Communication access to businesses and organizations for people with complex communication needs.

Human rights legislation and anti-discrimination and accessibility laws exist in many countries and through international conventions and treaties. To varying degrees, these laws protect the rights of people with disabilities to full and equal access to goods and services. Yet, the accessibility requirements of people with complex communication needs (CCN) are not well represented in the existing accessibility literature. This article describes the results of surveys completed by disability service providers and individuals with CCN due to cerebral palsy, developmental delay, and acquired disabilities. It identifies accessibility requirements for people with CCN for face-to-face communication; comprehension of spoken language; telephone communication; text and print-based communication; Internet, email, and social media interactions; and written communication. Recommendations are made for communication accessibility accommodations in regulations, guidelines, and practices.

Exploring communication assistants as an option for increasing communication access to communities for people who use augmentative communication.

This paper describes the results of a one-year intervention project that aimed to (a) learn about the communication supports required by people who use augmentative and alternative communication (AAC) when accessing their communities, (b) develop and implement a funded communication assistant service as an accessibility support option for people who use AAC when communicating in their communities, (c) evaluate the impact of the communication assistant service on community access for people who use AAC, and (d) make recommendations relating to the role of communication assistants as an option for increasing communication access for people who use AAC in their communities. Nine people who use AAC participated in this project. The findings suggest that the majority of participants experienced a range of communication barriers when communicating with people in their communities, and that the provision of trained communication assistants significantly increased (a) their ability to communicate and participate in their communities; (b) their feelings of dignity, empowerment, autonomy, and privacy, and (d) the quality of their community services. Unfamiliar communication partners reported increased satisfaction communicating with people who used AAC when a communication assistant was present. Implications and recommendations are made for the development of communication assistant services and further research.

Reducing the risk of sexual abuse for people who use augmentative and alternative communication.

To date little attention has been focused on the sexual abuse experiences of people who use augmentative and alternative communication (AAC) and on addressing ways to reduce their risk for this type of abuse. This paper describes the results of a 3-year project that aimed to: (a) learn about the sexual abuse experiences of people who use AAC; (b) provide educational forums and resources on topics relating to sexual abuse for adults who use AAC; (c) define implications in risk reduction for various community service workers who support people who use AAC (e.g., attendant service providers, abuse counselors, sexual health educators, police, victim assistance services, legal professionals, and health care professionals); and (d) make recommendations to parents, educators, service providers, and consumer advocacy organizations about their roles in reducing the risk of abuse for youth and adults who use AAC. The findings suggest that the majority of participants in this project have experienced a range of abuses including sexual abuse, lack information about healthy and abusive relationships, have no way of communicating about sexuality and abuse, and lack supports in their personal lives and from within the community-at-large that are necessary to cope with relationship difficulties and specifically problems associated with abuse and justice system services. These findings and implications are shared with the intent of highlighting the need for more research and attention to the issue of abuse prevention for people who use AAC.