Access Communication Ltd

Access Communication Ltd Elaine Mc Greevy (she/her)

Neurodiversity informed Speech and Language Therapist supporting the communication needs of Autistic children and young people and advocating for them to receive better understanding and support.

Nice recommendation for books at home - affirming authentic identity NeuroWild
28/05/2026

Nice recommendation for books at home - affirming authentic identity NeuroWild

It"s necessary that we learn more about spelling and motor based communication support. Lived experience and practice is...
27/05/2026

It"s necessary that we learn more about spelling and motor based communication support. Lived experience and practice is showing us already that this is what allowed some nonspeakers a route to autonomous communication.-.to say what they want.

Whether they stand at the extremes of “infallible autism therapy that uncovers secret powers in everyone” or “only delusional people buy the s**t they’re selling,” people at both ends of the facilitated spelling for nonspeaking autistics discussion refuse to see the evident but unsettled middle ground.

By Emily Willingham in the latest TPGA Newsletter, link in comments.



[image: Graphic with a turquoise background.

Text reads, "When it comes to Facilitated Spelling as a communication method for nonspeaking autistic people, we need rigorous research—not polemics, personal attacks, and problematic papers by ultraskeptics with conflicts of interest."

Underneath is a photo of a communication letterboard via .

Next, text reads, "by Emily Willingham
in the latest TPGA newsletter"

In the lower left corner, smaller text reads, "
tinyurl.com/FacilitatedTPGA"

The TPGA logo is in the lower right corner.]

Disabled Children's Partnership
25/05/2026

Disabled Children's Partnership

24/05/2026

Your child deserves to take up space in the world exactly how they are!
Neuromess

Super helpful video about Puberty for parents/carers of autistic young people
22/05/2026

Super helpful video about Puberty for parents/carers of autistic young people

Talking to children about puberty can feel daunting, and for many parents and carers of autistic children, starting these conversations can feel even harder.

Parents often worry about:

· saying the wrong thing
· how to discuss hygiene, body changes, and periods
· boundaries, consent, and safety

Dr Aimee Grant, who leads the "Autism: from menstruation to menopause" project at Swansea University, has recorded a video with 5 practical tips that can make these conversations easier, and has shared the tips above too.

Watch the video or share it with someone who might find it helpful! https://orlo.uk/2RqNI

NHS England Workforce, Training and Education

18/05/2026

Siblings have needs too
Kristy Forbes - Autism & ND Support

Thank you for sharing Hvppyhands  There is both heartbreak and hope in your story so far — the harm caused when communic...
18/05/2026

Thank you for sharing Hvppyhands
There is both heartbreak and hope in your story so far — the harm caused when communication is approached through compliance and deficit assumptions, and the transformation that becomes possible when autonomy, presumption of competence and neuroaffirming support are centred instead.

No family should have to fight this hard to access communication. But your advocacy, unlearning-learning, persistence and connection with community have clearly changed Ru’s world, and will help change things for others too.

I need people to deeply understand something about our AAC (alternative and augmentative communication) journey.

When Ru was younger, we were denied AAC by our autism public service branch because Ru would not use PECs (picture exchange communication system). Our service provider was using a compliance-based approach called pivotal response training, which is a form of ABA (applied behaviour analysis).

When I learned, in response to the very real harm I was seeing, about alternative methods, and suggested an AAC device for sensory reasons (she did not like the Velcro sound or feel from PECs binders), their response was that because my daughter could not master PECs, she was not cognitively present or competent enough to justify a higher tech device.

They also leveraged her comfort items for compliance and it gave her extreme anxiety about being in a clinical setting. It took us years to undo the damage that professional using an ABA approach did.

During the school shut downs that followed, I researched, purchased, programmed and implemented an AAC device myself. We had NO access to speech or OT (occupational therapy). Our service branch sent us a manilla envelope with play doh and a list of sensory activities and wished us the best. I advocated to the point of despair before realizing we were on our own, and I did what I needed to.

I decided to use Pro-Lo-quo2go on an iPad. I poured hours into researching best practices for AAC introduction, modelling, and use. I found groups of AAC users (like Ask Me, I’m an AAC User, and apraxic advocates) and asked so many questions. I found neurologically affirming speech and occupational therapists who put their work out into the world like sunshine. I reached out to advocates who understood the unique barriers nonspeakers face. I unlearned what I knew, and instilled an approach within my home that deeply honoured Ru’s autonomy and existing communication. I made comics as I learned, to share this knowledge with others.

During this time I realized Ru was reading and interpreting abstract symbols. I remember the moment I realized this, and the joy we shared.

We were on our way to an outdoor swimming pool and I had programmed in a concrete symbol AAC selection with a picture of our community swimming pool and the words ‘we are going to the pool’. We practiced it and got very excited. While we were driving to the pool she didn’t select this symbol. She selected an abstract symbol with three wavy lines and the word ‘swimming’.

This moment cemented something I already knew. Ru is competent. Assessments are not accessible to Ru. I saw the window of circumstances in which she could express herself easily (driving in the car, a place where she feels safe and self-regulated) and I KNEW that what we had been told about her ability and understanding was wrong.

We discovered the spelling community and motor-based communication methods after this realization, and everything was else fell into place. There are other children and adult nonspeakers who could explain their experiences. Ru and I watch them together. I tell her that I trust in her ability to know what she needs and express herself. I tell her that someday we’ll meet people who spell too, and that we, together will not stop fighting until people understand that she, her friends and her community understand and can communicate.

We have lived in service deserts. We arguably still do. We live in a province in which these services are defunded, underfunded, and largely unavailable. Seeing people in places where these services are available gives us hope. It makes us feel less alone in fighting so hard and so long for something that every nonspeaker deserves access to: neurologically affirming supports. Supports that presume competence, multi-modal communication options. AAC support, spelling and motor-based communication support. Professionals who do not see a nonspeaker's motor-control challenges and assume there's nothing more to know. People who are willing to see the harm that deeply entrenched methodologies have done to these communities, LISTEN to those most affected, and become allies in the fight for communication justice.

I became an educator because I want to work within the system to bring these resources and this understanding to others. Due to the extent of my advocacy work, I have largely been locked out of this role since I graduated last year, but I will not give up. I have escalated an advocacy request in my local teacher’s union. I will not give up until I am where I need to be.

As for Ru, for the first time in our 8 years of autism support services we recently gained access to a speech pathologist who recognized Ru’s multi-modal communication ability, and is willing to learn more about motor-based communication. This is a first in all our time advocating through Hvppyhands that we have found a professional IN PERSON who is willing to see what we see and do the same.

When I say we need access to best practice, I mean that we haven’t had access. We have been alone in this until very recently, but for this beautiful community from around the world who understands and sees us.

For those who have been here while we search, learn and hope, thank you. Brighter days are ahead. We will never give up until children in our community have access to these vital, communication, understanding and life-affirming resources 💛

Pictured is Ru hoop-maxxing at an appointment with our wonderful new neurologically-affirming, autonomy respecting, best-practice aligned speech pathologist.

Honouring No - necessary for curating felt safety, emotionally safe relationships and environments.Via Inclusive Schooli...
15/05/2026

Honouring No - necessary for curating felt safety, emotionally safe relationships and environments.
Via Inclusive Schooling

"Respect the NO!" - Otto Lana

Otto always reminds us the importance of respecting students' bodily and intellectual autonomy, authentic communication, and neurological safety. That's why teachers need to understand - sometimes refusal is the only way a student can feel neurologically safe! 💡

Embodied communication and meaning making.Thank you for sharing N of 1
15/05/2026

Embodied communication and meaning making.
Thank you for sharing N of 1

All Communication Counts: “5 Little Ducks Went Out One Day”

(a link for substack of the following writing is in the comments)

In years past, the focus for disability supports was weighted towards the idea that my nonspeaking son would be ‘taught’ to communicate according to the plan of others.

In 2020, I learned a different way to support my son’s delayed echolalic language (gestalt language) by honoring it as full communication.

This echolalia is a language that is “borrowed” from the environment, a line from a song, a book, or a comment overheard.

It is a language that can be nurtured rather than something to push through.

I first began changing how I talked to him, moving away from diverse short sentences that I had been taught to do.

It appeared that he wasn’t listening to me in the beginning, with his pacing and walking about.

Over months, it gradually became apparent that he was noticing my offerings of predictable streams of language, when his fleeting glances came my way.

The language I offered him was infused with bits of language from songs he loved and familiar family sayings.

Then he began to occasionally repeat the familiar patterned language he heard, sometimes hours, days, and months later.

At one point about two years in, he began to randomly verbalize some delayed echolalic gestalts, up to 10 times in a day.

Many of those gestalts were also audio-recorded and video recorded with the familiar voices of loved ones into his high tech AAC device so he could explore them anytime he wanted.

I managed to randomly catch two of his spoken gestalts in home videos. Those were programmed into the alternative augmentative communication (AAC) device so he could hear his own voice too.

Then we heard his rare spoken words directly pulled from those gestalts, and even rarer, a new combination of those words.

At that point, we tried once again with using icon based AAC vocabulary, in the conventional way, so that he might communicate according to the plan of others.

In meaningful moments, I tried sensitively showing him in the AAC language system again how to pull up a word and combine it with another word to make self generated phrases.

His responses to this renewed conventional AAC modeling were mostly neutral; he had seen it before many times in the past.

He expressly preferred, if using high tech AAC, using his programmed videoclips and with his recreational ipad songs to communicate.

Then he hit his teens.

The physical changes of growing up and health challenges caused him to become quieter.

He pushed away his high tech AAC, and then pushed away his recreational ipad.

One day he even put his AAC ipad and recreational ipad on a shelf out of my reach.

I respected his decision to not use high tech technologies because AAC is fundamentally not just an electronic tablet, or even just using “words”.

In the same circles where I read about how to support delayed echolalic language, it led me to information in other circles about supporting more expansive communication, particularly for people with physical and/or intellectual disabilities.

Through that learning, I worked on strengthening my observations and responses to N’s expressive communication that was not words, but rather “embodied” communication.

This has helped keep N’s confidence as a communicator going, and with people consistently showing up, listening, and responding he becomes a stronger communicator every day.

His health challenges have now stabilized with daily medical intervention, and he feels better.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

All the learning I did in the spaces where communication and intellectual disabilities were openly discussed, it gradually began to lay bare something that was in the back of my mind.

It was a growing understanding that N had cognitive disabilities, and those had not ever been ‘officially’ addressed nor supported, and needed to be.

So, this realization along with many other additional reasons, we decided to get N evaluated to see if he had an intellectual disability.

He does indeed have an intellectual disability.

We don’t see his intellectual disability as “bad” or somehow “inferior”, it is just a part of who he is.

It also helps better plan for supports, adaptations, and accommodations that he needs to access communication, education, and to thrive in life especially as he grows into adulthood.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Recently, we had some inclement weather and N was restless.

I got on a stepstool and pulled the recreational ipad from off the high shelf where he put it.

I pulled up the Spotify app, and offered it to him for listening to music.

He was happy to oblige and let the melodies soothe him.

A couple days later, with a refreshed interest in the recreational ipad he was listening to Spotify and played the children’s song “5 Little Ducks” on repeat.

”Five little ducks went out one day, over the hill and far away.”

Sometimes when he plays media on repeat, it can mean he is thinking about something in particular.

I paid attention to the little colorful video display for the song with little yellow ducks walking in the outdoors.

I leaned over and listened to the song with him, and softly sang along.

Then I got to singing along with the words, “went out one day”.

Right then, N looked up at me with a prolonged fixed eye gaze, and then quickly went to get his shoes.

This embodied communication in response to the language in the song made it clear that he was ready to go out!

It was a beautiful afternoon so I took out a photo album that we use for low-tech communication.

I opened the photo album and asked “shall we go to (-name of the park-)?”

He looked at the photo and tapped it.

This tapping with his hand on choices given is his indication of “yes”.

When his answer is no, he will push it away, or remain still and silent.

If he had pushed it away, or remained silent, I would just flipped to the next photo, and then the next, until he selected the one he wanted.

We went to the chosen park.

He enjoyed watching some sprinklers, and of course some ducks too.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Some may think that using a children’s counting song to communicate is too simple and rudimentary for a teenager.

However, all of N’s communications are wonderfully layered and reflect his own preferences, strengths, creativity, and abilities.

Some people say that N’s communications don’t count, and try to steer him to how *they* want him to communicate.

N clearly wants his communication to count, he has always wanted it to count (and no one listened for a very long time).

He wants to count it all!

His use of the image of ducks walking outside is communication.

The idea from the song of a mother and a child outdoors together, is communication.

The peppy rhythm of the music conveying the energy of walking at a quick pace is communication.

The words, the printed text from the song convey, “went out one day”, “over the hill”, and “far away” are communication.

His embodied communications, the fixed eye gaze, and the using his hands to tap a photo to indicate a, “yes, that is what I want!”, are communication.

The use of his shoes as an ‘object of reference’ to request leaving the house is communication.

The use of a photo album with partner assisted scanning to clarify where he wanted to go is communication.

And there are people who will still insist that it does not count, that it is “sub-optimal” or “unreliable”.

But N knows this about himself all too well:

His communication is complete and whole, and creative, it is spontaneous, it is optimal, it is complex, it is reliable for *him*.

And it all counts.

(visual description: screenshot photo from Spotify app of song “5 Little Ducks”, little yellow ducks are walking in a line in the grass)

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