Improving functional communication skills in nonverbal children involves a systematic, evidence-based approach that replaces challenging behaviors with effective ways to communicate. The process typically follows these strategies:
- Functional Communication Training (FCT):
- Identify the Cause: A Board Certified Behavior Analyst (BCBA) conducts an assessment to determine the “why” behind behaviors (e.g., a tantrum may mean “I need a break”).
- Select a Replacement: The child is taught a specific communicative act—such as a sign, gesture, or picture—to replace the behavior.
- Provide Reinforcement: Therapists and family members provide immediate, rich reinforcement when the child uses the new skill.
- Utilizing Communication Tools:
- Picture Exchange Communication System (PECS): Teaches children to exchange picture cards for desired items, establishing the foundation of social interaction.
- Sign Language: A motor-based path for children who are motivated by imitation and visual learning.
- AAC Devices: Electronic tablets or speech-generating devices that provide an audible voice for non-speaking children.
- Vocal Imitation Training: Systematically reinforcing attempts to imitate sounds to shape them into functional speech.
- Natural Environment Integration:
Skills are reinforced during daily routines (like mealtime requesting) and play-based interactions to ensure the child can use their new “voice” across home, school, and community settings.