AAC Research and Innovation

Project AAC for ALL

Project AAC for ALL is co-directed by Drs. Gloria Soto and Nancy Robinson in the Department of Speech-Language and Hearing Sciences and funded by the U.S. Department of Education, Office of Special Education Programs from 2021-2026, grant number H325K210005. AAC for ALL addresses the shortage of professionals in speech-language pathology and special education to meet the linguistic, academic, and social needs of an increasing number of children with disabilities who have a home language other than English, and benefit from various types of Augmentative and Alternative Communication (AAC).  AAC for ALL will enroll 12-13 scholars annually who are current graduate students in the Departments of Speech, Language and Hearing Sciences and Special Education for a total of 50 scholars over 5 years.  Scholars receive scholarships and complete an interdisciplinary program over 3 semesters that includes specialized coursework, clinical and fieldwork experiences; service-learning; and internships or student teaching. Upon completion of AAC for ALL, scholars will receive the AAC Graduate Certificate from the SF State Graduate Division in addition to their respective Master’s Degrees and Credentials.

AAC For All

Project AAC for ALL Innovations

Through the development of Project AAC for ALL since 2021, SLHS faculty and Project AAC for ALL scholars have started developing many innovations to expand AAC services for bilingual students with complex communication needs and their families in the SF Bay Area, CA and international locations. Featured Project AAC for ALL projects are highlighted below.

Students Collaborating on a couch

International service-learning is a key component of Project AAC for ALL to immerse scholars in diverse cultural and language experiences.  Partnership with the non-profit Nika Project began with Project Building Bridges in 2019 when scholars traveled to Malaysia and Bali with the Nika Team Mentors, volunteer speech-language pathologists, special educators, assistive technology specialists and others who collaborate with global partners to advance communication and learning, including AAC.

 In spring 2022, Project AAC for ALL formalized our partnership with the Nika Project, launching a course to prepare scholars for international travel and collaboration, focused on culturally and linguistically affirming AAC program development with international partners. Experiences include both online collaboration and in-person travel to international locations for 2 weeks each summer and highlights are included below:

NIKA Project and AAC for ALL Partnership Spring and Summer, 2023

For the second year, AAC for ALL scholars enrolled in SLHS 881: Interprofessional Internship in AAC to prepare for travel to Cambodia in the Spring Semester. In late June and July, 12 SLHS and SPED graduate students involved in Project AAC for ALL, traveled for two weeks to Phnom Penh, Cambodia with a team of mentors in partnership with the NIKA Project. Our students worked alongside local teachers and other school professionals to create and implement Khmer communication systems and supports in two schools for students with significant disabilities. See the links to the Project Cambodia Panel Presentation and Recording below:

NIKA Project and AAC for ALL Partnership Spring and Summer, 2022

Beginning in spring 2022, AAC for ALL scholars enrolled in SLHS 881: Interprofessional Service Learning in AAC to collaborate with several international partners online including teams in Dubai, Saudi Arabia, India, Malaysia, Nigeria and Peru and to prepare for international travel to Cusco and Iquitos in Peru and Trivandrum, India for two weeks in July 2022. See Nika Project Outcomes for Scholar reflections.

Learn more about the Nika Project course and international travel to Peru and India in our ASHA Presentation, 2022.

Collaborating Across the Pacific (CAP) Academy, Spring, 2021 and Fall-Spring 2021 and 2022

During the Pandemic years in 2021 and 2022, Project Buidling Bridges scholars and AAC Certificate candidates participated in a series of online collaborative sessions with Pacific Teachers located in the Federated States of Micronesia and the Republic of the Marshall Islands in partnership with the University of Hawai`i Maternal and Child Health Leadership Education in Neurodevelopmental Disabilities. Through ZOOM, team members shared cultural backgrounds, learned about family priorities for their children with disabilities and identified potential resources in the context of island cultures.

Learn more about the CAP Academy in our ASHA Poster and AUCD Presentation, 2022.

NIKA Project Partnership with Peru and India online, Summer 2020, Spring and Summer 2021

Plans were well underway for 13 Project Building Bridges scholars in Cohort 5 to travel with the NIKA Project Team to India and Peru in summer 2020 when the coronavirus pandemic hit the world in early 2020. As a result, NIKA and the Project BB International AAC Service-Learning project took a new direction to develop partnerships with school professionals in Kerala in India and Cusco and Iquitos in Peru.

Read more about NIKA Project AAC Service-Learning with teams in Peru and India

Navigating Student Success in the Pacific (NSSP) Project Partnership online, Summer, 2020

In the summer of 2019, two Project Building Bridges scholars in Cohort 4 traveled to the Republic of the Marshall Islands where they participated with University of Hawaii faculty, Katherine Ratliffe and Mellanie Lee in the summer institute at the College of the Marshall Islands.  See Transformative Experiences: The Marshall Islands for more information.

This summer, in July 2020, a virtual meeting was held with the NSSP teacher scholars and Project BB scholars in Cohort 4 and 5 through ZOOM from their home islands in the Federated States of Micronesia including Yap, Pohnpei, Kosrae and Chuuk; and the atolls of the Marshall Islands including Majuro and Enewetak. NSSP teachers shared their perspectives on cultural attitudes in their home islands toward persons with disabilities.  Follow-up meetings with the NSSP teachers and Project BB scholars are planned for the coming academic year to further explore communication tools that can be developed with local resources in island communities.

NIKA Project Partnership with Bali, Indonesia and Kuala Lumpur, Malaysia, Summer 2019

Six SF State students traveled with a team of AAC mentors in partnership with the NIKA Project to work in schools with children, families, teachers and university graduate students. SF State students had the opportunity to create and to implement AAC systems through teaching families and teachers, thus contributing to the power and sustainability of communication tools for children with disabilities in each location.

Read more about NIKA Project AAC Service-Learning with teams in Indonesia and Malaysia

Navigating Student Success in the Pacific (NSSP) Project Partnership, Summer, 2019

In partnership with the College of the Marshall Islands in Majuro, Republic of the Marshall Islands, and the University of Hawaii Center on Disability Studies, two SF State students participated in the summer of 2019 with faculty mentors, Dr. Kathy Ratliffe and Ms. Mellanie Lee, and teachers in the CMI Summer Institute to develop AAC tools with families and children in the Marshall Islands. SF State students assisted faculty in teaching and partnered with teachers from throughout Micronesia to develop AAC strategies to implement with children and families upon return to their own island communities.

Read more about NSSP Project AAC Service-Learning with teachers at the College of the Marshall Islands

Therapy Abroad Partnership in Belize, Summer 2018

In partnership with Therapy Abroad, eight San Francisco State University students provided support for an AAC Summer learning Camp in Belize City. The experience provided opportunities to collaborate with other disciplines, educate clients and provide parent and caregiver training. The camp highlighted the importance of interdisciplinary involvement by the total health care team and its relationship to effective patient care. Read more about Therapy Abroad AAC Service-Learning in Belize (Link to page Summer 2018 Transformative Experiences: Belize).

In response to the pandemic, all academic and clinical instruction transitioned to the online environment in March, 2020. Faculty and students in SPED 743: Issues in AAC were challenged to complete teaching and learning. As a result, Project BB developed Tele Service-Learning in AAC. For more about Tele-AAC, see the AAC Telepractice Resource page.

A featured project in Tele Service-Learning in AAC was completed by two PBB scholars, Beth Lytle and Alisa Lego, who collaborated with AAC Mentor Michaela Sullivan, SLP, to create online core vocabulary resources to support facilitators and communicators during the school year. The result of their work is published by Carol Zangari, SLP on PrAACtical AAC in an article "PrAACtical Introductions: Meet…A Year of Core Vocabulary Words – School Edition." Congratulations to Michaela, Beth and Alisa for this tremendous contribution.

Beginning in the spring semester of 2020, the SFSU AAC program began hosting monthly online AAC Bootcamps featuring speakers and topics of high interest to our students and community. Beginning in Fall 2022, we have posted recordings of the speakers to share with their permission. Below are the Bootcamps to date from in descending chronological order:

  • Cortical Visual Impairment and AAC: Emily Wilt and Becky Matthews (PBB Scholars, Cohort 4)
  • AAC and Teletherapy: Brittany Davis  (PBB Scholar, Cohort 4)
  • ALS and AAC: Lindsay Cheng  (PBB Scholar, Cohort 4)
  • Autism and AAC: Julia Navarro  (PBB Scholar, Cohort 4)
  • Conversation with Chris Klein on his use of Unity: Chris Klein and Michelle Caputo
  • Device Exploration Day: Joan Sharp (PRC), Kelsey Dowler (LAMP), Rachel Shepard (Tobii Dynavox), RJ Cooper (RJ Cooper & Associates, Inc.), Katrina Borisov (Eyegaze) and Camber Moulton (Saltillo)
  • AAC and Equity by Dr. Betty Yu, SFSU
  • Spanish Bilingual AAC: Strategies for Classrooms and Families by Sarah Lee, Maria de Leon, Alma Partida and Melissa Tapia (Founders of Bilingüe AAC)
  • Latinx Family Coaching in AAC by Dr. Shannon McCord and Lindsey Kent from Pajaro Valley School District
  • Para Educator Coaching by Dr. Sarah Douglas from Michigan State University
  • Project Cambodia Panel with the Nika Project and Project AAC for ALL, Cohort 2--Slides and Recording
  • Multilingual AAC for the Monolingual Therapist with Kristen Monroe, MS, CCC-SLP with Children's Hospital of Richmond, Virginia Commonwealth University, Recording and Slides.
  • Let's Build It! Foundations for School and Home Collaboration with Rebecca Matthews, MS, CCC-SLP with the Bridge School in Hillsborough, California.

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NIKA Project and Project AAC for ALL, CSHA Presentation 2024

John Kim, Dan Phillips, and Nancy Robinson presented an in-person seminar at the California Speech Language Hearing Association Annual Convention in March 2024. This seminar disseminated the international service-learning project in the Summer of 2023 in Cambodia. The presentation also shared its project measures from students involved with the NIKA Project and proposing a new cultural humility measure. See the link to the presentation below:

Project AAC for ALL, CSHA Poster Presentation 2024

John Kim and Nancy Robinson presented an in-person poster presentation at the California Speech Language Hearing Association Annual Convention in March 2024. The poster demonstrated the impact evaluation design of Project AAC for ALL. The impact evaluation design employs a logic model framework to identify project goals and to measure the elements of the project to effect change. Elements of the impact evaluation model are: (i) available resources (e.g., inputs), (ii) the notable project activities and participation (e.g., outputs), and (iii) the short, intermediate, and long-term project outcomes (e.g., outcomes). See the link to poster:

AAC Storytellers Club, CSHA Poster Presentation 2024

John Kim and six of his graduate students presented an in-person poster presentation at the California Speech Language Hearing Association Annual Convention in March 2024. The poster highlighted the participatory help-giving practices clinic model and its findings of the graduate student clinicians’ experiences. See the link to the poster below:

Nika Project and Project AAC for ALL, ASHA Presentation 2023

Nancy Robinson, Gloria Soto, John Kim, Dan Phillips, and Michaela Sullivan presented an in-person seminar at the American Speech Language Hearing Association Annual Convention in November 2023.  The seminar featured the Bilingual AAC research and innovation (e.g., Bilingual School Year of Core Spanish), the Nika Project and its service learning project, the original school year of core, and the Project AAC for ALL evaluation with the next steps. Links to slides and handout are below:

Project AAC for ALL, ASHA Poster Presentation 2023

John Kim, Gloria Soto, and Nancy Robinson presented an in-person poster presentation at the American Speech Language Hearing Association Annual Convention in November 2023. The poster demonstrated the impact evaluation design of Project AAC for ALL. The impact evaluation design employs a logic model framework to identify project goals and to measure the elements of the project to effect change. Elements of the impact evaluation model are: (i) available resources (e.g., inputs), (ii) the notable project activities and participation (e.g., outputs), and (iii) the short, intermediate, and long-term project outcomes (e.g., outcomes). See the link to poster handout:

Project AAC for ALL, OSEP Poster Presentation 2023

John Kim presented an in-person poster in Washington, D.C., for the US Department of Education, Office of Special Education Program Directors’ Conference in July 2023. The poster demonstrated the impact evaluation design of Project AAC for ALL. The impact evaluation design employs a logic model framework to identify project goals and to measure the elements of the project to effect change. Elements of the impact evaluation model are: (i) available resources (e.g., inputs), (ii) the notable project activities and participation (e.g., outputs), and (iii) the short, intermediate, and long-term project outcomes (e.g., outcomes). See links to poster and handout below:

Project AAC for ALL, CSHA Poster Presentation 2023

John Kim, Gloria Soto, and Nancy Robinson presented an in-person poster presentation at the California Speech Language Hearing Association Annual Convention in March 2023. The poster featured our first cohort’s pre-assessment data. See the link to the poster below:

Collaborating Across the Pacific Academy, AUCD Conference Presentation, 2022

May Okihiro, Julie Walsh, Mellanie Lee and Nancy Robinson presented an in-person seminar at the Association of University Centers on Disabilities Annual Conference in November 2022. The seminar featured the collaborative course in spring 2021 and fall-spring 2021-2022 with Pacific Teachers, University of Hawai`i interdisciplinary trainees and SLP scholars at San Francisco State University to assist Pacific Teachers in their work with families and children in their island communities. Links to the slides and handout are below:

Nika Project and Project AAC for ALL, ASHA Presentation 2022

Dan Phillips, Nancy Robinson, Judith Lunger and Sarah Leslie presented an in-person seminar at the American Speech Language Hearing Association Annual Convention in November 2022.  The seminar featured the development of the Nika Project, a non-profit group of volunteer specialists in AAC who collaborate with global partners to expand access to communication and learning. With the Nika Project, Project AAC for ALL has formalized scholar mentorship in international locations, resulting in ongoing learning in culturally affirming AAC practices for all participants. Links to slides and handout are below:

Project AAC for ALL, ASHA Poster Presentation 2022

John Kim, Gloria Soto, and Nancy Robinson presented a virtual and in-person poster presentation at the American Speech Language Hearing Association Annual Convention in November 2022. The poster featured the overview of Project AAC for ALL including goals, interdisciplinary curriculum design, and competency areas to prepare graduates to provide AAC services that are culturally and linguistically affirming. See links to poster and handout below:

CAP Academy, ASHA Poster Presentation 2022

Nancy Robinson and Sarah Leslie presented a virtual and in-person poster presentation at the American Speech Language Hearing Association Annual Convention in November 2022. The poster featured the collaborative, online series of ZOOM sessions with Pacific Teachers, University of Hawai`i partners and AAC SLP scholars at San Francisco State working across the Pacific to assist teachers in their work with families and children in their island communities. Links to the eposter and handout are below:

Project Building Bridges, ASHA Presentation 2022

Graduates of Cohort 6 presented a live presentation featuring their experiences in the International and Domestic AAC internship during the summer of 2022 with travels to Peru and India as well as virtually to the Islands of Micronesia. This presentation featured a live Question and Answer with John Kim, Joseph Cachapero, Natalie Caro, Kelsey Ellison, Kelly Gong, Hannah Khorassani, Alejandra Pedroza, Jessica Ramirez, and Jadine Veluya. See links to presentation and handout below:

 Project AAC for ALL, OSEP Poster Presentation 2022

Nancy Robinson, Gloria Soto, and John Kim presented a virtual poster for the US Department of Education, Office of Special Education Program Directors’ Conference in July 2022. The poster features the overview of Project AAC for ALL including goals, interdisciplinary curriculum design, and competency areas to prepare graduates to provide AAC services that are culturally and linguistically affirming. See links to poster and handout below:

Project AAC for ALL, Culminating Presentations, 2023

Each year, Project AAC for ALL Scholars present culminating portfolios of their work with individuals with complex communication needs and their families in culturally and linguistically diverse communities. See links to Project AAC for ALL Scholar presentations below:

Project Building Bridges, ASHA Poster Presentation, 2021: Graduates of Cohort 4 presented a virtual poster featuring their experiences in the International AAC Internship during the summer of 2019 with travels to the Republic of the Marshall Islands, Bali in Indonesia, and Kuala Lumpur in Malaysia. The poster featured a live Question and Answer with Gloria Soto, Nancy Robinson, Lindsay Cheng, Brittany Davis and Rebecca Matthews on November 19, 2021. See links to the poster and handout below:

Project Building Bridges, OSEP Poster Presentation, 2021: Nancy Robinson and Gloria Soto presented a virtual poster for the US Department of Education, Office of Special Education Programs Directors’ Conference in July 2021. The poster features the development culturally responsive AAC competencies with Scholars enrolled in Project Building Bridges in Years 1-6, 2015-2021. See links to the poster and handout below:

Project BB Scholar Culminating Presentations: Each year, Project Building Bridges Scholars present culminating portfolios of their work with individuals with complex communication needs and their families in culturally and linguistically diverse communities. See links to Project BB Scholar presentations below:

Project Building Bridges BOLD Thinking Event:  Project BB was selected to participate in San Francisco State University’s BOLD Thinking Campaign Event at the Masonic Auditorium on April 4, 2019, where Project BB Scholars and Faculty represented the Graduate College of Education and highlighted our work in AAC. Congratulations PBB! View the BOLD Slideshow.

  • Code-switching in bilingual AAC use
  • Beliefs and practices of SLPs on AAC service delivery for dual language learners
  • Development of a protocol for the analysis of Spanish language samples of children who use AAC and are in the early stages of language development
  • Role of recast and repair sequences on language learning in AAC mediated interactions
  • School Year of Core-Bilingüe
  • Cooper, B., Muñoz, T., & Soto, G. (2023). Language and vocabulary features of AAC. In N. Hall, J. Juengling-Sudkamp, M. L. Gutmann, & E. R. Cohn (Eds.), Fundamentals of AAC: A case-based approach to enhancing communication (Chapter 7, pp. 89-103). San Diego, CA: Plural Publishing, Inc.   
  • King, M., Ward, H., Soto, G., & Barrett, T.  (2022). Supporting emergent bilinguals who use AAC and their families: Lessons in telepractice from the Covid-19 pandemic. American Journal of Speech and Language Pathology. Supporting Emergent Bilinguals Who Use Augmentative and Alternative Communication and Their Families: Lessons in Telepractice From the COVID-19 Pandemic
  • McCord, M.S., & Soto, G. (2004). Perceptions of AAC: An ethnographic investigation of Mexican-American families. Augmentative and Alternative Communication. 20 (4), 209-227, Perceptions of AAC 
  • Robinson, N. B. & Soto, G. (2021). AAC in Schools: Mastering the art and science of inclusion. Ogletree, B. (Ed.) Augmentative and Alternative Communication: Challenges and Solutions. (Chapter 6, pp. 89-103). San Diego, CA: Plural Publishing, Inc. 
  • Solomon-Rice, P. L., Soto, G. & Robinson, N. B. (2018). Project Building Bridges: Training Speech-Language Pathologists to provide culturally and linguistically responsive Augmentative and Alternative Communication services to school-age children with diverse backgrounds. Perspectives of the ASHA Special Interest Groups, 3 (12), 186-204. Perspectives of the ASHA 
  • Soto, G. (2012). Training partners in AAC in culturally diverse families. Perspectives on Augmentative and Alternative Communication, 21 (4), ASHA Division 12, 144-150. Augmentative and Alternative Communication Perspectives  
  • Soto, G. (2022). The Protocol for the Analysis of Aided Language Samples in Spanish: A Tutorial. Perspectives on Augmentative and Alternative Communication, 7, 523-532. The Protocol for the Analysis of Aided Language Samples in Spanish: A Tutorial
  • Soto, G., & Cooper, B. (2021). An early Spanish vocabulary for children who use AAC: Developmental and linguistic considerations.  Augmentative and Alternative Communication37, 64-74. An early Spanish vocabulary for children who use AAC: developmental and linguistic considerations
  • King, M., & Soto, G. (2022). Code-switching using aided AAC: Towards and integrated theoretical framework. Augmentative and Alternative Communication, 38, 67-76. Code-switching using aided AAC: toward an integrated theoretical framework
  • Soto, G., & King, M. (2023). Culturally and linguistically responsivity in AAC. In N. Hall, J. Juengling-Sudkamp, M. L. Gutmann, & E. R. Cohn (Eds.), Fundamentals of AAC: A case-based approach to enhancing communication (Chapter 6, pp. 77-87). San Diego, CA: Plural Publishing, Inc.   
  • Soto, G., & Yu, B. (2014). Considerations for the provision of services to bilingual children who use AAC. Augmentative and Alternative Communication, 30, 83-92. Bilingual Children Who Use AAC 
  • Tönsing, K.M., & Soto, G. (2020). Multilingualism and augmentative and alternative communication: examining language ideology and resulting practices, Augmentative and Alternative Communication, 36, 190-201Multilingualism and augmentative and alternative communication 

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