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Module Content

You can download a document that includes all content from the module, with the exception of videos. This resource can support your learning while completing the module or be saved for future reference.


Additional Documents

Costigan and Light - Effect of Seated Position

Dowden Intelligibility Test data form

Informal Child Symbol Assessment

Referral Question Identification Guide - Communication

WATI AT Decision-Making Guide - Communication

Reflection Questions

The Reflection Questions document can be downloaded at any time and used in a variety of ways. You can view it before starting your work so that you know which questions will be asked in the videos and/or on the webpages. You can also access it at the end of your work so that you can see all your responses to the questions. This tool can be helpful for documenting your learning and referring to later or for sharing it with others in group discussions or as demonstration of your online progress.


Discussion Questions

The Discussion Questions provided below can supplement and extend your individual learning and be used by facilitators or coaches to prompt meaningful discussions.

  1. You just received a referral to complete an assessment on a student with CCNs. What areas would you want to assess?     

    Using the WATI Student Information Guide, address the following:

    • Receptive and expressive communication
    • Level of communication interaction
    • Communication levels
    • Level of symbolization
    • Accessing/consulting with an OT, PT or the seating and positioning specialist in your district
    • Functional behavior assessment
    • Cognitive potential
    • Literacy
  2. Why is completing a symbolization assessment critical to the success of a student's use of a communication system?    

    Areas that should be addressed in the discussion include the following: 

    Different symbols are used to represent objects, concepts, and messages in an AAC system.  If the student's current level of symbolization has not been determined, the incorrect level of symbols might be used when designing their communication display.  This mismatch between the level of symbolization and the symbols used on the display may result in the student being unable to functionally use her communication system.   Therefore, it is important that SLPs who conduct AAC assessments routinely determine the student's level of symbolization.  The SLPs may develop a criterion-referenced symbol assessment kit to be used to determine a student's level of symbolization.  The kit might include the following levels of symbols: tangible symbols, photographs, colored black-line drawings, and words.  The assessment may be administered by using a matching task to determine the student's level of understanding of different symbols.  A student's cognitive level may influence the symbol level used for designing the communication display. In general, when designing and introducing an AAC communication system, it is important to ensure the challenge of learning the new system is not so difficult that the student is not successful.  Communication motivation is a critical issue that must always be considered when working with a student with CCNs.  

  3. When considering the student's environments, what are some factors that can facilitate and enhance the student's communication opportunities?    

    Areas that should be addressed in the discussion include the following: 

    • Appropriate vocabulary that facilitates the student's communication participation with different communication tasks.
    • Throughout the day, opportunities and access to the communication systems so the student can participate in communication interactions. 
    • Communication displays that are organized and at the student's functional communication level to enhance their motivation to use their communication system(s).
    • Adequate training of communication partners.  Communication partners play a critical role in facilitating and implementing techniques and strategies that enhance the communication skills and foster the independent use of a student's AAC system(s).
  4. How does using the WATI process for students with CCNs differ from what your district currently uses?    

    Answers will vary based upon the respondents' district procedures for AT assessment.     

Activities on this page are provided at both the introductory and advanced level and can be copied and used within existing professional development or university coursework.

Introductory Activities

  1. Conducting an FBA

    Derrick has significant cognitive involvement and has no consistent means of communicating.  The SLP is using the WATI process to determine his abilities and difficulties.  Derrick frequently screams during an activity, disrupting the classroom.  The staff does not know what he wants and feels that this is just a "behavior."   The SLP wants to complete an FBA to determine if Derrick's screaming has a communication function and, therefore, is his attempt to communicate.  What steps would the SLP take in conducting the FBA with Derrick?

  2. Assessing Levels of Symbolization

    A student has physical challenges and no functional use of her arms and hands. Additionally, the student has unintelligible speech and is, therefore, not able to speak clearly enough for neither familiar nor unfamiliar listeners to consistently understand what she is trying to communicate. According to observations and statements from school staff, the student appears to have no apparent intellectual challenges. Explain what types of access modes (direct/indirect) you might consider and use to assess the student's level of symbolization (tangible objects, photographs, colored black-line drawings, and written words).    

Advanced Activities

  1. Team Members and Responsibilities

    Select a student who has CCNs and decide what team members would be involved in this student's communication assessment.  Determine what information each team member could share that would assist in the WATI Decision-Making Process for Communication?    

  2. SETT and Feature-Matching

    Using the student you selected in Question 1, complete the student's abilities/difficulties, environmental considerations, and tasks.  Once you have completed the three areas, now consider how the information will help the team complete the feature-match process to determine an appropriate communication system for the student.

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