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People with limited speech are an especially vulnerable population in any emergency or disaster. This document provides information about communication methods for people who are not able to use their natural speech to communicate. Most emergency personnel are not adequately prepared to communicate with people who are unable to rely on their natural speech.
If the person cannot point with a finger, hand or eyes, you can introduce a communication display (see right). This basic communication method can be used to identify the pain, hunger, physical and emotional needs of individuals who are unable to speak clearly. Augmentative and alternative communication (AAC) refers to a variety of methods that allow people to communicate when speech is limited.
Communication books, boards and displays enable people to point to pictures, symbols, the alphabet, numbers, words and phrases.

Communication displays are being used in emergency rooms, ambulances, ICUs, refugee camps, and in other emergency settings. Note: People who rely on SGDs also use non-electronic communication displays, gestures and some limited speech with family and friends, but require SGDs to communicate with most other people.
The Rehabilitation Engineering Research Center on Communication Enhancement (AAC-RERC) is funded under grant #H133E080011 from the National Institute on Disability and Rehabilitation Research (NIDRR) in the U.S.
This may include people with speech disabilities, individuals with cognitive difficulties, very young children, anyone under severe stress, people with significant hearing loss or anyone with limited English proficiency. People who have difficulty communicating need to have their communication tools with them at all times. Emergency personnel need some basic information and training so they are prepared to help people with limited speech. People who have difficulty speaking may also have difficulty understanding what other people are saying. If you suspect this is a problem, try using pictures, and ask the same basic questions during an emergency situation. Some are used to communicate during a particular event or in a specific location (such as a restaurant or church).

If individual is unable to point, partners can scan the board so they can construct messages.
These tools can help solve communication problems and support people who have difficulty speaking because of a disability, their age, confusion, and so on. It is a bilingual communication display (English and Spanish) and is also useful if someone is unable to read.
Electronic devices that produce speech output (talk) when a person selects letters, words, pictures or symbols.
However, most of these are customized by clinicians in consultation with the individuals who use them. People who have significant communication disabilities use them to express their feelings, ask and answer questions, communicate basic needs, talk on the phone, lecture, have conversations, send email, and so on.
Hawking uses his finger to activate a switch so they can access language on their individual SGDs.

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