Research and intervention to improve institutional structures for adult AAC users

Abstract

In order to promote the establishment and implementation of AAC in facilities for adults with complex communication needs, this study examined: which binding institutional and network structures contribute to the establishment and implementation of AAC, and how AAC can lead to more self-determination and participation in assisted living and sheltered workshop facilities. Additionally, the research examined how a service center, where AAC users give peer advice, can support this process. In order to achieve triangulation, expert interviews, participatory observations and a group discussion were conducted. The definition of the categories is based on the participation model by Beukelman and Mirenda and the International Classification of Functioning, Disability and Health (WHO). The main factors for the successful implementation of AAC are awareness, knowledge, and institutional structures and structural parameters. The results led to recommendations for the implementation of AAC in living and working facilities for adult AAC users.