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Low-tech AAC encompasses non-electronic communication tools that do not require batteries, charging, or software. Examples include picture exchange systems (like PECS), communication boards and books with printed symbols, choice boards, visual schedules, alphabet boards, and sign language or gesture systems. Low-tech AAC is durable, portable, inexpensive, and always available — it does not break, run out of battery, or need Wi-Fi. Many AAC users benefit from a multimodal approach that combines low-tech and high-tech tools depending on the situation. For example, a laminated core vocabulary board might be used at the pool or playground where an electronic device could be damaged. Low-tech AAC is often the starting point for young children and can be introduced immediately without waiting for device funding.
Low-tech AAC can be implemented immediately at minimal cost while families wait for high-tech device authorization through Medicaid or waiver programs. Schools should provide low-tech AAC as part of the IEP at no cost to families.