AAC Devices for Adults With ALS: A Guide to Options

AAC is not an all-or-nothing choice. An adult with ALS may speak during a short conversation, then use a device when their voice feels tired or a message is hard to understand. AAC devices for adults with ALS can support that flexibility, with options for typing, selecting symbols, or speaking stored phrases aloud. Some systems also work with access methods such as switches or eye gaze. Choosing a setup takes more than comparing screens and features. It means considering how a person communicates, what they want to say, and how they prefer to access a tool. An SLP can help assess these needs and arrange real-world trials.

Key Takeaways

• Keep communication flexible

  : Adults with ALS can combine speech, low-tech tools, and speech-generating devices based on their comfort and the situation.

• Choose AAC with professional guidance

  : Ask an SLP to assess communication goals and access needs, then trial options in everyday settings.

• Prepare for changing needs

  : Personalize messages, keep a backup method accessible, and review the setup with the care team as needs or preferences change.

What Are AAC Devices for Adults With ALS?

AAC stands for augmentative and alternative communication. It includes tools and strategies that support communication when speaking becomes difficult, tiring, or less reliable. “Augmentative” means adding support to speech; “alternative” means offering another way to communicate when speech does not meet someone’s needs. AAC can be as simple as an alphabet board or as advanced as a speech-generating device that speaks typed words aloud.

ALS affects each person differently, so communication needs and preferences can change over time. Some adults use AAC alongside speech, while others rely on it more as speaking becomes harder. There is no single device or approach that works for everyone. The right options depend on a person’s goals, language, movement, vision, and the settings where they want to communicate.

AAC can support everyday conversations, personal choices, healthcare discussions, and connection with family and friends. A person might use a high-tech device for longer conversations and keep a low-tech board nearby as a backup. The ALS Association’s AAC overview explains how AAC can support speech or provide another way to communicate. A speech-language pathologist (SLP) can help explore options that fit the person’s needs and preferences.

How AAC supplements speech as abilities change

AAC can be useful even when a person with ALS still speaks. Someone might use speech for a quick greeting, then turn to a communication board or device when their voice feels tired or a conversation takes more effort. Having another way to communicate can make it easier to share a thought without straining to speak.

The best approach may differ from one day to the next, or even from one conversation to another. Background noise, a long discussion, or difficulty being heard can also make AAC a helpful option. The person can choose when to speak and when to use another tool.

An SLP can help identify options for current communication needs while considering how those needs may change. The ALS Association describes AAC as a way to support speech, as well as another means of communicating when speech is no longer functional.

How speech-generating devices turn selections and text into speech

A speech-generating device (SGD) produces spoken messages selected or entered by the user. Depending on the system, a person may choose a stored phrase, select words or symbols on a screen, or type a message. The device then speaks the message aloud so others can hear it.

Stored messages can make familiar exchanges quicker. Someone might save phrases for greetings, care routines, or common questions. Typing or creating a message from words and symbols can offer more flexibility when they want to share a new or detailed thought. The setup should reflect the user’s communication style and how they access the device.

Some SGDs are dedicated communication devices, while others use communication software on a tablet or computer. The ALS Association explains how SGDs use phrases, symbols, and typed text. An SLP or assistive technology professional can help compare options and identify features that fit the user.

How AAC supports speech rather than replaces it

Using AAC does not mean a person has given up speaking. It provides another way to express an idea when speech is difficult or does not work well in a particular moment. A person can speak, use a device, or combine both, depending on what feels comfortable and effective.

Communication is about more than getting words out. It also means sharing opinions, making choices, expressing feelings, and taking part in conversations. AAC can help a person stay involved in discussions with loved ones and participate in decisions about their care.

Communication partners can support the person by speaking directly to them, allowing time for a response, and respecting their choice of communication method. The ALS Association notes that AAC can help people express thoughts, needs, feelings, and preferences. The person using AAC should guide how and when it fits into their conversations.

Common misconceptions: AAC supports people who speak and adults as well as children

AAC is sometimes seen as a tool only for people who cannot speak, or as something intended mainly for children. Adults with ALS may use AAC while they still speak, including when speech feels tiring, is harder to understand, or does not suit a particular conversation. Exploring AAC does not mean someone must stop speaking or use a device all the time.

AAC also does not have to be complicated. Options range from paper-based boards to communication apps and speech-generating devices. A simple tool may work well in one setting, while another system may support longer conversations or offer different ways to select messages.

Families and professionals can help by learning about AAC and including the person with ALS in decisions. The Tobii Dynavox guide to AAC for ALS discusses AAC for people who still speak. An SLP can explain possible approaches and help the person try tools that match their priorities.

What AAC Options Can Adults With ALS Use?

AAC includes a wide range of communication tools, from a pen and paper to a speech-generating device. Some people use one option, while others combine several depending on where they are, how they feel, and who they’re communicating with. An SLP can help assess communication goals and access needs, then guide trials of tools that feel practical and comfortable.

Low-tech tools: communication boards, alphabet boards, and writing

Low-tech AAC provides ways to communicate without a powered device. Options include writing or typing, pointing to letters on an alphabet board, using a picture or communication board, and sharing familiar gestures or signs. A board can include common needs, names, places, and short phrases. An alphabet board supports spelling messages that are less predictable.

These tools can be useful at home, during appointments, or when a device is charging or unavailable. They can also supplement speech. For example, someone might say part of a message and point to a word or letter to make the meaning clear. The ALS Association’s AAC overview describes low-tech options and other communication supports. An SLP can help organize a board’s vocabulary around the person’s daily routines and priorities.

High-tech tools: speech-generating devices, dedicated systems, and tablet apps

High-tech AAC can speak messages aloud when a user selects a stored phrase, chooses symbols, or types. Some people use communication software on a tablet or phone. Others may prefer a dedicated speech-generating device, which is designed for communication and can be paired with positioning or access supports.

When comparing systems, consider where the person will use the device, whether its voice is clear in a busy room, and how it can be positioned. Also think about how the person will access it if their movement or endurance changes. Forbes AAC offers ProSlate iOS devices, WinSlate Windows devices, and CoughDrop AAC software. An SLP or assistive technology specialist can help compare these options with other systems and arrange trials in everyday settings.

Text-based and symbol-based communication

Text-based AAC lets a person type words or select letters to compose a message. It may suit someone who is comfortable spelling and wants to express detailed or personal thoughts. Some systems can speak typed text aloud, so the user can share a message without relying on a communication partner to read it.

Symbol-based AAC uses pictures or symbols to represent words, phrases, or ideas. Users select them to create messages, and many systems pair symbols with written words. The right approach depends on the person’s language, literacy, vision, preferences, and communication goals. Some adults use both, choosing symbols for quick everyday messages and text for names or more specific ideas. The Your ALS Guide communication resource describes tools ranging from phones and tablets to speech-generating devices.

Access methods: touch, eye gaze, switches, and partner-assisted scanning

Access describes how someone selects letters, words, or symbols in an AAC system. Direct touch may work well for a person who can comfortably reach and select items on a screen. A keyguard, a fitted overlay with openings, can help make touch selections more precise. Switch scanning offers another method: the user activates a switch with a reliable movement as choices appear one at a time.

Eye-gaze systems track where a person looks on the screen, while head tracking responds to head movement. With partner-assisted scanning, a communication partner presents choices in sequence, and the user signals when they reach the one they want. The best method depends on the person’s movement, vision, posture, and endurance. Since access needs may change, discuss possible alternatives with an SLP. The ALS Association’s AAC guidance outlines several access methods to consider.

Features to compare: voice output, vocabulary, keyguards, positioning, and mounts

Compare AAC systems based on how well they support the person’s communication, not just the number of features they offer. Listen to the voice output and ask whether the user can choose a voice they like. Check that the vocabulary includes personal names, routines, interests, and ways to create new messages. A flexible system should make it straightforward to add or change words and phrases.

Physical access and setup matter, too. A keyguard may support accurate touch selection, while a mount can keep a device within comfortable reach and sight. Consider screen size, volume, portability, battery needs, and use in different positions, such as in bed, at a table, or in a wheelchair. An SLP can help prioritize features and arrange a trial. Forbes AAC offers accessories and communication solutions that can be discussed as part of an evaluation.

Products to discuss with an SLP: Forbes AAC’s ProSlate, WinSlate, CoughDrop, and CoreWord

Forbes AAC offers several products to discuss with an SLP or assistive technology professional. The ProSlate series includes iOS-based speech-generating devices, while WinSlate devices use Windows. CoughDrop is AAC software, and CoreWord is a language system. Each may suit different communication preferences and access needs, so hands-on trials can help determine what works best.

Include the person with ALS in the decision, along with family members or caregivers if the person wants their input. Try likely options in everyday situations, such as a conversation at home or an appointment. Notice what feels comfortable, what takes extra effort, and whether the device can be positioned appropriately. Forbes AAC’s assistive technology specialists can answer product questions and discuss next steps with the person’s care team.

Why Plan for AAC Early?

Planning for augmentative and alternative communication (AAC) early gives adults with ALS time to explore options, express preferences, and learn what feels useful in everyday conversations. AAC can include writing, communication boards, tablet apps, or speech-generating devices. A person might use several methods, choosing one based on their energy, setting, and communication partner. Planning early does not mean someone has to stop speaking or commit to one device. It creates room to consider options before communication or access becomes more challenging.

An early conversation with a speech-language pathologist (SLP) can help identify communication goals, assess access needs, and plan for possible changes. The ALS Association’s AAC guidance recommends exploring tools and strategies with an SLP and preparing for future needs. Families can also learn how to support communication and make practical plans, such as keeping a low-tech backup nearby. Decisions can happen over time, with the person’s comfort and priorities guiding each step.

Explore options while it’s easier to assess communication and access

An SLP can assess speech, language, movement, vision, posture, and the ways a person prefers to communicate. Exploring AAC early allows time to try tools and access methods, including touch, switches, or eye gaze, while those options are easier to assess. A trial can also reveal practical details, such as whether a device works well at home, in a car, or during appointments.

There is no need to choose a permanent solution all at once. Early planning gives the person and their family time to ask questions, learn strategies, and share what matters most. The ALS Association’s AAC resource describes how an SLP can help track speech changes, explore tools, and prepare for future communication needs.

Consider voice and message banking while speech feels comfortable

Voice banking and message banking can preserve recordings that sound personal and familiar. Voice banking typically involves recording speech samples that may be used to create a synthetic voice. Message banking involves saving recordings of meaningful words, phrases, or messages in a person’s own voice. These recordings may later be used with a speech-generating device.

Both processes take time and may require many recordings, so it can help to ask an SLP about them while speaking still feels comfortable. The person can choose whether banking fits their goals and which words or messages they would like to save. Options vary by provider and technology. The Tobii Dynavox guide to AAC for ALS offers more information about preserving a familiar way to communicate.

Use AAC alongside speech, especially on tiring or difficult days

AAC can work alongside speech. A person may speak in some conversations and use a communication board, text, or a speech-generating device when talking takes more effort or their message is difficult to understand. The choice can depend on energy, the setting, and who they are speaking with. Using AAC does not mean someone has stopped speaking or needs to use a device all the time.

A speech-generating device can speak typed words or selected messages aloud, helping a person share thoughts when speech is tiring. It may also help communication partners understand a message more clearly. There is no single method that works for every person or situation. The ALS Association explains how communication methods can be combined to suit a person’s abilities, surroundings, and communication partners.

Keep low-tech backups for fatigue, illness, power loss, or device downtime

A communication plan can include a simple backup for times when a high-tech device is unavailable, inconvenient, or difficult to use. Options include a printed alphabet board, picture board, or a short list of frequently used messages. Keep the backup within reach, and show family members, caregivers, and other regular communication partners how to use it.

A low-tech tool can be helpful during fatigue or illness, while a device charges or gets repaired, or when someone is away from their usual setup. The Tobii Dynavox AAC for ALS resource recommends considering a low-tech option for times when a device is unavailable or impractical. An SLP can help personalize a backup with useful words, names, and messages that reflect the person’s daily life.

Revisit goals as needs and preferences change

An AAC plan should reflect the person’s current needs and preferences. Speech, movement, vision, posture, and stamina can change, so a communication method that once felt comfortable may need adjustment. Regular check-ins with an SLP can help determine whether to update vocabulary, change device positioning, explore a different access method, or add another communication option.

Preferences can change, too. A person may want different messages, a new layout, or another voice as their routines and priorities shift. The Tobii Dynavox guide recommends adapting AAC as needs change. When it is time to discuss devices or accessories, people with ALS and their families can connect with a Forbes AAC specialist for product and support information.

How to Choose an AAC Device for ALS

Choosing an AAC device is a personal process. The right system should support the person’s communication goals, preferences, and everyday routines. It should also allow for changes in speech, movement, or energy over time. A device that feels comfortable during a short demonstration may work differently at home, in a busy clinic, or after a long day, so practical trials are important.

An SLP can assess communication needs and coordinate an AAC evaluation. Family members, caregivers, and assistive technology professionals can also share useful observations, especially when comparing access methods or planning for future needs. The ALS Association’s AAC guidance recommends exploring communication tools and strategies early, then adapting the plan as needs change.

The questions below can help you prepare for an evaluation and compare options. There is no single device that works for every adult with ALS. The person’s comfort and preferences should guide the decision.

Identify current and future communication needs

Start by listing the situations where communication matters most. These might include conversations with family, medical appointments, work, social activities, or times when speech is difficult to understand. Consider what the person wants to say in each setting, who they communicate with, and whether they need quick phrases, longer messages, or both. Include personal vocabulary, such as names, favorite activities, and common questions.

It’s also helpful to discuss how communication needs may change. ALS affects each person differently, so an SLP can help monitor speech, explore options, and plan for future access needs without assuming a particular timeline. The ALS Association encourages early AAC planning, giving people time to learn about tools and share their preferences. Revisit the plan regularly, especially when communication becomes more tiring or less reliable.

Match access methods to movement, vision, posture, and endurance

An access method is how someone controls an AAC system. Direct touch may work well for a person who can comfortably select items on a screen. A keyguard can help guide finger placement. If hand movement becomes more difficult, switches, head tracking, or eye-gaze technology may be options. With partner-assisted scanning, a communication partner presents choices and the person signals which one they want.

Consider vision, head control, seating, posture, and how long the person can use a method comfortably. Test the setup in a realistic position, such as in a wheelchair or bed, and notice whether it remains manageable during longer conversations. Access needs may change, so ask whether the system can work with other input methods later. The ALS Association describes common access options, including touch, switches, and eye gaze.

Consider language, literacy, vocabulary, voice preferences, and ease of use

The system should match the person’s language, literacy, and communication style. Some people prefer typing words and sentences; others find symbols, stored phrases, or a combination easier to use. Make sure the vocabulary covers everyday communication as well as topics that matter personally, such as family, hobbies, humor, and healthcare choices. A system that is easy to personalize makes it simpler to add useful words and messages.

Voice is another important choice. The person may prefer a particular voice, accent, or speaking style. If speech is still comfortable, ask an SLP about voice banking or message banking. These options may let someone save a version of their voice or recordings of familiar messages for future use. During a trial, check whether the layout feels clear and whether the person can find words without unnecessary effort, including when tired.

Compare portability, durability, volume, mounting, and compatibility

Think about where the device will be used and how it will be positioned. A lighter system may be easier to carry around the home or take on outings. Check screen visibility, speaker volume, battery life, and whether the device can be mounted securely near the person in a wheelchair, bed, or other seating arrangement. A keyguard or adjustable mount may make access more comfortable.

Confirm that the device works with the person’s preferred access method, communication software, and other equipment. Forbes AAC offers options such as the ProSlate series, along with Windows-based systems and accessories. Compare the specific configuration with an SLP or assistive technology professional, rather than relying on the product name alone. Ask about setup, repairs, software updates, and technical support so you know what help is available if the system needs attention.

Trial devices in daily routines and different settings

If possible, try a device during activities that matter to the person. Test it at home, in conversation with family, and in places where lighting, background noise, or positioning may differ. Notice how easily the user finds words, whether the access method remains comfortable, and whether communication partners can hear the output. A brief demonstration may not show how the system feels during a longer conversation.

Keep notes about what works and what causes frustration. Include the AAC user’s feedback, and invite communication partners to share observations without letting their preferences replace the user’s. Ask the SLP or supplier whether you can test different access methods, mounts, or layouts. Tobii Dynavox’s ALS resource covers device trials and ongoing support, which can help families compare options and make adjustments as needs change.

How an SLP Helps Choose AAC

A speech-language pathologist (SLP) helps match AAC options to a person’s communication goals, preferences, and abilities. For an adult with ALS, that involves considering how they communicate now, what may change, and what will work in daily routines. An SLP can also coordinate device trials, guide customization, and help communication partners support conversations.

Assess speech, language, cognition, vision, access, and personal priorities

An AAC assessment starts with the person, not a particular device. The SLP considers speech and language, literacy, vision, cognition, movement, posture, and endurance. They’ll also ask about daily routines, communication partners, and what the person wants to express, from quick requests to personal stories or medical information.

The person’s preferences matter at every step. They may prefer typing, symbols, stored phrases, or a combination. The ALS Association’s AAC overview explains how reviewing communication and access needs can help identify a suitable system. The assessment gives the SLP a clearer picture of which options to explore, while keeping the person’s goals at the center.

Coordinate evaluations and trials with assistive technology professionals

An SLP may coordinate with an assistive technology professional to arrange device demonstrations and trials. Together, they can compare systems and access methods, then observe how each option works for the person. A trial can reveal practical details that a product description can’t, such as whether the screen is comfortable to view, the device is easy to position, or using it takes too much effort.

Whenever possible, try AAC during familiar activities and in different settings. The person might use it in conversation with family, during an appointment, or while taking part in a hobby. This helps the team identify setup needs and narrow the choices. Tobii Dynavox’s guidance on AAC for ALS describes how clinicians and assistive technology professionals can support evaluation, selection, and setup.

Configure vocabulary, voice, access method, and layout

After choosing an AAC system to explore, the SLP can help personalize its vocabulary, voice, and layout. Useful words and phrases might include names, everyday requests, medical details, and expressions that reflect the person’s interests and personality. A well-organized system should make important messages easy to find and allow the person to add or change vocabulary as their needs and preferences shift.

The SLP can also help determine which access method and settings are suitable. Depending on the person, options may include direct touch, eye gaze, switches, or another method. Forbes AAC offers ProSlate and WinSlate devices, along with communication solutions such as CoughDrop AAC software. An SLP can help decide whether these or other options are appropriate to include in a trial.

Plan for changing abilities and document needs for funding

ALS can affect movement, speech, and stamina over time, so AAC planning should account for both current and possible future needs. An SLP can discuss whether a system may support changes in access, positioning, or mounting. Planning ahead doesn’t mean predicting exactly what will happen. It means choosing thoughtfully and checking whether the setup still works as needs change.

The SLP may also document how communication needs affect daily activities and why specific features or access methods are recommended. This information can support a funding request, but requirements vary by payer and program. The ALS Association highlights the importance of documenting needs when seeking funding for AAC. Ask the SLP or funding provider which evaluations and paperwork are required.

Train the AAC user and communication partners

Training helps the AAC user and their communication partners become comfortable with the system. An SLP can show family members, caregivers, and others how to support conversation: speak directly to the person, allow time for a response, and help with device setup without taking over. Practicing familiar phrases and everyday exchanges can help the person use AAC in the moments that matter to them.

Support may continue after the initial setup. The SLP can help adjust vocabulary, settings, or access methods if communication needs change. Communication partners can share what works well and mention challenges, such as fatigue or difficulty positioning the device. Tobii Dynavox’s AAC guidance emphasizes training and ongoing support for AAC users and the people they communicate with.

How to Adapt AAC as ALS Changes

ALS can change speech, movement, vision, posture, and energy over time. Regularly reviewing an AAC system helps keep communication comfortable and practical. The person using AAC should guide changes, with support from their speech-language pathologist (SLP), care circle, and assistive technology professionals.

Reassess access as movement, speech, vision, posture, or fatigue changes

An access method that works well now may become tiring or less reliable later. Changes in hand movement, vision, posture, or energy can affect how someone uses AAC. An SLP or assistive technology professional can help assess whether direct touch, switch scanning, head tracking, eye gaze, or another method best suits the person’s current abilities.

Check access at different times of day and in different settings. Fatigue, lighting, seating, and device position can all affect how easily someone communicates. The ALS Association’s AAC guidance recommends reassessing abilities regularly so the system continues to meet the person’s needs.

Adjust access methods, positioning, mounts, and keyguards

A few setup changes can make a device easier to see, reach, and use. Adjusting its position may reduce strain or improve access. A keyguard, which fits over a device’s screen, can help someone select the intended buttons when touch becomes less precise. The right setup depends on the person’s movement, posture, vision, seating, and daily activities, so review options with an SLP or assistive technology professional.

Include the AAC user and their care circle when choosing equipment and planning setup. Consider where communication happens, from home and appointments to travel. Forbes AAC’s ProSlate devices are one option to discuss when comparing communication systems, accessories, and mounting needs.

Reduce effort with message shortcuts and personalized vocabulary

AAC can take time and energy, so make frequently used messages easy to access. Personalized vocabulary might include names, daily routines, favorite topics, medical needs, and phrases the person uses often. Message shortcuts can make it faster to share a longer or repeated thought, leaving more energy for spontaneous conversation.

The AAC user should help choose the words and phrases in their system. An SLP can help organize vocabulary around the person’s communication goals, then update it as preferences and routines change. The ALS Association’s recommendations also highlight personalized vocabulary and shortcuts as ways to make communication less effortful.

Combine high-tech AAC with low-tech and partner-assisted methods

A speech-generating device or AAC app can be useful, but it doesn’t need to be the only way to communicate. A communication board, alphabet board, written message, or agreed-upon signal can help when a device is out of reach, hard to access, or out of power. With partner-assisted scanning, a communication partner reads choices aloud or points to them while the person indicates their selection using a reliable signal.

Plan backup methods with the AAC user and care team, and show communication partners how to support them. Combining high-tech AAC with low-tech and partner-assisted options can provide flexibility across situations. Your ALS Guide’s communication overview describes approaches ranging from speech-generating devices to lite-tech tools and partner support.

How Caregivers Can Support AAC Use

Caregivers can make AAC easier to use by building it into everyday interactions. A little extra time, a device that is ready when needed, and respect for the person’s choices can help communication feel more natural. Ask the AAC user what support works for them, and follow their lead.

Speak directly to the person and give them time to respond

Speak to the person with ALS, not about them to someone else. Include them in conversations about their care, plans, and preferences, whether they respond with speech, an AAC device, or another method. This helps ensure they remain part of decisions that affect them.

Using AAC can take longer than speaking, so pause after asking a question. Avoid finishing a message, repeating the question too quickly, or assuming you know the answer. If you’re unsure whether they’ve finished, ask how they’d like you to check. The ALS Association’s AAC guidance describes how AAC can support relationships, independence, and healthcare decisions. Making space for responses helps support those goals in daily conversations.

Learn their preferred signals, access methods, and routines

Ask how the person prefers to signal that they want to communicate, need help, or have finished. They may use their device, a gesture, a sound, or another agreed-upon signal. Make sure everyone involved understands what the signals mean, and check rather than guess if something is unclear.

AAC access methods may include direct touch, switch scanning, head tracking, or eye gaze. The best fit can change as movement or endurance changes, so learn the current setup and any backup method. The ALS Association outlines common AAC access methods. Ask when the person prefers to use their device and work communication into familiar routines. Their speech-language pathologist (SLP) or assistive technology team can help review the approach as needs change.

Help with setup and troubleshooting without taking over

Offer practical help, such as opening the communication app, checking a connection, or adjusting the device’s position. Ask before changing vocabulary, layout, voice, or access settings, since these choices shape how the person communicates. Whenever possible, make changes with the AAC user and their care team.

If something isn’t working, explain what you notice and offer choices: troubleshoot together, use a backup method, or contact technical support. Don’t select words or complete messages for the person unless they ask. Tobii Dynavox recommends personalizing AAC with the user and care team to reflect the person’s goals and preferences. Keeping a brief record of recurring issues can also help the SLP or support specialist identify useful adjustments.

Keep the device charged, positioned, and within reach

A device needs to be ready and comfortable to use. Follow the person’s preferred setup, whether that means placing a tablet on a table or securing it to a wheelchair mount. Check that the screen is visible, the device is stable, and the person can reach or access the controls.

Make charging part of the daily routine, and keep the charger nearby. Before appointments, meals, or care tasks, allow time to start the device and check that it’s working. Keep a backup, such as an alphabet board or communication board, available in case the device loses power or needs troubleshooting. Your ALS Guide’s communication resources emphasize planning ahead so a person has a way to communicate. Ask which backup method they prefer and where it should be kept.

Support autonomy and make time for communication during everyday care

Build pauses for communication into daily care. Before helping with dressing, meals, or repositioning, explain what you’re about to do and ask what the person prefers. Offer choices in a format they can use, then wait for their response whenever possible.

Include them in small decisions, too, such as what to wear or when to take a break. If communication feels tiring, ask whether they’d like to continue, switch to a quicker method, or pause and return to the conversation later. The goal is to support the person’s own messages, not speak for them. For help discussing device options or support, families can contact a Forbes AAC specialist.

How to Plan for AAC Funding and Ongoing Support

AAC planning includes more than selecting a device. Funding rules, clinical documentation, accessories, and training can all shape the process. Start early when possible, and include the person with ALS in decisions about their communication goals and preferences.

Ask about insurance, Medicare, state programs, loan programs, grants, and other resources

Coverage depends on the person’s plan, eligibility, and communication needs. Ask the insurer what may be covered, which suppliers are approved, and whether prior authorization is needed. Medicare, Medicaid, state assistive technology programs, loan programs, and nonprofit grants may also be options. Rules and availability vary, so confirm requirements directly with each program.

An SLP or assistive technology professional may help identify potential funding sources and explain what documentation they require. The ALS Association’s AAC guide offers information about funding considerations for people with ALS. Keep a record of contacts, forms, deadlines, and follow-up steps to make the process easier to manage.

Confirm evaluation, documentation, authorization, and training requirements

Before submitting an application, ask the funding source what it requires. A qualified SLP can evaluate communication needs and recommend a system and access method suited to the person’s abilities, preferences, and daily routines. The evaluation may also provide clinical documentation for a funding request. Ask whether the application needs a specific form, a letter of medical necessity, a device trial, or prior authorization.

Find out who will submit each document and how long a review may take. If a request is denied, ask about the appeal process. Also plan for training so the AAC user and communication partners can learn to use and personalize the system. The ALS Association describes how an SLP evaluation can support AAC selection and funding documentation.

Budget for accessories, repairs, updates, and technical support

Plan for costs beyond the device itself. Depending on the setup, accessories may include a keyguard, mount, case, charger, or replacement parts. Ask what the warranty covers, how repairs are arranged, and whether a loaner is available while a device is being serviced. Changes in movement, posture, or access needs may also call for adjustments to equipment or positioning.

Check whether software updates, technical support, and training are included or billed separately. Keep a low-tech communication board or another backup method available for times when the device is charging, being repaired, or difficult to access. Tobii Dynavox’s information about AAC for ALS highlights the value of planning for accessories, repairs, updates, and support.

Contact a Forbes AAC specialist to discuss products and support options

An AAC specialist can help you compare products and prepare questions for the person’s SLP or funding team. Forbes AAC offers ProSlate devices, as well as WinSlate, CoughDrop AAC software, CoreWord language systems, and accessories. The best setup depends on the person’s goals, preferred access method, vocabulary, and daily routines, so discuss these needs before choosing equipment.

Before reaching out, note current communication challenges, existing equipment, access needs, and funding questions. Ask about product features, trial options, accessories, training, and technical support. A Forbes AAC specialist can explain product and support options; an SLP or assistive technology professional can help assess clinical fit and complete an evaluation. Use the Forbes AAC specialist directory to find a representative.

Frequently Asked Questions

When should an adult with ALS start exploring AAC? It can help to talk with a speech-language pathologist (SLP) early, even if speech still works well. Early conversations give the person time to compare tools, try different access methods, and consider options such as voice or message banking without needing to make an immediate decision.

Does using AAC mean a person with ALS has to stop speaking? No. AAC can be used alongside speech. Someone might speak when it feels comfortable and use a board, app, or speech-generating device when talking takes more effort or their message is hard to understand.

How can someone choose the right AAC device or access method? Start with the person’s communication goals, preferences, movement, vision, posture, and stamina. An SLP or assistive technology professional can help assess these needs and arrange trials. Testing options during everyday activities can show whether a system feels practical beyond a brief demonstration.

What should caregivers do if an AAC device is unavailable or difficult to use? Keep a backup method, such as an alphabet board or personalized communication board, within reach. Agree on useful signals with the AAC user, and ask how they want help. Avoid guessing or completing messages unless they request it.

Can insurance or other programs help pay for AAC? Coverage and eligibility vary by insurer and program. Ask the funding source about evaluations, documentation, prior authorization, approved suppliers, and appeal steps. An SLP or assistive technology professional may help prepare clinical documentation.