What to do when a child is not yet symbolic?

We all encounter children who require AAC supports but have not yet shown consistent symbolic understanding or use.  In other words, these children are not yet using spoken words, word approximations, sign language, picture symbols or text-based communication. As therapists, we struggle to find the needed AAC system or strategy that will support communication growth.  Parents are critical as partners in this exploration. Not only is the AAC system or strategy need to be well matched to the child but the parents as communication partners need to be able to understand and use these strategies as part of family routines. Over the next several months, I will be posting some ideas for how to address communication for this population. Let me know if you have any questions about how best to serve these kids. And let me know what you think!