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John Costello


John Costello has been a speech-language pathologist at Boston Children's Hospital for 36 years where he directs the Augmentative Communication Program and the ALS Augmentative Communication Program. He founded the first dedicated inpatient AAC service in an acute and intensive care hospital where he developed the Message Banking Process, initially for children in the ICU and later expanded to support people diagnosed with ALS/MND. John has lectured extensively nationally and internationally on topics related to AAC assessment and ALS. He has authored or coauthored numerous articles and chapters focused on AAC service delivery and chairs or serves on numerous committees for the international MND, ISAAC, Team Gleason, CBD'I Milano, and others. He is adjunct faculty at Boston University where he teaches the graduate-level courses in augmentative and alternative communication.

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Speech and Augmentative/Alternative Communication (AAC) in ALS

Presented by John Costello, MA, CCC-SLP and Meghan O'Brien, MS, CCC-SLP

Speech and Augmentative/Alternative Communication (AAC) in ALS

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Video Runtime: 78 Minutes; Learning Assessment Time: 52 Minutes

This course addresses ongoing evaluation and management of communication challenges secondary to amyotrophic lateral sclerosis (ALS). Following course completion, clinicians will describe systems and strategies to support communication intelligibility for individuals with ALS. The intended audience is speech-language pathologists (working in inpatient, outpatient, rehabilitation, home health, and long-term care facilities) with no or limited experience working with people with ALS. SLPs will define and describe the impact of dysarthria/anarthria resulting from ALS on the speech subsystems and learn strategies for intervention associated with improving intelligibility of speech and conserving energy. Strategies for voice preservation (message banking(TM) and voice banking) will be addressed. Providers will learn about evaluation and implementation of high-tech speech-generating technologies, quick-access communication strategies, and options for emergency alerting. Finally, time will be spent in discussing strategies for training communication partners.

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