AAC is not about the device. It's about giving people access to language, relationships, opportunities and independence.

As the population continues to age, SLPs are increasingly encountering individuals with cognitive decline in their daily practice. Cognitive-communication difficulties are no longer a niche area of speech and language therapy; but they are becoming a significant component of many caseloads, requiring clinicians to develop the knowledge and skills required to support this growing population

Before targeting specific sounds, the SLP needs to understand how the child's speech system is working. This may involve listening to the child's speech during play, conversation, or structured activities. The therapist identifies which sounds are difficult, how often errors occur, and whether the difficulties are related to articulation, phonology, or another speech disorder. This information helps guide therapy and ensures that the most appropriate goals are selected.

Ultimately, school participation is about more than completing tasks or meeting academic expectations. It is about helping children feel included, valued, and connected within their school community. A sense of belonging is often the foundation upon which learning, relationships, and wellbeing can flourish.