When a child has more to say than spoken words allow, the right communication support can open doors to connection, choice, and participation. Explore practical ways to use augmentative and alternative communication (AAC) in everyday child care, and consider Language Development in Early Childhood Buy Now $16.00 to strengthen your knowledge of verbal and nonverbal communication strategies for the children in your care.
Children communicate to request, refuse, comment, ask for help, share excitement, and connect with others. Spoken language is only one way to express meaning. A child may communicate through gestures, facial expressions, signs, pictures, sounds, or a digital speech-generating device. Recognizing these messages helps educators respond to the child’s intent rather than waiting for a spoken sentence.
When a child cannot reliably make themselves understood, ordinary classroom moments—choosing a toy, joining a game, or saying “stop”—can become difficult. Accessible communication tools can support agency and participation while helping adults and peers understand the child. A systematic review of AAC interventions for children from birth to age six reported improvements in expressive and receptive communication, functional communication, participation, and symbol use across different systems.
AAC does not need to be reserved for a last resort or an older child. ASHA notes there are no prerequisites for considering AAC, including with young children, and that AAC can support language development rather than prevent speech. Providers are not expected to diagnose or select a clinical system alone; they can notice communication needs, collaborate with families and qualified professionals, and make everyday environments more responsive.
Digital AAC tools range from simple recorded-message buttons to tablet applications that display symbols and speak selected words aloud. Children may tap a picture, combine symbols, or use a switch or other adapted access method. These tools can supplement spoken language or provide an alternative means of expression. They are communication supports—not simply entertainment or passive screen use—when a child actively uses them to share a message.
Technology is one part of a broad continuum. Some children communicate most effectively with gestures, signs, printed picture boards, or communication books; others benefit from a speech-generating device or app. A child may use different methods at different times or in different settings. Selection should be individualized with the child, family, speech-language pathologist (SLP), and, when appropriate, occupational or physical therapists or assistive technology specialists.
The Illinois Early Learning Project emphasizes that AAC should be individualized and available in everyday settings. The digital tool is most useful when it fits the child’s access needs and can travel with them through the classroom day.
Start by learning the system yourself, then model its use as you speak during activities the child already enjoys. For example, while playing with a wind-up toy, say “go” and select the matching symbol; during snack, model “more,” “drink,” or “all done.” The child does not have to imitate you or use the tool on demand. Repeated, meaningful exposure helps the child understand what the system can do.
Keep interactions warm and responsive. Pause after modeling so the child has time to notice, explore, or respond in their own way. If a child presses symbols without an obvious message, allow safe exploration rather than treating it as misbehavior. Communication systems are learned through use, and curiosity is part of that learning.
Do not use a device as a reward, remove it to manage behavior, or demand that the child “say it” with the app before honoring a clear request. A communication tool should expand the child’s access to interaction and choice.
Communication happens throughout the day, not only during a planned lesson. Build opportunities into arrival, meals, outdoor play, books, art, transitions, and peer games. Keep the device charged, protected, and within the child’s reach; also position it so the child can access it comfortably. A communication tool that is stored away or unavailable outdoors cannot support the child’s message in those moments.

Use a consistent set of useful words across activities, while making room for personal vocabulary such as a child’s name, favorite song, or preferred play material. Core words—including “go,” “stop,” “help,” “more,” and “finished”—can work in many contexts, while specific words add meaningful detail. Coordinate vocabulary and strategies with the family and SLP so the child encounters familiar language across home and care settings.
Peer participation matters, too. Invite children to take turns, make choices, and share messages during collaborative play. Adults can demonstrate how to wait, listen, and respond, helping peers understand that communication may look different for each person. For related professional learning, explore Effective Approaches for Autism and Inclusion Buy Now $55.00, which addresses communication, classroom adaptations, sensory needs, and family partnerships.
Families know the child’s communication history, favorite topics, home language, and successful routines. Ask what the child uses at home, what messages are especially important, and how adults recognize a communication attempt. Share specific classroom observations—such as when, how, and with whom a child communicates—rather than making assumptions about ability or intent.
With family consent, coordinate with the child’s SLP, early intervention team, or other relevant professionals. They can guide assessment, system selection, access methods, vocabulary, and partner strategies. The ASHA guidance on AAC in early intervention highlights the value of caregiver education and consistent communication opportunities across natural routines.
Directors can support this teamwork by providing staff orientation, planning time, a process for protecting and maintaining devices, and clear communication plans for substitutes and floaters. Keep records focused on observable communication and participation, and protect the child’s privacy when using photos, recordings, or apps. Child care providers should not diagnose; when concerns arise, discuss observations respectfully with the family and follow established referral procedures. State requirements vary - check your state licensing agency.
Even well-intentioned practices can limit a child’s communication if adults treat technology as a special activity instead of an accessible means of expression. A common pitfall is keeping the device in a cupboard or using it only during therapy. Another is asking a child to use the system correctly before responding, which can turn communication into a test and make access conditional.
Digital tools are not automatically effective simply because they are digital. Their value depends on access, meaningful vocabulary, responsive partners, and consistent use. Build in an offline backup and revisit the plan with the family and professionals when the child’s needs, interests, or abilities change.
Digital AAC can give children practical ways to express needs, ideas, preferences, and feelings when spoken words are not enough. Its greatest benefit comes when the tool is individualized, available throughout the day, modeled naturally by adults, and supported through family and professional collaboration. Communication can take many forms; each deserves a thoughtful response.
Begin with one routine: keep the child’s system within reach, model a useful word, and pause to make room for a response. These small, consistent practices can make classroom participation more accessible and help children feel heard. To deepen your professional practice, consider Language Development in Early Childhood Buy Now $16.00, and explore additional relevant training such as Recognize, Respond, Respect: Supporting Diverse Learners
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