Augmentative and Alternative Communication Mediator Training in Ontario La formation des intermediaires de la communication suppleante en Ontario

The training of communication mediators (i.e., individuals who communicate with non-speaking persons within their community environments) is a complex process that is affected by many factors. The original intention of this study was to develop a mediator training program. However, it became apparent that information about the need and possible use of such a program had to be examined first. A survey of clinicians who specialized in the area of augmentative communication within the province of Ontario was conducted to determine current practices, difficulties with mediator training, and levels of satisfaction. Fifty-one surveys from clinicians working within designated provincial augmentative communication clinics were received. Respondents indicated that they used both "formal" and "informal" training procedures. The most frequently identified issues associated with mediator training included: mediators with differing perspectives on the function all potential skills of augmentative communication users, mediator turnover, differing levels of understanding of AAC, lack of oppor­ tunities or time for trainers to do follow-up, and lack of mediator initiative to contact trainers when problems arise.