AAC is an important factor to consider when treating children with CAS. Communication is the top priority. A low tech option may be utilized for functional communication across his/her day in order to answer questions, comment, or make requests. This system may be adapted at a basic level or grow with the child. A higher more robust system may be necessary with children who display poor speech intelligibility. AAC is utilized in conjunction with verbal speech, however not a requirement. I have attended a variety of training courses in AAC assessment and implementation with numerous programs. Modeling is a very important part of the learning process with AAC. It is never used as a tool for compliance rather as a tool for communication without specific or drilled communication demands placed on the child.