Speech Activities by Age

10-Minute Speech Practice That Doesn't Require Sitting Still

If you searched for speech practice for toddlers, this page gives you the parent-level answer: what the concern usually means, what.

Young child pressing buttons on a small yellow AAC speech device at a low table

Last updated 2026-07-09

TL;DR

The GoTalk Fit is a mid-range, dedicated speech-generating device by Attainment Company with up to 32 message locations per level, 5 levels, and a recorded-voice format. It costs roughly $250-$350 and suits kids who need a portable, low-tech SGD before stepping up to a tablet-based system. It is not an app and does not synthesize speech.

What is the GoTalk Fit AAC device?

The GoTalk Fit is a dedicated speech-generating device (SGD) made by Attainment Company, a Wisconsin-based AAC manufacturer. It sits in the "mid-tech" category: more capable than a simple two-button communicator, but not a full software system like Proloquo2Go or Snap Core First on an iPad. The device records human voices directly onto the overlays, so your child hears a real person speak rather than a synthetic voice.

Physically, the GoTalk Fit is small enough to fit in a backpack pocket. It weighs under a pound, uses standard AA batteries, and has a rugged plastic shell built to survive what kids actually do to things. Attainment describes the device as having 32 message locations per page, across 5 levels, giving a total of 160 stored messages [1]. Each level is accessed by pressing a small level-select button on the side.

The "Fit" in the name refers to size. Attainment sells several GoTalk models (GoTalk 4+, GoTalk 9+, GoTalk 20+, GoTalk 32+) and the Fit is the compact version in the lineup. The screen area is the same grid layout, just built for easier portability.

This is a AAC device you program yourself by recording phrases with a USB microphone connection or the device's built-in record function. There is no internet connection, no Bluetooth pairing, and no app store. That simplicity is both its biggest advantage and its main limitation.

Who is the GoTalk Fit designed for?

The GoTalk Fit works best for children who are minimally verbal or who use AAC as a primary or supplementary communication mode. Clinically, that often means kids with autism spectrum disorder, childhood apraxia of speech, cerebral palsy, Down syndrome, or other conditions that affect spoken language. The American Speech-Language-Hearing Association (ASHA) notes that AAC includes any method that supplements or replaces natural speech, and dedicated SGDs like the GoTalk Fit fall squarely within that definition [2].

Age range in practice runs from about 2 years through adulthood, though the physical button size (roughly 1-inch squares on the 32-location grid) may be hard for very young toddlers with limited fine motor control. Many families start with a 9- or 20-location GoTalk and graduate to the Fit when vocabulary needs grow.

The device is also a common pick when a family or school team needs a reliable backup while waiting for insurance approval on a high-tech SGD. Insurance timelines for dedicated AAC devices can stretch 3-9 months, and the GoTalk Fit is affordable enough to buy out-of-pocket as a bridge.

If your child is in early intervention services (the federally funded program for children under 3), ask your service coordinator whether the program can fund or loan an AAC device before you buy one. Early intervention is required under IDEA Part C to provide assistive technology when it is needed for the child's developmental goals [3].

Children with childhood apraxia of speech sometimes use the GoTalk Fit to cut communication frustration while intensive speech therapy continues in parallel. Having a reliable voice output tool does not slow speech development. The research on this is actually reassuring: a 2006 systematic review in the American Journal of Speech-Language Pathology found no evidence that AAC use suppresses natural speech development, and several studies found it sped up spoken word attempts [4].

What are the GoTalk Fit specs and features?

Here are the core specs in one place, because the Attainment website buries some of this:

FeatureGoTalk Fit detail
Message locations32 per page
Levels5
Total stored messages160
Recording time per messageUp to 20 seconds
Voice typeRecorded human voice
BatteryAA (replaceable, no recharging)
DimensionsApprox. 7" x 5" x 0.75"
WeightUnder 1 lb
DisplayFixed-location grid, overlay-based
Connectivity3.5mm headphone jack, USB for overlay print software
Water/dust resistanceSplash-resistant, not waterproof

The overlay system is important to understand. You print symbol boards (using Attainment's free GoTalk overlay software or any symbol system like Boardmaker, SymbolStix, or hand-drawn pictures), cut them to fit the grid, and slide them under a clear plastic cover. Changing the vocabulary set takes about 2 minutes. That flexibility means the device grows with the child's communication needs.

One underrated feature: the GoTalk Fit has a core vocabulary strip across the top with 5 always-visible locations that stay constant across all levels. Many AAC users need certain high-frequency words ("yes," "no," "more," "help," "stop") available at all times. Having those on a persistent strip, separate from the level-dependent fringe vocabulary, matches how strong AAC design works [2].

The 20-second recording limit per cell is generous for phrases but will not fit longer scripted sequences. If your child needs multi-sentence communication (telling a story, giving directions), you would need multiple cells or a more powerful device.

How much does the GoTalk Fit cost and can insurance cover it?

Street price for the GoTalk Fit runs roughly $250-$350 depending on the retailer. Attainment Company lists it on their own website, and it also sells through Enabling Devices, TalkingProducts, and Amazon. Prices shift, so check current listings before budgeting.

For context, the GoTalk Fit is far cheaper than high-tech SGDs. A dedicated device like a Tobii Dynavox or a PRC-Saltillo device typically costs $6,000-$12,000 before insurance, though insurance usually covers a large portion [5]. The GoTalk Fit's price means families often self-pay rather than going through insurance at all.

That said, insurance coverage is possible. Medicaid, CHIP, and many private plans cover SGDs as durable medical equipment (DME) when prescribed by a physician and recommended by a speech-language pathologist (SLP). Medicare covers SGDs under the DME benefit for adults. The GoTalk Fit is an FDA-registered device, which matters for insurance billing.

Medicaid coverage for children is particularly strong because EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) requires states to cover any medically necessary service for children under 21, including AAC devices [10]. If your child has Medicaid, ask your SLP to write a letter of medical necessity for the GoTalk Fit specifically.

Schools are a separate path entirely. Under IDEA (the Individuals with Disabilities Education Act), if an IEP team determines that a child needs an AAC device to access their education, the school must provide it at no cost to the family [3]. The GoTalk Fit is cheap enough that many districts will buy it without much pushback, compared to the longer fights sometimes needed for high-tech devices.

For families who cannot wait on insurance or school timelines, some nonprofit programs loan or donate AAC devices. The United States Society for Augmentative and Alternative Communication (USSAAC) keeps a resource list for device lending programs [6].

How does the GoTalk Fit compare to other AAC options?

Honest comparison matters here, because no single device is right for every child.

Device / SystemTypeVoiceApprox. costBest fit
GoTalk FitDedicated SGD, mid-techRecorded human$250-$350Portable, durable, simple setup
GoTalk 32+Dedicated SGD, mid-techRecorded human$280-$380Same as Fit but slightly larger
iPad + Proloquo2GoHigh-tech app-basedSynthesized (customizable)$200+ app; device extraLarge vocabulary, dynamic display
Tobii Dynavox T15Dedicated high-tech SGDSynthesized$7,000-$10,000Complex AAC needs, eye gaze option
PECS (no-tech)Picture exchangeNone (no voice output)$50-$200 for materialsEarly communicators, no device needed
PRC-Saltillo NOVA chatDedicated high-tech SGDSynthesized$5,000-$8,000Dynamic display, large vocabulary

The GoTalk Fit's recorded-voice format is both its charm and its constraint. Children often respond better to a familiar recorded voice (a parent or SLP) than to a synthesized one, especially early in AAC use. But recorded-voice devices require someone to manually re-record every time vocabulary changes. High-tech devices with synthesized speech can add hundreds of new words by dragging a symbol into a slot.

If your child is a beginning communicator with a vocabulary under 50 functional words, the GoTalk Fit can absolutely meet their needs. If they are ready for 200+ words across multiple semantic categories, you will likely outgrow it fast and might be better served starting the insurance process for a dynamic display device.

Tablet-based AAC apps like Proloquo2Go or TouchChat are worth knowing about too. They run on iPads that many families already own, which cuts costs. An SLP can help you decide whether a dedicated device (more durable, longer battery, less distraction risk) or an app on a general-use tablet fits better for your child's environment.

For more on the full landscape, the AAC devices overview covers the main categories and how to match a child's profile to the right system.

AAC device options by approximate out-of-pocket cost Price ranges for common AAC systems families consider alongside the GoTalk Fit PECS materials (no-tech) $125 GoTalk Fit (mid-tech SGD) $300 GoTalk 32+ (mid-tech SGD) $330 iPad + AAC app (e.g. Proloquo2Go) $700 PRC-Saltillo NOVA chat (high-tech) $6,500 Tobii Dynavox T15 (high-tech) $8,500 Source: Attainment Company, USSAAC funding resources, and published AAC device pricing (2024-2025)

What do parents and SLPs actually say about the GoTalk Fit in reviews?

There is no large published clinical trial specifically on the GoTalk Fit. Most review evidence comes from SLP forums, Amazon reviews, special education teacher communities, and AAC-focused Facebook groups. The pattern across those sources is fairly consistent.

Parents most often praise the durability and the battery life. AA batteries mean no charging panic the night before school. The toughness matters: it survives drops and the occasional encounter with juice.

SLPs working in early intervention and school settings generally view it positively as a starter or bridge device. The common criticism from clinicians is that 160 total messages across 5 levels may not be enough for a child who needs a language-rich AAC system long term. Some SLPs use it as a trial to see whether a child will engage with voice output AAC at all before pursuing a more expensive device.

The most common complaint in parent reviews is the overlay printing process. You need access to a color printer and some willingness to fiddle with formatting. Attainment does provide free overlay-printing software, but it is not as polished as modern design tools.

One recurring theme: kids who are resistant to high-tech devices (too many options, too much screen time association, too many competing apps) sometimes accept the GoTalk Fit more readily because it is physically distinct from a tablet. For children with autism spectrum communication profiles who struggle with transitions and distraction, a single-purpose device can actually be easier to learn.

No significant safety or reliability complaints appear in the review record. Attainment has been in business since 1979 and has a customer service line that multiple reviewers mention positively, which matters when you are a parent troubleshooting a device your child depends on.

How do you set up and program the GoTalk Fit?

Setup takes most families about an hour the first time. It gets faster once you have the workflow down.

Step one is vocabulary planning. Before recording anything, decide what 32 words or phrases you want on the first level. ASHA recommends starting with core vocabulary, which are the high-frequency words that appear across all contexts (go, stop, want, more, help, no, yes, I, you, that) rather than nouns specific to one activity [2]. The GoTalk Fit's 5 always-on top-strip locations are perfect for core words.

Step two is creating overlays. You can use Attainment's free Board Builder software, Boardmaker (subscription required), or simply print photos and use them with hand-drawn labels. Cut the printed sheet to fit the grid and slide it under the clear overlay cover on the device.

Step three is recording. Hold down the record button for each location and speak the message clearly into the device's microphone. You get up to 20 seconds per cell. Record in a quiet room. The built-in microphone is sensitive enough to pick up background noise.

Step four is testing. Go through every cell with your child's SLP present if possible. Check that messages are clear, that levels switch correctly, and that the volume is set right for your child's environments.

A few practical notes: record messages in the voice your child knows best, usually a parent's voice for home use. For school use, record in the SLP's or teacher's voice so there is consistency in the educational setting. Some families record both and use different levels for home versus school contexts. That is a legitimate use of the 5-level structure.

The Attainment website has printable quick-start guides. Their customer support line (608-845-7880 based on their website listing) is reportedly responsive for setup questions [1].

Is the GoTalk Fit appropriate for a child with autism?

Yes, with realistic expectations. The GoTalk Fit has been used widely with autistic children, and AAC in general is supported by ASHA as appropriate for autistic individuals across the communication spectrum [2]. The American Academy of Pediatrics recommends early AAC introduction for children who are not developing speech on the expected trajectory, noting that early support matters for long-term communication outcomes [7].

The evidence base for AAC with autistic children is solid. A 2003 review by Mirenda in Language, Speech, and Hearing Services in Schools found that SGDs improved functional communication for autistic individuals across a range of studies, and more recent systematic reviews have kept supporting the finding [8].

For autistic children specifically, a few features of the GoTalk Fit stand out. The consistent physical layout (same grid every time the device is opened) suits children who prefer routine and predictability. The single-purpose nature of the device avoids the attention-splitting that can happen with a tablet that also has games and videos on it.

If your child engages in echolalia (repeating heard phrases), a recorded-voice SGD can integrate interestingly with that communication style. Some children learn to use their echolalic processing to rehearse phrases on the device and then produce them in context. That is not a clinical claim, just a pattern some SLPs and parents describe.

The GoTalk Fit will not be the right fit for every autistic child. Kids who need large vocabulary sets, dynamic navigation across many pages, or who benefit from a device that can produce novel utterances by combining symbols (often called "generative AAC") will need a more capable system. The GoTalk Fit is a fixed-message device, not a generative one.

If you are working with an SLP on an autism spectrum speech therapy program, ask them specifically whether a fixed-message or generative AAC approach better matches your child's communication profile.

How does AAC fit into speech therapy for late talkers?

A late talker is typically defined as a child aged 18-30 months with fewer spoken words than expected for age (under 50 words at 24 months is a common clinical threshold) but without other obvious developmental differences [7]. For some late talkers, AAC including devices like the GoTalk Fit works as a bridge: it cuts frustration, builds communication confidence, and in many cases supports spoken language development rather than competing with it.

The fear that AAC will make a child "lazy" about speaking is one of the most persistent myths in this field. ASHA's position is explicit: "AAC does not hinder natural speech development, and in many cases supports it" [2]. Multiple studies back that up. A 2010 study by Romski et al. compared children who received AAC-augmented language intervention to those who received speech-only intervention. The AAC group showed greater gains in communication and language development [9].

For late talkers without a specific diagnosis, the GoTalk Fit may be introduced by a speech therapy provider as a low-stakes trial. The device costs less than a few months of weekly therapy sessions, so the risk of trying it is low.

Some families find that apps and tech-forward tools work well alongside a device like the GoTalk Fit. If you are looking for a way to practice vocabulary and language modeling at home between therapy sessions, the Little Words app is built for exactly that kind of daily practice for late talkers and neurodivergent kids. Start with the quiz at /start to see whether it fits your child's profile.

For children with apraxia of speech, the GoTalk Fit can reduce the motor planning burden of communication while intensive speech work continues. Childhood apraxia of speech specifically benefits from consistent, low-frustration communication access, and a reliable SGD provides that.

What are the limitations of the GoTalk Fit that reviewers often miss?

The limitations matter as much as the strengths.

Fixed message format. The GoTalk Fit stores specific recorded phrases. It cannot combine symbols to create new sentences. A child who wants to say "I want the red ball" but only has "I want" and "ball" as separate cells cannot construct that phrase. High-tech AAC systems with word-by-word selection allow novel utterances; the GoTalk Fit does not.

Vocabulary ceiling. 160 messages sounds like a lot until you map out a real communication day. Greetings, requests, protests, questions, social comments, school topics, health needs, emotional expression. Many active AAC users need 300-500 functional vocabulary items fairly quickly. The GoTalk Fit will be outgrown by active communicators within 1-2 years.

No text-to-speech. If a communication partner does not understand the recorded message (background noise, unfamiliar listener), there is no text display to fall back on. High-tech devices show the spoken message as text at the same time.

No data logging. Many high-tech SGDs log which symbols are used and when, giving SLPs data to analyze communication patterns. The GoTalk Fit has no data tracking. You learn what your child communicates only by being present.

Overlay dependence. Losing or damaging an overlay page is a real problem. The symbols are not embedded in the device. Families quickly learn to print backups of all overlays.

None of these are dealbreakers if the device fits the child's current needs. But going in with clear eyes means you won't be frustrated when the device hits its limits, and you won't read those limits as the child failing rather than the tool.

How do schools use the GoTalk Fit in IEP and classroom settings?

Schools use the GoTalk Fit most often in two scenarios: as a supplementary device for a student who also has a high-tech SGD, or as a primary device for a student whose communication needs fit within 160 messages.

In IEP terms, if the team documents that the student needs an AAC device to access the general curriculum or to communicate basic needs, the school must provide it at no cost under IDEA [3]. The GoTalk Fit's low price makes it easy for schools to approve. Many special education coordinators keep a few GoTalk units in their AT (assistive technology) inventory to loan or assign.

Classroom setup usually involves programming overlays specific to each subject or activity. A student might have a morning routine overlay for level 1, a reading activity overlay for level 2, a lunchtime requests overlay for level 3, and so on. The 5 levels map reasonably well to a typical school day structure.

SLPs in school settings often act as the overlay designers and trainers. If your child's school SLP is not familiar with the GoTalk Fit specifically, Attainment offers free video tutorials and training resources on their website [1]. Sharing those resources early in an IEP meeting tends to move things forward faster.

One practical IEP tip: request that the device go home with the child so vocabulary can generalize across environments. Schools sometimes default to leaving devices at school for liability reasons. If home use is documented in the IEP as part of the communication support plan, the device travels with the child.

For an overview of how AAC integrates into broader speech therapy and school-based support, that page covers the therapy models in detail.

Where can you buy the GoTalk Fit and what should you watch out for?

You can buy the GoTalk Fit directly from Attainment Company's website (attainmentcompany.com), from major AAC retailers like Enabling Devices (enablingdevices.com), TalkingProducts, and from Amazon.

A few things to watch for:

Verify the model. There are multiple GoTalk models (4+, 9+, 20+, 32+, Fit). The product names are similar and listings sometimes use photos interchangeably. The GoTalk Fit specifically has 32 locations in a compact form factor. Check that the listing explicitly names the GoTalk Fit.

Check what is included. Some listings include a carry case or strap; others do not. The overlay printing software is free to download but you need your own color printer and paper.

Buying used. GoTalk devices do show up on eBay and Facebook Marketplace. The electronics are generally durable, but a used device may have recordings already on it that need clearing. Resetting the device erases all recorded messages, so that is straightforward, but inspect the overlay cover for scratches that would hurt legibility.

About pricing: if you are paying out of pocket and expecting insurance reimbursement later, save all receipts and the original packaging. Some insurers require proof of purchase and a letter of medical necessity from the prescribing physician dated before purchase. Retroactive reimbursement is not guaranteed, but it has worked for some families.

For Little Words' ongoing parent community, the /start quiz can help you figure out whether a device like the GoTalk Fit, a tablet-based AAC app, or a different kind of home language support best matches your child's current communication stage.

Whichever device or tool you use, pairing it with consistent, responsive communication partners at home is what the research consistently shows makes the biggest difference [9].

Frequently asked questions

What is the difference between the GoTalk Fit and the GoTalk 32+?

Both store 160 messages across 5 levels with 32 locations per page and use recorded human voice. The GoTalk Fit is physically smaller and built for portability, fitting easily in a backpack pocket. The GoTalk 32+ is slightly larger with bigger buttons, which some children find easier to press. If fine motor accuracy is a challenge, the 32+ may be easier to use.

Can a 2-year-old use the GoTalk Fit?

It depends on the child's motor skills. The GoTalk Fit's 32-location grid has small buttons, roughly 1 inch square, which can be hard for very young toddlers. Many SLPs start children under 3 with a simpler 4- or 9-location GoTalk model to build AAC understanding before moving to more locations. A speech-language pathologist can do a formal AAC assessment to match the right device to your child's motor and cognitive profile.

Does the GoTalk Fit work with Boardmaker symbols?

Yes. You design overlays in any software you choose, including Boardmaker, SymbolStix, or even PowerPoint or Google Slides, and print them to fit the GoTalk Fit's grid dimensions. Attainment also provides its own free overlay software called GoTalk Board Builder. The device itself is symbol-agnostic; it just needs a printed overlay that fits under the clear plastic cover.

Will using the GoTalk Fit stop my child from learning to talk?

No. ASHA's position is clear that AAC does not suppress natural speech development. A 2010 study by Romski et al. found that children who received AAC-augmented intervention showed greater communication gains than those who received speech-only therapy. Many children who use SGDs keep developing spoken language alongside their device use.

Can the GoTalk Fit be covered by Medicaid?

Potentially yes. For children under 21, Medicaid's EPSDT benefit requires coverage of any medically necessary service or device, including SGDs. You need a physician prescription and a letter of medical necessity from a speech-language pathologist documenting why the GoTalk Fit is the appropriate device. Each state Medicaid program handles these differently, so work with your SLP and your child's pediatrician on the paperwork.

How long do the batteries last on the GoTalk Fit?

Attainment's documentation suggests AA batteries last roughly 40 hours of active use. In practice, parents report battery life varies depending on how often messages are triggered and the battery brand. The advantage over rechargeable devices is that you can keep spare AA batteries on hand and never face a dead device with no charger available. Most families buy bulk AA batteries and keep a set in the device bag.

Is the GoTalk Fit waterproof?

No. The GoTalk Fit is splash-resistant but not waterproof. It can handle the minor spills that happen with kids, but submerging it or exposing it to heavy rain will damage it. Attainment sells a protective carry case that adds some protection. If your child tends to drool heavily onto devices, consider a silicone keyboard cover cut to size over the buttons as an extra layer.

What symbols or vocabulary system should I use to set up the GoTalk Fit?

Most SLPs recommend starting with a core vocabulary approach, prioritizing high-frequency words across contexts (more, help, stop, go, yes, no, I, want) before adding topic-specific fringe vocabulary. Use picture symbols your child already recognizes, whether that is PCS symbols from Boardmaker, SymbolStix, or real photographs. Consistency with the symbol system used in your child's therapy and school settings reduces confusion and speeds learning.

How do I get a school to provide the GoTalk Fit in my child's IEP?

Request an assistive technology (AT) evaluation through the IEP process. Under IDEA, if the AT evaluation concludes the GoTalk Fit supports your child's educational access, the school must provide it at no cost. Come prepared with documentation from your private SLP if you have one. The GoTalk Fit's price (under $350) is rarely a budget obstacle for schools, making it one of the easier AT requests to get approved.

Can the GoTalk Fit produce novel sentences by combining words?

No. The GoTalk Fit is a fixed-message device. Each button plays a pre-recorded phrase, not an individual word that combines with others to build new sentences. If your child needs to produce novel multi-word utterances by selecting individual symbols, you need a dynamic display device or app like Proloquo2Go, TouchChat, or a PRC-Saltillo system. Discuss generative versus fixed-message AAC with your SLP when planning the right device.

What is the return policy if the GoTalk Fit does not work for my child?

Attainment Company's standard return policy allows returns within 30 days for unused products in original condition. For a device your child has already programmed and used, returns may not be accepted. Amazon and other retailers have their own return windows. Before buying, ask your child's SLP if the practice or school has a GoTalk Fit you can trial for a week or two. Some early intervention programs and AAC lending libraries also offer device trials before purchase.

Does the GoTalk Fit come with pre-programmed vocabulary?

No. The GoTalk Fit ships with blank overlays and no recorded messages. You program all vocabulary yourself by recording phrases into each location. This is a real time investment upfront but means the vocabulary is fully customized to your child's communication needs, life contexts, and the voices of people they know. Attainment provides sample overlay templates you can print as a starting point.

Is there a GoTalk Fit app version for iPad or Android?

No, the GoTalk Fit is a dedicated hardware device only. Attainment does not make a tablet app version of the GoTalk Fit. If you want an app-based equivalent, Attainment makes a separate product called GoTalk NOW (an iPad app), which has a similar grid-based interface but with synthesized or recorded voice and dynamic display capabilities. It is a different product with a different feature set.

Sources

  1. Attainment Company, GoTalk Fit product page: GoTalk Fit has 32 message locations per page, 5 levels, 160 total stored messages, and up to 20 seconds per message
  2. American Speech-Language-Hearing Association (ASHA), Augmentative and Alternative Communication overview: AAC includes any method that supplements or replaces natural speech; ASHA position that AAC does not hinder natural speech development and often supports it; core vocabulary approach for AAC design
  3. U.S. Department of Education, IDEA Individuals with Disabilities Education Act: Under IDEA Part C, early intervention must provide assistive technology when needed; under IDEA, IEP teams must provide AAC devices at no cost to families when required for educational access
  4. Millar, D. C., Light, J. C., & Schlosser, R. W. (2006). The impact of AAC on natural speech development. American Journal of Speech-Language Pathology, 15(3), 228-242: Systematic review found no evidence that AAC use suppresses natural speech development; several studies found it accelerated spoken word attempts
  5. United States Society for Augmentative and Alternative Communication (USSAAC), AAC funding resources: USSAAC maintains resources for AAC device lending programs; dedicated SGD pricing context
  6. USSAAC, device lending and funding resources page: Nonprofit programs loan or donate AAC devices; USSAAC maintains resource list for device lending
  7. American Academy of Pediatrics (AAP), Council on Children with Disabilities, AAC policy guidance: AAP recommends early AAC introduction for children not developing speech on expected trajectory; late talker threshold under 50 words at 24 months; early support matters for long-term communication outcomes
  8. Mirenda, P. (2003). Toward functional augmentative and alternative communication for students with autism. Language, Speech, and Hearing Services in Schools, 34(3), 203-211: SGDs improved functional communication for autistic individuals across a range of reviewed studies
  9. Romski, M., Sevcik, R. A., et al. (2010). Randomized comparison of AAC intervention outcomes for young children with developmental delay. Journal of Speech, Language, and Hearing Research, 53(2), 350-364: Children who received AAC-augmented language intervention showed greater communication and language development gains than those who received speech-only intervention; consistent, responsive communication partners make the biggest difference
  10. Centers for Medicare and Medicaid Services (CMS), EPSDT Early and Periodic Screening Diagnostic and Treatment benefit: EPSDT requires states to cover any medically necessary service for children under 21 on Medicaid, including AAC devices
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