Safeguarding People who use Augmentative and Alternative  Communication (AAC) from Sexual Abuse / Victimization

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Abuse Counselors and Psychotherapists

Speak Up brought together counselors and psychotherapists who work with adults who use AAC in order to identify ways to extend these services for AAC users.

Focus Group Members
Service Needs
Guidelines
Resources for Abuse Counselors and Psychotherapists:



Focus Group Members   [Top]

Carole Baker

Counselor, Sherbourne Health Centre

Wyll River

Counselor, Breakaway

Nancy Martin

Social Worker, The Anne Johnston Health Station

Aaron Shelbourne

AAC User, Speak Up Project

Tony Diamanti

AAC User, Speak Up Project

Fran Odette

Sexual Health Educator, Speak Up Project

Jake Pyne

Sexual Health Educator, Speak Up Project

Barbara Collier

Project Coordinator, Speak Up Project


Service Needs   [Top]

  • Most counselors do not receive information through academic training or professional development on issues related to disability, sexuality, and abuse. As a result, counselors may lack an understanding of the vulnerability and issues in supporting AAC users during therapy.

  • Counselors are not trained and may have limited experience communicating with AAC users. In addition, most counselors do not have access to vocabularies that they can use to support AAC users during counseling.

  • Many counseling services are not accessible and do not accommodate the needs of AAC users.

  • The therapeutic process may need to be modified for application with users of AAC. Traditional “language based” counseling approaches may create barriers for AAC users due to a heavy reliance on language. Counselors may not be familiar with or received training on models of therapy that would meet the needs of AAC users.

  • AAC users require a range of counseling services – advocacy, therapy, problem solving, information etc.

  • AAC users are not informed about what counseling services can offer them.

  • Range of services including addiction services cannot be fully utilized by AAC users.

  • Counselors are typically not involved in preventative models including wellness; anger management, stress management for AAC users.

Guidelines for Counselors and Psychotherapists Working with People who Use AAC   [Top]

  1. Counselors should have information/training on issues relating to sexuality and abuse for people who have disabilities.

  2. Counselors should have information on how to communicate with a person who uses AAC, the range of physical and communication accommodations required and where to get support services when working with clients who use AAC.

  3. Service agencies that provide counseling should accommodate the accessibility needs of AAC users in all aspects of their work. In cases where physical accessibility is an issue, agencies should investigate innovative partnerships and outreach services.

  4. AAC users need information about the types of counseling services provided and whether counselors have experience and training in disability and AAC.

  5. Agencies need to provide accessible information about their services to AAC users with limited literacy skills, and those who cannot turn pages or access the internet.

  6. AAC users and/or counselors should have access to word / picture symbol vocabularies which include items that are specific to abuse counseling needs (i.e.) feelings, abuse, legal issues, conflict, discrimination, and sexuality.

  7. Counselors should be informed of community resources for AAC users, know when and how to advocate on behalf of an AAC user, and how to support AAC users in decision making etc.

  8. AAC users need access to the full range of services including addiction services.

  9. In order to meet the diverse needs of AAC users, counselors should also consider non-language-based techniques, e.g. focusing, EMDR, bodywork, expressive arts, meditation, sand trays, painting, clay, art, drama, music, movement.

  10. Counseling services may include therapy, advocacy, provision of information, navigating health and wellness services in the community.

  11. Counselors could play a significant role in improving the mental health and wellness of AAC users.

Speak Up Resources to Support Recommendations for Counselors and Psychotherapists    [Top]

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