You are here

Long Term Therapy Support to Use AAC by an Adult with Anarthria following a Stroke

Practice Report
  • Nicola Hayton (Sheffield Health and Social Care Foundation Trust)
  • Tracey Hadfield (Sheffield Health and Social Care Foundation Trust)

To share our experiences of supporting an adult to develop his use of AAC and computer skills through a case study.


Motivation of the user, adaption of the system, regular and long term assistance. This support enabled the development and monitoring of his progress and additions as necessary.


The results are that with a long term investment of ongoing therapy, the client is now able to get the most appropriate use out of the system. His interest, motivation and relationships have all improved. Following The Francis Report, the standards of this support has enabled him to have improved control over his care. Looking at the cost effectiveness, the majority of the input has been through an assistant speech and language therapist who could call on the specialist speech and language therapist when needed. Therefore, the investment in the technology has reached its goal without high cost therapy time, but supported assistant time.


When I first met this client, not long after his CVA, I could never have predicted how far he would come. He is a very traditional man; he and his family had a massive traumatic change to cope with and adjust to. The use of technology to communicate was always there for him through his rehabilitation. He has also always used a spelling chart as a backup. The investment of therapy time and flexibility of the support has enabled this client to achieve things that even he would not have imagined and, while he lives in the nursing home, the outside world is available to him through the internet and to express his feelings and views effectively.

Level of Session 
Age Group