SpeakUP April 2015 The official publication of USSAAC United States Society for Augmentative and Alternative Communication SpeakUP is back! CMS Update for Capped Rentals...pg 2 Chris Klein: Relationship Building Through AAC...pg 5 AAC Summer Camps: Find the best one for your child...pg 8 USSAAC Board of Directors Executives Chris Klein President Robert Conti VP Finance/Treasurer Lateef McLeod President Elect Pat Ourand Past President Alisa Brownlee Office Manager Yoosun Chung VP of People who use AAC Pat Ourand VP Professional Affairs Representatives Chris Klein President Gus Estrella Midwestern Region Ashley Harmon New England Region Wendy Ouach Western Region Joseph Novak Northeastern Region Rose Sevcik ISAAC Liasion Open Position Mid-Atlantic Region Lewis Golinker AAC Advocacy Director Open Position East Central Region Glen Mososo Southeastern Region Lisa Timm Great Lakes Region Page 1 www.ussaac.org CMS Update Everything you need to know about the current state of the capped rental ruling What happened in 2014? AS you may know, the speech generating device (SGD) “world” was turned upside-down in 2014. First, in February, the Centers for Medicare and Medicaid Services (CMS) issued what they called a “coverage reminder”. This was supposed to “clarify” the National Coverage Determination (NCD) that since 2001 had allowed for the coverage of devices with a variety of non-speech generating functions (such as telephone and internet access) AS LONG AS those functions were locked at the time the device was purchased for the Medicare beneficiary. In fact, it represented a drastic change. The “coverage reminder” meant that Medicare would not cover any devices that would have non speech-generating capabilities over the life of the device, and that manufacturers would have to get their devices certified accordingly. As a result of an outpouring of alarm and grassroots advocacy (including a letter signed by more than 50 members of Congress), CMS retracted the coverage reminder in the fall and opened a period for public comment; more than 2000 people provided www.ussaac.org comments for CMS’s consideration as they craft a new NCD. Second, as of April 2014, SGDs became classified as a category of durable medical equipment subject to “capped rental”. That means that people who typically use Medicare to fund their device don’t own the device until after a thirteen month rental period has ended. Because users don’t own it immediately, manufacturers have interpreted this as being unable to offer unlocking until the conclusion of the rental period. During each month of the rental period, the medical need for the device and eligibility for Medicare coverage must be re-certified. Medicare beneficiaries who go into hospice, skilled nursing, or who have an extended hospitalization may fall into the “place of service” limitations – settings where Medicare does not provide any coverage (for any durable medical equipment, not just SGDs). The third blow to the SGD community was a change in Medicare reimbursement practices. Medicare stopped paying manufacturers for eye gaze systems, even though there was no expressed or written policy change. Some manufacturers are owed hundreds of thousands of dollars for equipment already delivered to SGD users; their ability to continue to do business is jeopardized. Where are we today? On January 30, 2015, Representative Cathy McMorris Rodgers (R, WA) introduced legislation known as H.R. 628, “The Steve Gleason Act of 2015”, a bill “to amend title XVIII of the Social Security Act to provide Medicare beneficiary access to eye tracking accessories for speech generating devices and to remove the rental cap for durable medical equipment under the Medicare Program with respect to speech generating devices.” To read the bill, go to https://www.govtrack.us/ congress/bills/114/hr628/text You will note the bill does not fix all the problems we encountered in 2014, but it is a start to an improved CMS policy. It has been endorsed by a variety of professional and consumer groups, as well as SGD manufacturers. In the lawmaking process, a companion bill must also be introduced in the Senate. On March 27, 2014, the Senate Finance Committee majority member Senator Enzi (on behalf of the sponsor, Page 2 Senator Vitter) brought forward the Steve Gleason Act for a vote to include as an amendment to the Senate's budget bill. Senate Amendment 1028 was unanimously passed. Again, although the Steve Gleason Act is far from perfect and it still must pass the Senate and the House in separate bills, it represents the best opportunity so far to realistically have things change with Medicare and CMS. Just recently, advocates have learned H.R. 628 may be attached to a much larger piece of legislation that has to pass through the Congress within the next few weeks. That legislation is designed to reform how physicians are paid through Medicare. Again, although The Steve Gleason Act is far from perfect, it represents the best opportunity so far to realistically have things change with Medicare and CMS. Art through AAC My name is David Chapple and I have quadriplegic cerebral palsy. I have relied on the power of an augmentative and alternative communication (AAC) device for many years. With the use of AAC I earned a Bachelor’s degree in Computer Science at Cleveland David Chapple State University. After graduating I was hired as a Software Engineer and Remote Troubleshooter for an AAC device manufacturer. However, recently I have discovered two new artistic talents: painting and writing. On April 2012 I moved to Austin, Texas to be with the love of my life Kate. After relocating I had the great privilege of being involved with two organizations, Opening Minds, Opening Doors, and Imagine Art, which helped develop my artistic and creative side. As a proud part of the Opening Minds, Opening Doors program at VSA Arts Texas, I wrote personal What you can do? stories that promoted selfPlease continue to follow this issue, and advocacy. I be ready to contact your elected officials! present these Even if the Steve Gleason Act passes, personal there will be work to do. When the stories at comment period opens for the proposed conferences NCD, be ready to submit comments! You throughout can follow this issue on Texas. I am patientprovidercommunication.org as well also a as through the American Speechmember of a Language-Hearing Association, USSAAC, community of and other advocacy groups. David painting with his headstick artists with disabilities at Imagine Art studios. When painting, I Amy Goldman, MS, CCC/L is a USSAAC member use a specially modified headstick with a paintbrush and a member of the Medicare Implementation attached to the end. The Imagine Art staff and other Team, an ad hoc group of AAC stakeholders, artists support and provide feedback about my many of whom have been involved in Medicare’s artwork. It is there that I have gently crafted my coverage of SGDs for decades. It is an open forum for interested parties with primary goals to uniques artistic abilities. In addition, we understand that CMS has a draft of a “new” NCD that is circulating internally. We don’t yet know what it says. In any case, when CMS is ready, it must be open for public comment. advocate for the rights of people with complex communication needs to access communication technologies across environments and to share information. Page 3 View artwork or request speaking and writing services from David at www.speakingartfully.com www.ussaac.org USSAAC's New Webinar Series Funding for SGDs in 2015: Updates and Implications for the AAC Community Save the Date: April 8, 2015 @ 7 p.m. EDT Presented by: Lewis Golinker, Esq., AAC Advocate Coordinator: Amy Goldman, M.S. CCC/SLP USSAAC Committee: Lateef McLeod (Chair), Sarah Blackstone, Lisa Timm, & Wendy Quach The AAC community has good reason to be confused about recent shifts to funding policy for speech generating devices (SGDs) in the United States. Public funding and private insurance are being impacted by changes in the law and major policy shifts. For example, ongoing confusion in Medicare policy has created significant harm to Medicare beneficiaries who require access to SGDs and/or SGD accessories. Changes have occurred in other funding programs as well and are likely to continue and be impacted by Medicare’s new National Coverage Decision (due out in July, 2015). This is the first in a series of webinars USSAAC will offer during 2015. We begin with a focus on funding issues because these concerns affect ALL AAC stakeholders. The webinar will provide a brief update on Medicare, Medicaid, and private insurance funding for speech generating devices in an effort to help people with complex communication needs, family members, clinicians, educators, administrators, distributors, etc. understand what is happening. Part I (April 8th from 7 to 8 p.m. EDT) will focus on the current “state of the practice”. Part II (sometime in June) will continue the discussion and provide additional updates. Future USSAAC webinars will focus on other topics of interest to participants in an effort to build awareness and collaboration among USSAAC members and other AAC stakeholders. Participants are encouraged to submit questions in advance as well as during the webinar. Please register as soon as possible. To register, go to https://attendee.gotowebinar.com/ register/2885030915589029634 American Speech-Language-Hearing Association (ASHA) CEUs in speech-language pathology and audiology are awarded by the USSAAC CE Registry upon receipt of the CEU Participant Form from the ASHA Approved CE Provider, USSAAC. CEU Participant Forms are available onsite at Registration. ASHA CEUs are provided to full registrations. This program is offered for up to .1 ASHA CEUs (Introductory, intermediate) www.ussaac.org Page 4 YOUR AD HERE! Become a corporate member or advertise your company today! Contact: Michael O'Leary ([email protected]) Want To Become A USSAAC Member? Visit our website for membership information: www.ussaac.org/memberships.cfm Page 5 www.ussaac.org Thank You to Our USSAAC Corporate Members! www.ussaac.org Page 6 How to Build & Maintain Relationships with AAC By Chris Klein This is why it is essential for speech-language pathologists (SLP) to give their clients the tools they need to communicate. BUILDING and maintaining relationships are two of the most crucial skills in one’s life. It is a challenging task for any individual and yet a requirement to function normally in society. Communication allows us to form delicate personal relationships, whether through Chris Klein gestures, facial expressions, spoken word, or augmentative and alternative communication (AAC). Neither a simple friendship nor a longlasting partnership can survive without healthy and effective communication between both parties. Among the diverse population in the AAC community we encounter a wide range of communication disabilities. Some individuals, like myself, have physical limitations; others may have cognitive issues. People with Autism Spectrum Disorder may not fully understand that interpersonal communication can be one of the most enriching and essential aspects of life. Nevertheless many people that use AAC are no Page 7 different from the rest of society. They want to build and maintain relationships. However impaired communication skills often become a major barrier in this endeavor. Today’s society is fast-paced and leaves little room for those who interact at a slower speed. People with communication disabilities have a difficult time initiating and engaging in conversation with others. Those with little exposure to people with these difficulties may not have the patience or understanding required to engage with them in conversation. When a person can’t effectively communicate he or she has no chance to express their feelings and ideas, which is the key to connecting with others. The first duty of a SLP is to advocate for and promote the use of AAC systems and intervention strategies that aid the user to communicate to the best of their abilities. However the question for AAC support teams often becomes, “Where do we go from here?” AAC users often have many different obstacles and influences that affect their ability to successfully communicate; such as work, school, family members, or other professional services (i.e. OT, PT, or teachers) Each vying for input on what they think should be in the AAC system (i.e. academic vocabulary that only targets curriculum objectives, yet excluding other vocabulary useful for communication in non academic environments). This is where the influence or decisions of others rather than the AAC user becomes the dictator. These decisions become the end goal and suddenly communication develops into something different. Communication changes from being about the user’s language abilities to meeting only the educational or basic functional communication www.ussaac.org expectations (i.e. basic medical requests). whatever device he or she decides to use. The question becomes, “How do we ensure appropriate and adequate communication occurs for AAC users?” Janice Light describes adequacy of communication as an adequate level of communication skill to function within a specific environment. She emphasizes that this does not imply a total mastery of the art of communication. Light further breaks down the linguistic component into two sections: micro and macro skills. Mastering language can be viewed as an automatic process involving these “micro” and “macro” skills. The macro skill process begins Chris communicating with his AAC device. with a person having in his or her mind what that they may encounter. they want to say. The brain then accesses its The next step is to master “communication aid” (i.e. the automaticity for core word tool used to communicate), order, known as “core syntax” and maps out the motor plans or grammar. Learning how to for the tongue to physically put words together requires the move and produce words. The experience of combining words micro-skills relate to the for communicative purposes. reading, writing, listening and Appropriate grammar adds speaking skills required to structure to vocabulary receive or produce the mastery and allows for the message AAC user to clearly state their thoughts and ideas. To build operational and linguistic competence one From there one masters core should have automatic access morphology (Brown, 1973). to at least one hundred fifty Core morphology is the access core vocabulary words. Core or mastery of different word Vocabulary is a small set of forms or endings (i.e. present, words in a given language that present progressive, past or is used 80% of the time in future tense). AAC users that conversational speech. This are able to master core vocabulary consists of about morphology are able to provide 400 words (pronouns, verbs, a greater level of meaning to adjectives, etc.) and is the listener during a consistent across ages, conversation. It allows the environments, and activities. user to explain when and to Access to core vocabulary what extent something allows the AAC user to happened. produce versatile sentences Light discusses four competencies underlying this definition of adequate communication: linguistic, operational, social, and strategic. She further analyzes these competencies by placing them under one of two components. The first component is the knowledge and skill in the use of the tool (AAC system) which includes the linguistic and operational competencies. Light labels the second as the functional knowledge and judgment in interaction that includes the social and strategic components. The linguistic competency is comprised of form and use., In my opinion as an AAC user, linguistic competency is crucial in developing progress in communication abilities. Without simultaneous access to a broad range of core words, one is unable to communicate or develop adequate language. Given the most important thing to a person that uses AAC is to communicate to his or her best abilities, we need this linguistic component to be there on www.ussaac.org that can be used in any given situation. This way they are prepared for any conversation Page 8 In addition one must master core pragmatics, the basic social interactions that one uses during a conversation. This allows the AAC user to ultimately develop full operational and linguistic competence. These experiences in building communication develop one’s social competence in tandem. use AAC need access to every day language. While core vocabulary is a set of words common to a given These four skills, automaticity using core vocabulary, core syntax, core morphology and core pragmatics, form an interconnected web of abilities Chris and his wife enjoying a trip to Orlando, FL all of which are necessary for effective language, extended or fringe communication. Core vocabulary is typically specific vocabulary is essential; without to an individual. Fringe it one cannot begin to develop vocabulary is the remaining language skills. As mentioned 20% percent of words that we developing language skills and use which are specific to a developing social skills go conversation or topic. (i.e. the hand-in-hand. This speaks to word “molecule” is specific to the necessity of the use of core science). Unfortunately, in a vocabulary and the diversity of large number of instances language that one is able to more fringe vocabulary is produce with it. This is why a present than core on a user’s SLP’s should utilize core AAC device. This causes a vocabulary in their AAC major problem and another evaluations and treatment. obstacle for the AAC user to Language, in itself, isn’t the overcome. Those using the ultimate goal. The ultimate devices do not have enough goal is to take advantage of access to language critical for one’s language skills and use back and forth conversations, them for social interaction and which in turn impedes their writing. As such, people who ability to foster relationships. Page 9 So how can teachers or SLPs incorporate language and social skills into their teaching? First, the SLP must ensure that the AAC device has core vocabulary accessible in easy to teach arrangements. These arrangements need to be well coordinated with the morphology and syntax of the user’s native language. Next, the SLP must make sure that the therapy activities focus on the use of the AAC system across multiple environments. For example, the therapists may decide to have therapy at a clinic one session and in the community on the next. This allows for the AAC user to generalize skills across various settings. Finally, the SLP must develop activities during speech therapy that allows the client to demonstrate developmentally appropriate language in measurable ways. One way to track progress may be using Brown’s Morphological Stages for milestones (Brown, 1973). Also constant modeling of morphological and syntactic structures by the therapists or teachers can be a powerful for mastery. This is the first of a three-part article currently in preparation for publication by USSAAC. A preliminary version of the whole paper was delivered at ATIA (Assistive Technology Industry Association) Conference, 2015. www.ussaac.org Make the Most of Summer AAC summer camps provide opportunities for social interactions PITTSBURGH, - The AAC Institute will host its fifth annual AAC Summer Camp, a weekend-long experience for non-speaking or severely speech impaired children who use augmentative and alternative communication (AAC) devices to talk. The camp, which will take place at the Crowne Plaza Pittsburgh South from July 29-August 1, is designed to give these children and their families the opportunity to interact with Closing ceremony at the AAC Institute Summer Camp other children using AAC systems, while building their The program will culminate in a Institute Summer Camp was language skills through fun and fun-filled science excursion to launched in 2011 and each entertaining activities.. the Carnegie Science Center in year hosts 20 or more campers downtown Pittsburgh. Using with disabilities accompanied “Children who rely on speechtheir high-tech AAC devices, by one or more family generating AAC devices to the campers will put their members. The camp is made communicate rarely get the science skills to the test and possible by the support of chance to interact with other complete various exciting dozens of volunteer children who also use these experiments. undergraduate and graduate devices,” said Katya J. Hill, speech-language pathology Ph.D., executive director of the According to Dr. Hill, “Children students, AAC professionals ICAN Talk Clinic/AAC Institute with communication challenges and generous sponsors and in Pittsburgh. “Our camp are part of the community and donor contributions. promotes their ability to need to develop the language communicate effectively with skills and confidence to talk to The AAC Institute is a national their peers and non-AAC users people using their AAC organization that offers many in a safe and welcoming systems wherever they go in a free and low cost resources to environment.” variety of situations.” users and AAC professionals to support achieving high The theme of this year’s ICAN™ Clinic will staff the performance communication summer camp is: “Under the event for the AAC Institute. with AAC devices. Microscope” with a focus on ICAN™ Talk is headquartered language and AAC skills for in Pittsburgh and is a not-forFor more information, visit us learning and enjoying science. profit outpatient clinic on www.icantalkclinic.com or All camp activities will enhance specializing in providing speech Facebook www.facebook.com/ the participants’ speech and and language therapy to pages/AAC-InstituteICAN-Talklanguage skills to explore children and adults who rely on Clinics/ science, technology, augmentative and alternative engineering and math (STEM). communication. The AAC www.ussaac.org Page 10 2015 AAC Summer Camps Camp Jabber Jaw Authentic Voices of America When: June 1-5 Where: Mississippi State, MS Mississippi State University, T.K. Martin Center for Technology and Disability Contact: Laurie Craig Phone: 662-325-1028 E-mail: [email protected] Website: www.tkmartin.msstate.edu/projects/ jabberjaw.php When: July 19-23 Where: University of Wisconsin-Whitewater Campus, Whitewater, WI Ages: 12-21 years Contact: Dan Price, Camp Administrator Phone: (262) 472-3169 Email: [email protected] Website: http://www.uww.edu/ce/camps/othercamps-events/authentic-voices Camp ImpAACt AAC Institute/ICAN™ Talk Clinic Camp When: July 6-10, 2015 Where: Ellis School of Atlanta Ages: 5-14 Contact: Jennifer Kelley Email: [email protected] Website: http://www.ellisschoolatlanta.org/ camp-impaact/ Building Bridges Camp & Training Institute When: July 10-15 Where: Boulder Creek, CA Ages: 5-17 years Phone: (650) 696-7295 E-mail: [email protected] Website: www.bridgeschool.org/camp Talking with Technology Camp 2015 When: July 19-24 Where: Colorado Easter Seal Society's Rocky Mountain Village, Empire, CO Contact Felicia Hardney Email:[email protected] Fax: Attn: Felicia Hardney (720) 777-7169 Website: http://www.childrenscolorado.org/ events-community/events/talking-withtechnology-camp-2015 Page 11 When: July 29- August 1 Where: Crowne Plaza Pittsburgh South Ages: 5-21 years Contact: Evelyn Meinert Phone: 412-402-0900 Email: [email protected] Website: www.icantalkclinic.com Camp Alec When: August 9-15 Where: Grand Rapids, Michigan Contact: Gina Cunningham Email: [email protected] Camp Chatterbox When: August 16-22 Where: Camp OakhurstMonmouth County, NJ Contact: Joan Bruno Phone: (908) 301-5451 E-mail: [email protected] Website: www.campchatterbox.org www.ussaac.org My AAC Story How AAC gave me a voice and career By Yoosun Chung entered my doctoral program, I unfortunately never knew that AAC devices even existed. I came to understand that promoting awareness in the public is a very important issue in the field of AAC. I feel very fortunate that I can teach classes using my AAC device and have been invited as a guest speaker in other classes and various organizations to promote AT, Dr. Yoosun Chung including AAC, to share my knowledge and MY NAME IS Yoosun Chung experiences. and I am an assistant professor of special education I was born with cerebral palsy at George Mason University which affects my verbal speech (GMU). I teach several and mobility. I have always had graduate special education difficulty speaking with my own courses mostly related to voice, especially in English. I Assistive Technology (AT). On am originally from South Korea top of that I am also benefiting and I lived there until I moved from AT as I am an to the United States for college Augmentative and Alternative and better career opportunities. Communication (AAC) user. As one who uses English as a second language there is no I have a bumper sticker that doubt that I am much more reads “Silence is not golden; fluent in Korean. However silence is unnecessary”. It is when I find myself in stressful absolutely true. Before I situations it is difficult for me to www.ussaac.org speak to others regardless of the language. Before I entered the AT field in my doctoral program I studied computer science for both my bachelor’s and master’s degrees. In the midst of selecting my doctoral career path I decided to change my major to AT because I’ve always had a desire to make an impact in the disability community. Prior to using my AAC device I was very quiet in school. I essentially kept my mouth closed for the entirety of my undergraduate and graduate years. I began to accept this common situation as my destiny. I told myself that destiny cannot be changed, so there was nothing I could do, but accept it. However, after using my AAC device, I realized that my destiny can change through strong willpower and a little help from my AAC device. I intially had an internal dilemma about whether or not to use an AAC device. In previous decades some professionals claimed that children would opt for the “lazy” method of communication and would not push themselves to learn speech once AAC was provided. At the time this was also my thought which sparked an unnecessary personal dilemma. I feared I would never be able or have the courage to speak in public with Page 12 my own voice if I relied too much on my AAC device. Because of these concerns I was not sure whether using AAC was the ultimate solution to overcome my speech deficits. Thankfully my thoughts and fears were misguided, as several current theoretical and applied research findings have shown that successful experiences with AAC can be a great motivation for the use of natural speech. This motivation is exactly what happended to me! I became more confident communicating while using my AAC device in addition to my own voice. I would like to emphasize that as speech is one of many communication methods, using AAC is an important alternative for people who have difficulty speaking naturally. When I was offered a teaching position after earning my Ph.D, I hesitated whether I would choose to accept. I thought, “How could I teach students at the collegiate level? I know that when I am nervous I cannot speak a single word.” As my decision neared, I reassured myself that I have a strong educational background, I have my AAC device, and I am proficient in using presentation tools like PowerPoint. That’s when I came to the conclusion that I do have the confidence and ability to successfully teach. I thought about Dr. Stephen Hawking. He completely lost his verbal speech abilities, but because he has effectively used AT and AAC, he is able to present and give lectures all over the world. Of course I do not claim to be smarter than him but I thought, Page 13 “If he can do it, I can too.” With this mentality, I have now educated countless students at GMU for many rewarding years. The history of my experience with AAC began at the Closing The Gap conference in 2000. This conference focuses on AT for people with various abilities and it is held in Minnesota every October. This was my critical for me. The Closing The Gap conference, gave me an actual hands-on opportunity to try the various types of AAC devices. Luckily for me, I found an AAC device that fit all of my needs. I chose an alphabet based AAC software program because I could type what I wanted to say at a fairly rapid speed. Basically, the program transfers Dr. Yoosun Chung teaching students at George Mason University first time attending a national conference and I was amazed by the AAC devices available. It was then that an idea flashed in my mind, “I might find a useful device to meet my communication needs!” From the start of my doctoral program I struggled with acclimating myself into my new career path. Studying in the education field was a brand new endeavor. Not only did I have to present final projects, but I needed to contribute my own personal interpretations of topics in class discussions. I had to find a way to thrive in the doctoral program which is why using an AAC device was so all of my typed words into synthesized (computer generated) speech. For my face-to-face classes, I would type all of my lectures in the .txt format prior to my 2 hour and 40 minute classes (sometimes even for all day classes). Once I prepared the “teaching script” for each class session, my lectures become the same as any other college professor’s. The only difference is that instead of using my natural speech, my AAC device did all the talking for me along with my PowerPoint slides. My AAC device has two additional features, “side talk” www.ussaac.org and “instant phrase”, aside from reading aloud my prepared “teaching script”. In the event that a student asks me a question or if I have something additional to say, the “side talk” feature allows me to type sentences on the fly. “Instant phrase” allows me to save phrases that I most often use in class. The phrases include “Let’s get started.”, “Any Dr. Chung receiving her PhD. questions or comments?”, or “I knew somebody would ask this question, so I prepared in advance.”, etc. Another instant phrase which I do not want to use, but sometimes have to is “Technology is great only if it works!” I use this sentence when an unexpected technology problem occurs in class due to the nature of my AT-related courses. www.ussaac.org I want to strongly emphasize that my AAC system, is perfect for teaching classes and presenting at conferences. However, it is not practical for small meetings or instant conversations because I first, need to get out my heavy laptop, then turn it on, and finally load the program. This process definitely takes some time. I always wanted a portable and ready-to-use communication device. I tried several different types of PDA style communication systems. However, after trialing them, I gave up, because my hand was not functional enough to manage the small buttons. just bring my iPad. However, I must confess that I do prefer using an external Bluetooth keyboard because it is much faster for me to type with than the onscreen iPad keyboard. Based on my personal and professional experiences working in the AT field, I would like to assert that AT, including AAC, can make impossible things a reality. Who could have imagined that I would become a professor who teaches graduate courses in English at a university in America? It could not have been possible without my AAC device. Nobody, including myself, would have thought that I would be able to thrive in this now wonderful situation that I have created. Without hesitation I can say that I have everything: lovely people surrounding me, a Ph.D., communication, a rewarding career, good health, and even a disability. After the iPad Photos by: Craig Bisacre, George was released I Mason University finally found something that I could effectively use as a portable communication system. The iPad has larger keys, compared to earlier PDA communication systems allowing me to operate it accurately. I utilize several AAC apps that allow me to type-and-talk. With them, I simply type what I want to say, and talk instantly. Also, the app saves my most frequently used sentences. It makes me so happy to not have to lug my heavy laptop around. Instead, when I attend a small meeting, I Page 14 Page 15 www.ussaac.org Upcoming Conferences 2015 Clinical AAC Research Conference When: October 9-10, 2015 Where: University of Virginia, Charlottesville, Virginia Website: http://www.aacinstitute.org/CAAC/index.html Closing The Gap When: October 14-16, 2015 Preconference Workshops Oct. 12-13, 2015 Where: Bloomington, MN Website: www.closingthegap.com Phone: 952-835-7800 2015 ASHA Convention When: November 12-14, 2015 Where: Denver, Colorado Website: http://www.asha.org/events/convention/ ATIA 2016 When: February 2-Febuary 6, 2016 Where: Orlando, Florida Website: http://www.atia.org Toll-Free: 877-OUR-ATIA (687-2842) E-mail: [email protected] www.ussaac.org Page 16
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