While much has been learned in the past 30 years, there is a special need for reports of interventions with older individuals with complex communication needs as a result of acquired disabilities, and for information on effective interventions for the communication partners of persons with complex communication needs.

The purpose of this paper is to describe the use of photographic images as a basis for developing communication supports for people with chronic aphasia secondary to sudden-onset events due to cerebrovascular accidents (strokes).

This paper emphasizes the need to take a more holistic view of communication intervention and highlights the following key principles to guide AAC intervention and research (download available)