Hi-

I wanted to amend what I wrote earlier-

There are some clients/families who truly are non-compliant, and who don't
follow through.  But
I think there are a whole subtle range of reasons why an SGD might not be
used, which doesn't have to do with compliance.

I no longer provide direct services, but when I did, one of my biggest
challenges was finding AAC professionals who could serve my remote
clients... (I was always worried that people might not be having success
with a device, simply because they weren't getting enough support with it.)

Margaret Cotts

-----Original Message-----
From: xxxxxx@xxxxxxxxxxxxxxxxxxxx
[mailto:xxxxxx@xxxxxxxxxxxxxxxxxxxx] On Behalf Of Margaret Cotts
Sent: Wednesday, November 03, 2010 7:15 AM
To: xxxxxx@xxxxxxxxxxxxxxxxxxxx
Subject: RE: Voice Banking

Hi Erin-

Erin, as an aside, (and these are just my personal feelings), I always feel
a little nervous when people use the term "non-compliant". I think there are
a lot of reasons why AT/AAC gets abandoned, and non-compliance is only one
part of it.

I remember once visiting a very remote client, with a very dysfunctional
family.  It had been mentioned at clinic that she was "non-compliant" using
her power chair. I did a home visit, and it turns out the wheelchair
wouldn't fit through any of the doors inside her home. It wasn't that she
was non-compliant- it just wasn't feasible for her to use the wheelchair
inside.
-------

I personally don't believe that there is a link between having your voice
banked and successfully using a SGD. (The only link that I can  think of is
that people who follow through with the voice banking tend to be much more
pro-active and more computer savvy, and people who are more pro-active and
computer savvy might tend to do better with an SGD.)