Alternative and augmentative communication (AAC) is recommended for patients with what level of verbal communication?

• A. Limited verbal communication
• B. No communication impairment
• C. Advanced fluent speech
• D. Only sign language users

Answer: (A)

When spoken language isn’t enough to convey needs, thoughts, and information, using alternative ways to communicate becomes essential. AAC provides these other channels—like symbol boards, gesture systems, or speech-generating devices—so a person can express themselves even if their verbal output is limited. This supports effective participation in daily conversations and activities, improves intelligibility, and reduces communication frustration.

It isn’t typically indicated for someone who has no communication impairment because they don’t need additional supports to communicate. It isn’t mainly for someone with advanced fluent speech, since their natural speech already conveys their messages clearly. And while sign language users can benefit from AAC in certain situations, the core situation where AAC is most needed is when verbal communication is limited, making that option the best fit.