We are all different and we have our individual communication accessibility requirements. Our accessibility requirements depend on many factors including our personal preferences; the type and severity of the speech and language disability we have; our daily activities; the people with whom we communicate and whether we need and want to use the telephone, email, internet, and social media.
In addition to having people in businesses and organizations who know how to communicate with us, communication access may include the following services and supports:
- Communication boards and devices
- Funding for communication services and devices
- Trained communication assistants
- Computers that may have adapted switches and/ or keyboards
- Access to the internet for information, education and employment
- Communication services (e.g. Augmentative Communication; Speech Language Pathologists; Occupational Therapists and Technology Services)
- Seating services
- Attendant services
- Technical support to keep our devices in working order
Read about our communication access profiles
I have cerebral palsy, which affects my speech, balance and muscle coordination. My physical movements are jerky and involuntary; one body part or another is in constant motion. My left hand has some function, while my right hand is generally in a tightly clenched fist. I am not able to walk without support and my speech is difficult to understand.
My inability to walk independently is fairly easily accommodated with a small electric scooter for indoors, a large one for outside and a manual wheelchair for backup.
However, my speech impairment is far more disabling and isolating at times, and is more complex to accommodate, depending upon the situation. With family and close friends familiar with my unique speech pattern, I need to repeat only the occasional word to be understood when I am speaking. My speech disability disappears as I use the following tools for working and writing:
- Computer with webcam, speakers and headset
- Silicone keyboard
- Adapted joystick
- Wrist pad
- Sticky Keys (Keyboard accessibility feature available in Microsoft Office)
- WordQ (word prediction software)
- TextAloud (text-to-speech software)
- Various online communication tools (e.g., email, Facebook, Twitter, Skype)
It is when I am out and about that I run into barriers while attempting to communicate. Some people assume that I am cognitively or hearing impaired and they talk down to me, start gesturing or writing notes. Other people don’t even speak with me; they talk to someone else who may be with me or they even ignore me.
My communication access requirements for telephone and face-to-face interactions include:
- My voice
- Electric typewriter (for quick notes typed at home in advance)
- iPad Air
- Proloquo4Text app (text-to-speech app)
- Alphabet card (for low-tech back up)
- A trusted person to:
- make phone calls for me (e.g., to make hair and medical appointments)
- assist with phone calls when I am needed on the line for security reasons (e.g., to activate a new credit card)
- accompany me when communication is critical and when using my iPad might not be fast enough (e.g., appointment at the bank; medical appointments; trips to the ER)
Even with these communication tools and strategies in place, I still require accommodations from the person I am attempting to communicate with; after all, communication takes two. Regardless of whether I am patronizing a business, seeing my doctor or being treated in hospital, communicating at a public event or inquiring about my credit card over the phone, I require the following in order to effectively communicate:
- to be respected and acknowledged as competent and capable
- to be directly spoken to
- to be given time to convey my message using one of my methods, whether that is by using my voice, my iPad or having a trusted person translating what I am saying
- to be given extra time to allow for communication, which is especially important during any critical appointments (i.e., healthcare, legal and banking)
- Assistance with personal services from attendants trained in how to communicate with me and how to set up my communication device
- Electric wheelchair for going to local stores
- Manual wheelchair for everything
- Seating services for seat and back cushions
Work, writing and connections
- Computer with speakers
- Speaker phone
- Sticky Keys
- Zoom text with reader
- I work primarily from home. I get support from an employment support person around exam times. This person picks up the exams from college and reads them to me then returns them to the college. This person also accompanies me to any meetings or training sessions I need to attend.
- My own voice
- Eco2 (speech generating device)
- Word board
- Human assistance when communicating in critical situations
- Assistants (attendants / friends) speaking out what I am saying or pointing to on my board.
- Handsfree phone with large buttons. I dial it with my nose!
- Mobile phone – I use my speech generating device (ECO 2) to text to my cellphone.
- For telephone communication, I try to have as much of the information ready as I can. That way my communication assistant (attendant) is well prepared. Most places are fine about communicating with an assistant. I find financial institutes, such as credit card companies, are the worst. Due to their privacy policies they don’t understand the idea of an assistant and they won’t allow us to use a speaker-phone. Most of the time I’m forced to go into my bank and have them deal with things in person.
- Email, Facebook, Skype, Google hangouts and Twitter
- Speech Language Pathologists who have training in AAC
- Technical support from AAC technologists
- Occupational therapists who have training in AAC
- Funding for face to face and written communication devices
- Door openers to my apartment that I can operate from my wheelchair.
- I turn on/off lights using regular light switches. My friend has rigged lamps to work with switches.
Alert call systems for emergencies
- I use Safe Guard. I wear a button on my wrist. When I press it, it alerts staff.
- I need accessible cabs and a reliable para-transit service.
My name is Steve and I am the longest living person with ALS in North America.
Most days I can be found at my computer day trading stocks and options. What remaining time there is I spend collecting art, emailing friends and taking courses with the subject matter being something that I know little or nothing about. I’m a busy guy who loves life!
As a quadriplegic and a person who cannot speak, I reside in a specialized and complex care unit within a Toronto area hospital.
I am extremely fortunate to be surrounded by some skilled and dedicated staff members. When combined with the support of family and friends I am well looked after. I do, however, require a custom fit manual wheelchair to sit in for all of my daily activities.
Perhaps the most difficult challenge that I face is finding properly trained people to escort me outside of the hospital as the hospital staff cannot accompany me on non-medical “escapes”. Almost always I require the use of an over-priced wheelchair accessible taxi to get from point A to point B and back again.
The hospital staff get me out of bed, perform my daily hygiene and dress me. They are then required to position me at the computers wherin I begin my workday.
I have a specialized computer that is controlled by my eyes. The selection process for this type of computer was greatly assisted by the technological expertise of my augmentative communication clinic. Their support is ongoing. I use the eye-controlled computer for just about everything.
My other computer is controlled by slight movements of my knees pressing against an ultra-sensitive switch. Relative to the Eyemax this is an extremely slow process as I am using a modified scanning application. I use this computer for displaying stock charts, watching DVD’s and storing critical documents in its memory.
When not stationed at my computers I have two methods of communicating. The first is with my eyes. It requires a certain amount of time to understand my eyes but for those who become proficient it is a technique that works very well. The other communicating process is decidedly low-tech. It utilizes a rigid piece of cardboard with rows of letters and numbers on it. The person that I am attempting to communicate with simply points at the beginning of a row on “The Board” and if the letter or number that I seek is in that row I will blink. If I do not blink the person points at the next row. When I do finally blink the person starts to point at the letters and numbers that are in that particular row. When the letter or number that I seek is pointed at I blink again. This slow and tedious but necessary process is repeated until the word is spelled or correctly guessed.
If a phone call is required I will write an explanation of what I would like to say and ask someone to make the call on my behalf. If the call is confidential I will ask a family member to do the deed.
When communicating with me:
1) Be patient.
2) Pay attention.
3) Have an open mind. Don’t attempt to force your communicating preferences onto me.
4) Overcome technology phobias.