Augmentative and Alternative Communication and Sign Language for Deaf+ Individuals.

With approximately 40-50% of deaf and hard of hearing (DHH) individuals also having a disability, complex communication needs are particularly prevalent in this population. Augmentative and alternative communication (AAC) systems can address these complex communication needs, support language acquisition, and facilitate communicative engagement. This article examines (a) the role of AAC in supporting DHH individuals with disabilities (DHH+), (b) the integration of AAC with sign language, and (c) the relevant considerations when assigning and implementing AAC for this group. The literature reviewed within this article specifically highlighted that effective implementation of AAC for DHH+ individuals who have complex communication needs may be improved by (a) increased diagnostic accuracy, (b) access to a first language, and (c) the development of standardized methods for AAC selection and implementation tailored to the individual.