A case study is presented to describe the development of augmentative and alternative communication (AAC) and literacy skills by a 9-year-old child, Thomas, who has quadriplegic cerebral palsy and a central vision impairment. Thomas's development and progress from birth to second grade is chronicled. Development and use of his AAC system also is described, along with activities for language and literacy development and his inclusion in a second grade classroom.
KEY WORDS: augmentative and alternative communication, auditory scanning, literacy, physical impairment, visual impairment
Submitted on July 20, 1993
Accepted on January 21, 1994
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