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Dynamic Duos! AT/AAC Partnerships From Evaluation to Implementation

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Page 1: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Dynamic Duos!

AT/AAC Partnerships From Evaluation to Implementation

Page 2: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Link to Slides:

Page 3: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Hello!Rachael Langley, MA, CCC-SLP, AAC Specialist [email protected] Pegg, MEd, COTA/L, ATP, AT Consultant [email protected]

Page 4: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 5: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

How well do you know these dynamic duos?

http://bit.ly/dynamicduoSHAA

Page 6: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Learning Outcomes● Identify 2 commonalities and 1 key distinction between

the roles of an Assistive Technology Consultant and an AAC Specialist.

● Describe three key steps to an effective educational evaluation for assistive technology/AAC.

● List three research-based strategies to support effective implementation of AAC and/or AT equipment or supports.

Page 7: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

IN Assistive Technology is the umbrella term…

AAC is one part of AT

Page 8: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 9: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

By the Numbers...AT

300+ kids in Eaton County

AAC

70+ kids in Eaton County

● Numbers continue to increase● Differentiated supports for each kid● Impact on service delivery by other providers● Impact on Educational Benefit & Test Scores

Page 10: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

“8.3 Million Americans with disabilities need special equipment or assistive

technology.- ncddr.org

Page 12: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Let’s cover the basics...

Page 13: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

What is Assistive Technology (AT)?• Assistive technology devices are identified in the IDEA 2004

as: Any item, piece of equipment or product system, whether acquired commercially off the shelf, modified, or customized, that is used to increase, maintain, or improve the functional capabilities of children with disabilities.

Page 14: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

How does AAC fit into AT?• Augmentative/Alternative Communication (AAC) is a

subset of the larger field of AT. Communication needs should be reflected through a consideration/assessment process, using a dynamic implementation plan, and documented within the IEP. However additional considerations apply when AAC is considered.

Page 15: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

What is the purpose of AT in education?

AT

Page 16: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Don’t fight their biology!

- Karen Levine, PhD

Page 17: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

www.praacticalaac.org

Page 18: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 19: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

We have to TEACH it…

● Webb’s Depth of Knowledge

Executive Functioning

● Decision Making● Problem Solving

AUTONOMY

Page 20: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Assistive TechnologyAlternate Access &Alternate Output

Page 21: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Two questions that students ask every day when they arrive at school…

Will I be accepted?

Can I do the work?

CITW Training Slides - McREL

Page 22: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

www.cast.org

Page 23: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Never doubt the power of

tribal knowledge

/

Page 24: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Individual Project

Large Group Instruction

Reading Assignment

Small Group Project

Presentation Poster Project Song Skit

Powerpoint Prezi Video Blog

Type of output shouldn’t matter – but content should.

Page 25: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Based on Positive AACtion – Rocky Bay, 2010; Senner, 2010; YAACK, 1999; Langley, 2015

Sometimes helping

isn’t helping…

Page 26: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

One Success Story…

Page 27: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Common Sense Accommodations

• Tied to GE Curriculum• Quick & Efficient• Follow the path of least

resistance• Use Accessibility Options

Page 28: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Typical Accommodations - iPad• Less “real estate”• Can accommodate for vision needs• Simple, familiar• Guided Access• Speak Text Feature• Can use external keyboard with

high contrast keyboard stickers

Page 30: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Low-Tech Accommodations

•Stickers•Mailing Labels•Labelmaker•Highlighters•Shared Assignment

Page 31: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

AACAugmentative/Alternative

Communication

Page 32: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

AugmentativeAlternativeCommunication

To enhance or add to spoken language

Instead of spoken language

Exchanging information between two or more people

Page 33: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 34: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Speech■ Motor movement to produce

sounds■ Coordination of breath control

and muscle movements■ Means to encode language

Language■ System for using and

understanding concepts■ Presented through symbols

(words!)■ Rule-governed■ Tied to literacy

Speech AND Language

Page 35: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 36: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Candidacy vs Participation Models

Do we look for particular prerequisite skills before we consider someone a candidate for AAC supports?

Page 37: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Candidacy vs Participation Models

Do we look for particular prerequisite skills before we consider someone a candidate for AAC supports?

“For individuals with congenital disabilities, AAC intervention is considered whenever a gap exists between the communication abilities of the AAC user and those of his or her peers.” - ASHA.org

Page 38: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

“"We have discovered increasingly that communication has only one prerequisite; it has nothing to do with mental age, chronological age,

prerequisite skills, mathematical formulae, or any of the other models that have been developed to decide who is an AAC candidate and who is not.

Breathing is the only prerequisite that is relevant to communication. Breathing equals life, and life

equals communication. It is that simple." - Mirenda, 1993

Page 39: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 40: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

David Beukelman

Just like a piano alone doesn’t make a pianist, nor does a basketball make an athlete, an AAC device alone doesn’t make one a competent, proficient communicator.

Page 41: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Key Implementation Strategies● Access to robust vocabulary● Vocabulary instruction● Creating opportunities● Meaningful literacy instruction

Page 42: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

AAC as UDL● Access to core

vocabulary● Visually represented

language● Quality strategies to

support language learning

Page 43: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 44: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Autonomy = Access

Page 45: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 46: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Supporting AT/AAC CollaborationPotential questions from administrators

Page 47: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

1.Why do we need both?

Page 48: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

AAC is Not Just Tech for Speech

● Communication is foundational● Specialized language support● It’s not about the device/tools

Page 49: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 50: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

2.Can you be an

expert in everything?

Page 51: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 52: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

10,000 hours Whoa! They say that’s how many hours of

practice you need to become an expert.

Page 53: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Outliers●An exceptional talent equals

an exceptional quantity of practice – 10,000 hours to be exact.

●Of course, what you DO in practice matters as much as, if not more than, how MUCH you practice.

Page 54: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Specializations

AAC for the SLPAAC is one of many specialties within the field. ● ASHA SIG 12 ● Preservice training● Potential specialty

certification

AT - RESNAAT is a broad field with many subspecialities● Seating & Mobility● Education● Workplace

Accommodations, etc.

Page 55: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

3.Can’t you just fix

everything?

Page 56: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Building Capacity

Page 57: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Expert One person holds all of the information. A large group of people rely on that person to bring their expertise.

Building Capacity

Capacity Those with knowledge teach others side-by-side. Allows for broader reach of knowledge. Lasting impact.

Page 58: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 59: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Eaton RESA Referral Process

Page 60: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

4.Can we afford this?

Page 61: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com
Page 62: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

What does the law say?IDEA 2004 requires IEP teams to consider the assistive technology needs of all children with disabilities. (20 U.S.C. 1414(d)(3)(B)(v))The IEP team makes decisions about assistive technology devices and services based on your child’s unique needs so that he can be more confident and independent. The law requires schools to use assistive technology devices and services "to maximize accessibility for children with disabilities." (20 U.S.C. 1400(c)(5)(H))If the IEP team determines that your child needs assistive technology devices and services, the school district is responsible for providing these and cannot use lack of availability or cost as an excuse.Note: Assistive technology is not a substitute for teaching your child to read and write. From : Wrightslaw

Page 64: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

On March 22, 2017, the U.S. Supreme Court issued another unanimous ruling in favor of children with special needs and their parents.Purpose of IDEA: Congress Acted to Remedy Children Excluded from School with Tragic Pervasive Stagnation

Justice Roberts noted that “[T]the broad purpose of the IDEA, an ‘ambitious’ piece of legislation enacted ‘in response to Congress’ perception that a majority of handicapped children in the United States ‘were either totally excluded from schools or [were] sitting idly in regular classrooms awaiting the time when they were old enough to drop out.’ . . . A substantive standard not focused on student progress would do little to remedy the pervasive and tragic academic stagnation that prompted Congress to act.” (Page 11)The Court emphasized that full inclusion is the primary standard with the “child progressing smoothly through the regular curriculum.” However, if the child is not fully included, then the school officials must look to the child’s unique needs to develop an IEP which is “pursuing academic and functional advancement.”

https://www.wrightslaw.com/law/art/endrew.douglas.scotus.analysis.htm

Page 65: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Let’s review some concepts

KnowledgeExpertise does not happen overnight. It takes time and effort to gain a full understanding of a field.

LawRequires consideration of all areas for FAPE to be in place. More and more lawsuits include references to access.

DevicesThis is an area of expertise in itself; whether it’s AT or AAC.This is also a very fast-changing field

CollaborationCollaboration makes for a richer, more thorough slate of supports for the student. Also ensures critical areas are not missed.

MoneyMore knowledge, more expertise, more collaboration = less mistakes = less money.Mistakes can be expensive.

CoachingTeach them to fish.Change the paradigms.Preach the gospel of AT/AAC.

Page 66: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

Thanks!Rachael Langley, MA, CCC-SLP, AAC Specialist [email protected] Pegg, MEd, COTA/L, ATP, AT Consultant [email protected]

Page 67: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

AA

C R

esources

Resources:USSAAC: www.ussaac.org ISAAC: www.isaac-online.org Project Core: www.project-core.comPrAACticalAAC: www.praacticalaac.orgAAC in the Cloud: http://aacconference.com AAC-RERC: http://aac-rerc.psu.edu/Center for AAC & Autism (LAMP Specific): https://goo.gl/dA9Yq4Technology & Language Center: www.talcacc.com

Page 68: Dynamic Duos! · Hello! Rachael Langley, MA, CCC-SLP, AAC Specialist RachaelLangleyAAC@gmail.com Robin Pegg, MEd, COTA/L, ATP, AT Consultant rpegg2014@gmail.com

AT R

esources

1. Assistive Technology Resourcesa. Accessible Instructional Materials

i. Accessible Educational Materials Guidelinesb. Website Accessibility

i. Guidelinesii. Accessible PDF Document Conversion - Snapverteriii. Closed Captioning in YouTubeiv. Labeling Pictures

c. Chrome basedi. Read & Write for Googleii. SpeakIt! Translation options for ESL studentsiii. DocHub PDF editoriv. Desmosv. EquatIO voice dictate math equationsvi. Google Voice Typing

d. IPadi. SnapType for Occupational Therapyii. Tiny Scanner Picture to a PDFiii. Notability More options than DocHubiv. ModMath free v. Magnetic ABC freevi. Pictello story making - step by step instructions

e. Something to think about - Augmentative/Alternative Communicationi. www.talkingaac.org ii. http://praacticalaac.org/