ALS Augmentative Communication Program

ALS Augmentative Communication Program mission

We provide comprehensive augmentative communication and assistive technology assessments, trials and training to people with ALS from the time of diagnosis through the lifespan.

Our goals

To support communication and daily functional needs, sustain personal control and dignity, facilitate continued social and vocational goals, and maintain quality of life through thoughtful implementation of solutions ranging from high technology to quick-access/low tech tools and strategies. This is best accomplished by providing support to a person with ALS and his/her family.

About the ALS Augmentative Communication Program

For more than three decades, the Center for Communication Enhancement has had the honor of supporting people with ALS. Through the generosity of philanthropy, the ALS Augmentative Communication Program was established in 2016. The ALS Augmentative Communication Program team includes Speech-Language Pathologists who specialize in augmentative communication, Occupational Therapists with alternative access and assistive technology expertise, administrative professionals and graduate trainees. The ALS/ACP staff collaborates with local, regional and national resources to provide the highest quality services for individuals with ALS. In addition we collaborate with regional, national and international clinical leaders, engineers, developers and ALS care providers/teams to bring our innovation as well as the innovation of others to people with ALS and their families.

What to Expect: Our team hopes to meet people as early as possible after diagnosis but remains eager to support people with ALS at any time during their journey. As appropriate, Speech&Language Pathology will introduce strategies to minimize fatigue associated with speech, including strategies to enhance intelligibility or preserve energy, and may introduce varied voice amplifiers. You may be introduced to our model of Message-Banking and/or options for Voice Banking, partner with us to create personalized quick-access communication tools, learn about and try various high tech speech-generating devices that support face to face communication as well as communication through internet/telephone. If technology is appropriate, you will be supported to participate in evidence-based trials with the most appropriate augmentative solutions so you can experience how technology may be helpful in the ‘real world’ before making final selections.

Based on assessment of current voluntary motor abilities, Occupational Therapy may identify adaptations and tools to facilitate continued physical access to daily activities. These may range from minor modifications to one’s computer keyboard and mouse to hands free control of a computer, tablet and smartphone. All possible modes of physical access including voice control, hand function, voluntary movements of eyes, head and feet are explored to minimize over-use of any one muscle group. Accommodations to minimize fatigue and facilitate function often include positioning-mounting adaptations, low and high tech adaptive pointers, and alternative computer mice and switches. In addition to facilitating access to written and spoken communication, email, the Internet, social media, options for independent access to reading, television operation, and other leisure time activities may be addressed.

Our location

Boston Children’s Hospital WALTHAM CAMPUS ALS Augmentative Communication Program Otolaryngology and Center for Communication Enhancement Second Floor West 9 Hope Avenue Waltham, MA 02453 Free parking with abundant accessible parking 

For more information about the ALS Augmentative Communication Program, please contact John M. Costello, MA, CCC-SLP, director, Augmentative Communication Program at 718.216.2220 or

Schedule an appointment 

Please contact Lynne Moran at 781.216.2209 or lynne.moran@childrens.harvard.eduLynne will forward our three-page intake. Please have your ALS team (if available) complete the form and return to us.

The Boston Children’s Hospital ALS Augmentative Communication Program is fully supported by philanthropy. For information on how you can support us, please contact Hilary Smiley Marshall at 857.218.3120 or