Understanding Complex Communication Needs (CCN)

Written By Sarah Giggs, M.A. CCC-SLP

Complex communication needs (CCN) refer to situations where individuals have difficulty using speech alone to effectively express themselves and understand others. This can be temporary or long-term, and affect people of all ages and backgrounds.

Who has Complex Communication Needs?

CCN can arise from various factors, including:

  • Developmental disabilities: Autism, Down syndrome, cerebral palsy, etc.

  • Sensory impairments: vision impairment, deaf or hard of hearing, etc.

  • Acquired disabilities: Stroke, brain injury, etc.

  • Genetic conditions: Angelman Syndrome, Rett Syndrome, Fragile X, etc.

  • Progressive disorders: ALS, dementia, primary progressive aphasia, etc.

  • Speech disorders: Apraxia, dysarthria, etc.

How do People with CCN Communicate?

People with CCN develop alternative ways to communicate. Individuals with complex communication needs exist on a spectrum, and communication supports are tailored to their unique strengths and interests.

  • Augmentative and Alternative Communication (AAC): This encompasses a wide variety of tools and strategies like pictures/icons, visual-tactile symbols, core vocabulary boards, battery operated devices that can speak pre-stored messages, speech-generating devices with robust vocabulary sets and alternative access methods (touch, switch access, eye gaze, etc.), and communication apps.

  • Gestures: Pointing, facial expressions, body language.

  • Vocalizations: Sounds and expressions used for communication.

Understanding CCN

Here are some key points to remember about CCN:

  • Receptive understanding: People with CCN may understand more than they can express.

  • Frustration: Difficulty communicating can lead to frustration. Be patient and use alternative methods.

  • Independence: AAC tools can empower individuals with CCN to express themselves independently.

  • Respectful communication: Treat everyone with dignity and respect, regardless of their communication method.

Additional Resources:

Sarah Giggs, M.A. CCC-SLP

Sarah is a speech-language pathologist (SLP) dedicated to empowering children to connect and communicate. With 15 years of experience and a certification from the American Speech-Language-Hearing Association (ASHA), she has a wealth of practical experience. Sarah's career has spanned both direct therapy in public schools and training educators in communication strategies.

Early in her career, Sarah discovered a passion for core vocabulary methods, a cornerstone of her practice. Witnessing the transformative impact it has on children, she advocates for these strategies to help all children find their voice, regardless of their communication needs. Whether working directly with children or supporting the professionals who work with them, Sarah remains committed to her mission: ensuring every child has the opportunity to connect and communicate with the world around them.

https://www.aactoz.com
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