An Effective Strategy For Using an AAC Device: Modeling

Patrick McLean

Patrick McLean

Patrick McLean serves as Administrative Director and Co-CEO of Chicago Pediatric Therapy & Wellness Center, a comprehensive pediatric therapy practice he co-founded with his wife Rose in 2014. With over a decade of healthcare business leadership, Patrick has transformed their vision of coordinated, family-centered care into a thriving multidisciplinary clinic serving families throughout Chicago. After graduating from Western Illinois University in 2004 with a Bachelor's degree in Business and Finance, Patrick developed expertise in healthcare operations, strategic planning, and organizational growth. His business acumen combined with a deep commitment to serving children with developmental needs has positioned Chicago Pediatric Therapy & Wellness Center as a trusted resource for families navigating speech delays, sensory processing challenges, autism spectrum disorder, motor delays, and behavioral concerns. As Co-CEO, Patrick oversees essential operational pillars including marketing and community outreach, human resources and staff development, financial management and insurance coordination, and long-term business strategy. His leadership has enabled the clinic to expand from offering single therapy services to providing integrated physical therapy, occupational therapy, speech therapy, ABA therapy, and social work—all coordinated under one roof for maximum family convenience and clinical effectiveness. Patrick's management philosophy centers on creating systems that empower both staff and families. He has built a culture of collaboration where therapists from different disciplines communicate seamlessly about each child's progress, ensuring holistic treatment plans that address the whole child. His proudest moments come from witnessing families' journeys—from initial concerns through celebrated milestones and hard-won achievements. Beyond his professional role, Patrick brings personal perspective as a father of four children. He actively coaches his kids in various sports, enjoys creating barbecue masterpieces on his smoker, and values connection time with friends on the golf course. This balance between professional purpose and family life reinforces his understanding of the families Chicago Pediatric Therapy & Wellness Center serves every day.

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If your child uses an augmentative and alternative communication (AAC) device, chances are you have heard about the importance of modeling. Modeling, aided language stimulation (ALS), natural aided language, aided language modeling and partner augmented input (PAI) all refer to the same thing: providing the AAC user with language models using their communication device.

Think of it this way: Handing your child a communication device and expecting them to use it proficiently is like buying a grand piano for your child and then asking them to play Mozart. AAC users need exposure to their language systems, just like young verbal communicators need to hear a word many times before using it.

Modeling seems like a no-brainer and there is plentiful research supporting its use, but what does everyday aided language stimulation actually look like? Below are some answers to common questions regarding AAC usage and modeling.

1) What Does Modeling Look Like?

It looks a lot like selecting words on the AAC user’s device while simultaneously talking. For example, you might say, “let’s read a new book” while selecting “read” or “read book” on the device. Focus on key words, even if it is not grammatically correct.

2) How Long Should Models Be?

The goal is for models to be 1-2 words above the average length of the AAC user’s spontaneous utterances. If the AAC user consistently uses the system to communicate single words, aim to model 2-3 word combinations on the device. As the AAC user becomes more proficient, your models will become more sophisticated (think: pronouns, adjectives, grammatical markers). You do not need to model every word that you say! To start, keep the models short and simple. Simple = more uses and more uses = success!

3) How Often Should I Be Modeling?

Ideally, it recommended to partner augmented input in 70-80% of daily activities. Is this realistic? Probably not, especially not in the beginning stages of AAC use. Remember though, some modeling is better than none at all! Start by modeling during 1-2 familiar daily routines, like eating breakfast, getting dressed or walking to the park.

4) Should I Have The AAC User Imitate My Models?

No. The point of modeling is to expose the AAC user to as much input as possible without any expectations placed. They do not need to imitate your models,

although it would be great if they did! It is important to pause after your models to provide an opportunity for the child to communicate.

5) What If I Make Mistakes When I Am Modeling Or I Can’t Find The Word I’m Looking For?

Mistakes = learning opportunities. If you select the wrong word, go back and try again. Communication breakdowns happen all the time. Modeling use of language repair strategies is just as valuable as selecting the intended word in the first place.

Searching for a word is another learning opportunity. Talk out loud, explain your thinking and have your child watch as your navigate through pages. For example, you might say, “I’m looking for penguin. Let’s go to groups, animals, zoo animals. Nope, not under zoo animals, let’s try birds. There it is! Penguin!”

Final Thoughts

Remember, aided language stimulation does not need to be perfect in order to be effective! It will also show your child that they do not need to be errorless when using their own device! Do you have more questions about modeling with AAC? Are you looking for additional AAC training and support?

Contact the pediatric specialists to have an assessment with one of our speech and language pathologists at Chicago Pediatric Therapy & Wellness Center at 773-687-9241 today! If you think that augmentative communication may benefit your child, we can help with an assessment to determine which device may be right for them!

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