems to allow for effective and efficient communication, but they also provide alternative ways to select letters, words and messages.

For example, an individual can make a selection on an SGD by:

• Using their eyes
• The tilt of the head to activate a switch
• Using a finger with the help of a keyguard, to isolate the keys

A major advantage of SGDs is that the device allows the individual to say and play with words, which helps the process of acquiring new words and language. In addition, pairing the communicated word with voice output may help the child with the auditory processing of spoken language.

Why Use a Speech-generating Device?

Using an SGD is different than using a communication app on a mobile device such as an iPad, as AAC devices are especially designed for the varying and specific needs of individuals with complex communication profiles. In some cases, an AAC device may be recommended even if a child has had some success using an app on a mobile device to communicate.

SGDs features:

• A more robust language system
• More flexible software
• More durable construction
• A larger screen size
• Alternative access options

Meet Noah Trembly, long-time PRC user, Ambassador and advocate for others.

AAC Devices & Everyday Family Life: 4 Keys to Success

Helping your child become used to and familiar with the device is critical to their overall success with the device. Following are a few “keys to success” to keep in mind as you and your child begin working with your SGD:

• Keep it Handy: Children will spontaneously use their AAC devices if it’s charged, turned on and accessible. DO NOT allow your child’s device to be left in a backpack or put away in a closet. Make sure the device is always available, whether mounted on a wheelchair or nearby on the kitchen table or a night stand.
• Keep it Fun: Encourage device use during activities that are meaningful and enjoyable. However, don’t push too hard or too fast; you don’t want your child to see the device as something that makes life harder.
• Keep it Interesting: Follow your child's interests and passions. This will help to expand his or her vocabulary most easily.
• Keep it Up: Becoming proficient with AAC requires regular device use and practice. Encourage your child to use the device and give them the support and professional help they need to achieve success.