A proposed framework for decision‐making for assistive communication technology support: many perspectives, but one common goal

Purpose: Some children with severe speech, language and communication needs (SLCN) can make use of assistive communication technology (ACT) to support and augment their speaking and writing. Different stakeholders may place emphasis on specific areas for ACT use, and this paper, therefore, proposes a framework for discussing and clarifying these varied expectations, using the ICF/ICF‐CY domains as a basis.

Design/methodology/approach: The authors discuss how the goal of increased participation for children helps all involved to keep in mind that, despite varying focuses for the use of ACT, it is the move towards increased involvement in life situations that will best drive our joint decisions and target‐setting.

Findings: Multi‐functional PC devices can support a range of communicative functions, including “chat”, curriculum support, play and leisure. Provision and use of ACT can, in consequence, have different focuses for different stakeholders (child, family, health and education staff), which can lead to disparate expectations around implementation of such technology.

Originality: A framework is proposed in this paper for an approach that hopes to offer a common understanding from which to discuss potential applications for ACT. This approach encourages equal value or weighting to each of the supports for inclusion and, therefore, encourages stakeholders to value their own priorities whilst considering others'.