.dbi-art-5e107b6b{margin:0;background:#f8f9fc}.dossier-back{padding:17px 24px;font:14px Arial;background:#edf0fa}.dbi-art-5e107b6b .dossier-back a{color:#41459b}.communication-article{--primary-blue:#5e5ed7;--dark-blue:#4456ac;--teal:#a9e2e4;--yellow:#ffeca7;--pink:#e73469;--light-gray:#f8f9fc;--text-color:#2f3b4b;--border-color:#dce3ed;font-family:'Poppins',Arial,sans-serif;line-height:1.7;color:var(--text-color);background:var(--light-gray);overflow-wrap:break-word;font-size:16px}
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.communication-article .article-hero-curve{position:absolute;bottom:-1px;width:100%;height:45px;background:var(--light-gray);clip-path:ellipse(100% 100% at 50% 100%)}.communication-article .article-body{background:white;margin:-29px auto 0;max-width:1200px;position:relative;border-radius:22px 22px 0 0;padding:42px 0 50px}.dbi-art-5e107b6b .communication-article .intro-block{background:linear-gradient(135deg,#f6f7fe,#f0f6f8);border-left:5px solid var(--primary-blue);padding:30px 34px;border-radius:18px}.communication-article .intro-block p:last-child{margin:0}.dbi-art-5e107b6b .communication-article .stats-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:19px;margin:32px 0}.communication-article .stat-card{padding:24px 18px;text-align:center;border-radius:16px;border:1px solid var(--border-color);box-shadow:0 9px 28px #4b4bb30b}.dbi-art-5e107b6b .communication-article .stat-card strong{display:block;font-size:1.55rem;color:var(--primary-blue);font-family:Montserrat,Arial;font-weight:800}.communication-article .stat-card span{font-size:.85rem;color:#526074}.dbi-art-5e107b6b .communication-article .contents{padding:24px 28px;border-radius:15px;background:#f6f7fc}.communication-article .contents strong{color:#3e4b96}.dbi-art-5e107b6b .communication-article .contents ol{margin:13px 0 0;padding-left:23px}.communication-article .contents li{padding:4px 0}.dbi-art-5e107b6b .communication-article .key-points{background:linear-gradient(135deg,#eaf6f8,#c9eeee);padding:25px 30px;border-radius:17px;margin:30px 0}.communication-article .key-points h3,.communication-article .conseil-card h3,.communication-article .evaluation-tools h3{margin-top:0}.dbi-art-5e107b6b .communication-article ul, .dbi-art-5e107b6b .communication-article ol{padding-left:24px}.communication-article li{margin:10px 0}.dbi-art-5e107b6b .communication-article .conseil-card{padding:26px 30px;background:#fff4cc;border:1px solid #eadba2;border-radius:17px;margin:30px 0}.communication-article .conseil-card p:last-child,.communication-article .tip-box p:last-child{margin-bottom:0}.dbi-art-5e107b6b .communication-article .product-card{display:grid;grid-template-columns:230px 1fr;align-items:center;gap:30px;padding:28px;border:1px solid #dde2f4;background:linear-gradient(130deg,#f6f6ff,#f3fbfc);border-radius:21px;margin:35px 0}.communication-article .product-card img{width:100%;height:auto;display:block;border-radius:15px;aspect-ratio:1;object-fit:contain}.dbi-art-5e107b6b .communication-article .product-card h3{margin-top:10px;font-size:1.5rem}.communication-article .small-label{text-transform:uppercase;letter-spacing:.07em;font-size:.73rem;font-weight:800;color:#4a55a8}.dbi-art-5e107b6b .communication-article .product-meta{font-size:.84rem;color:#526078}.communication-article .btn-purple{display:inline-block;padding:12px 23px;border-radius:30px;background:#5151ba;color:#fff;text-decoration:none;font-weight:700;font-size:.9rem}.dbi-art-5e107b6b .communication-article .table-scroll{overflow-x:auto;margin:25px 0}.communication-article table{border-collapse:collapse;width:100%;min-width:540px;font-size:.92rem}.dbi-art-5e107b6b .communication-article caption{text-align:left;font-weight:700;margin:0 0 12px;color:#424e6a}.communication-article th,.communication-article td{padding:17px 16px;text-align:left;vertical-align:top;border-bottom:1px solid #dce3ed}.dbi-art-5e107b6b .communication-article th{background:#ebecfc;color:#3e428e}.communication-article tr:nth-child(even){background:#f8fafc}.dbi-art-5e107b6b .communication-article .tip-box{background:#fff0f4;border:1px solid #efbfd0;padding:24px 28px;border-radius:16px;margin:28px 0}.communication-article .tip-box strong{color:#8c3154;display:block;margin-bottom:10px}.dbi-art-5e107b6b .communication-article .questions-card{border:1px solid #d5dfee;background:#f7f9fd;border-radius:16px;padding:20px 27px}.communication-article .questions-card li{padding:6px 0}.dbi-art-5e107b6b .communication-article .questions-card li::marker{font-weight:800;color:#5454bd}.communication-article .methods-grid{display:grid;grid-template-columns:repeat(3,1fr);gap:18px;margin:28px 0}.dbi-art-5e107b6b .communication-article .method-card{padding:23px;background:#f4f6ff;border:1px solid #d9dff5;border-radius:16px}.communication-article .method-card h3{font-size:1.17rem;margin:16px 0}.dbi-art-5e107b6b .communication-article .method-card p{font-size:.94rem}.communication-article .method-number{display:inline-grid;place-items:center;width:38px;height:38px;background:#e0e2fb;color:#4b4bb2;border-radius:11px;font-weight:800}.dbi-art-5e107b6b .communication-article .evaluation-tools{padding:26px 30px;border:2px solid #b4dce0;border-radius:16px;margin:28px 0}.communication-article .training-card{display:grid;grid-template-columns:1fr 1.2fr;gap:28px;align-items:center;padding:28px;background:linear-gradient(135deg,#eef0ff,#e8f6f7);border-radius:22px;margin:55px 0}.dbi-art-5e107b6b .communication-article .training-card img{display:block;width:100%;height:auto;border-radius:15px}.communication-article .training-card h2{font-size:1.5rem;margin:12px 0 20px;border:0;padding:0}.dbi-art-5e107b6b .communication-article .training-card p{font-size:.94rem}.communication-article .faq-item{border:1px solid var(--border-color);border-radius:12px;margin:14px 0;overflow:hidden}.dbi-art-5e107b6b .communication-article .faq-item summary{cursor:pointer;padding:20px 23px;font-weight:700;color:#444b91}.communication-article .faq-item[open] summary{background:#f3f4fc;border-bottom:1px solid var(--border-color)}.dbi-art-5e107b6b .communication-article .faq-item>div{padding:22px 23px}.communication-article .faq-item p{margin:0}.dbi-art-5e107b6b .communication-article 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solid var(--border-color);padding-top:25px;margin-top:28px}.communication-article .article-tags span{background:#f0f1fb;color:#444ca3;padding:7px 13px;border-radius:25px;font-size:.8rem}
.dbi-art-5e107b6b .communication-article figure{margin:0}.communication-article figcaption{font-size:.8rem;line-height:1.6;color:#5d6881;text-align:center;padding:12px 8px 0}.dbi-art-5e107b6b .communication-article .souvenir-showcase{display:grid;grid-template-columns:1.08fr 1fr;gap:32px;align-items:center;background:linear-gradient(135deg,#f8f4ff,#f1f9f9);padding:27px;border:1px solid #e1e3f2;border-radius:20px;margin:35px 0}.communication-article .real-page img{display:block;width:100%;height:auto;border-radius:10px;box-shadow:0 10px 25px #30305d16}.dbi-art-5e107b6b .communication-article .souvenir-notes h3{font-size:1.5rem;margin-top:12px}.communication-article .exercise-showcase{max-width:780px;margin:35px auto}.dbi-art-5e107b6b .communication-article .exercise-showcase img{display:block;width:100%;height:auto;border-radius:16px;box-shadow:0 9px 28px #30305d17}.communication-article .series-showcase{max-width:500px;margin:30px auto 25px}.dbi-art-5e107b6b .communication-article .series-showcase img{display:block;width:100%;height:auto;border-radius:16px}
@media (max-width:760px){.dbi-art-5e107b6b .communication-article .container{padding:0 17px}.dbi-art-5e107b6b .communication-article .article-hero{padding:30px 0 75px}.dbi-art-5e107b6b .communication-article .article-body{padding:25px 0}.dbi-art-5e107b6b .communication-article .intro-block{padding:22px}.dbi-art-5e107b6b .communication-article h2{font-size:1.55rem;margin-top:40px}.dbi-art-5e107b6b .communication-article .stats-grid{grid-template-columns:1fr;gap:11px}.dbi-art-5e107b6b .communication-article .stat-card{padding:15px}.dbi-art-5e107b6b .communication-article .stat-card strong{font-size:1.3rem}.dbi-art-5e107b6b .communication-article .product-card, .dbi-art-5e107b6b .communication-article .training-card, .dbi-art-5e107b6b .communication-article .methods-grid, .dbi-art-5e107b6b .communication-article .souvenir-showcase{grid-template-columns:1fr}.dbi-art-5e107b6b .communication-article .product-card, .dbi-art-5e107b6b .communication-article .training-card, .dbi-art-5e107b6b .communication-article .souvenir-showcase{padding:21px}.dbi-art-5e107b6b .communication-article .product-card .product-visual{max-width:220px;margin:auto}.dbi-art-5e107b6b .communication-article .cta-box{padding:28px 20px}.dbi-art-5e107b6b .communication-article .cta-buttons{flex-direction:column;align-items:center}.dbi-art-5e107b6b .communication-article .article-meta{gap:10px;flex-direction:column}}.dbi-art-5e107b6b .communication-article a.btn-purple, .dbi-art-5e107b6b .communication-article a.btn-purple:link, .dbi-art-5e107b6b .communication-article a.btn-purple:visited, .dbi-art-5e107b6b .communication-article a.btn-purple:hover, .dbi-art-5e107b6b .communication-article a.btn-purple:focus, .dbi-art-5e107b6b .communication-article a.btn-purple:active{
color: #ffffff !important;
-webkit-text-fill-color: #ffffff !important;
background: #4d46b5 !important;
border: 2px solid #4d46b5 !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-purple:hover,
.communication-article a.btn-purple:focus-visible,
.communication-article a.btn-purple:active {
background: #39348c !important;
border-color: #39348c !important;
}.dbi-art-5e107b6b .communication-article a.btn-white, .dbi-art-5e107b6b .communication-article a.btn-white:link, .dbi-art-5e107b6b .communication-article a.btn-white:visited, .dbi-art-5e107b6b .communication-article a.btn-white:hover, .dbi-art-5e107b6b .communication-article a.btn-white:focus, .dbi-art-5e107b6b .communication-article a.btn-white:active{
color: #39348c !important;
-webkit-text-fill-color: #39348c !important;
background: #ffffff !important;
border: 2px solid #ffffff !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-white:hover,
.communication-article a.btn-white:focus-visible {
background: #f0f1ff !important;
border-color: #f0f1ff !important;
}.dbi-art-5e107b6b .communication-article a.btn-outline, .dbi-art-5e107b6b .communication-article a.btn-outline:link, .dbi-art-5e107b6b .communication-article a.btn-outline:visited, .dbi-art-5e107b6b .communication-article a.btn-outline:hover, .dbi-art-5e107b6b .communication-article a.btn-outline:focus, .dbi-art-5e107b6b .communication-article a.btn-outline:active{
color: #ffffff !important;
-webkit-text-fill-color: #ffffff !important;
background: #4d46b5 !important;
border: 2px solid #ffffff !important;
opacity: 1 !important;
text-decoration: none !important;
text-shadow: none !important;
}
.communication-article a.btn-outline:hover,
.communication-article a.btn-outline:focus-visible,
.communication-article a.btn-outline:active {
background: #39348c !important;
}.dbi-art-5e107b6b .communication-article a.btn-purple *, .dbi-art-5e107b6b .communication-article a.btn-white *, .dbi-art-5e107b6b .communication-article a.btn-outline *{
color: inherit !important;
-webkit-text-fill-color: inherit !important;
opacity: 1 !important;
}
.communication-article a.btn-purple,
.communication-article a.btn-white,
.communication-article a.btn-outline {
display: inline-flex;
align-items: center;
justify-content: center;
max-width: 100%;
min-height: 44px;
white-space: normal;
text-align: center;
line-height: 1.5;
}
.dbi-art-5e107b6b .communication-article a.btn-purple:focus-visible, .dbi-art-5e107b6b .communication-article a.btn-white:focus-visible, .dbi-art-5e107b6b .communication-article a.btn-outline:focus-visible{
outline: 3px solid #232645 !important;
outline-offset: 4px;
}
.communication-article .cta-box a:focus-visible {
outline-color: #ffeca7 !important;
}.dbi-art-5e107b6b .communication-article .multi-products{display:grid;grid-template-columns:1fr 1fr;gap:18px;margin:30px 0}.communication-article .multi-products .product-card{display:block;margin:0;padding:24px}.dbi-art-5e107b6b .communication-article .multi-products .product-visual{display:block;max-width:175px;margin:0 auto 18px}.communication-article .visual-grid{display:grid;grid-template-columns:1fr 1fr;gap:22px;align-items:start;margin:35px 0}.dbi-art-5e107b6b .communication-article .visual-grid figure{padding:16px;background:#f5f7fc;border:1px solid #e0e5ef;border-radius:17px}.communication-article .visual-grid img{width:100%;height:auto;display:block;border-radius:10px}.dbi-art-5e107b6b .communication-article .support-links{display:flex;gap:9px;flex-wrap:wrap;margin:20px 0 30px}.communication-article .support-links a{padding:7px 13px;border-radius:22px;background:#eef1fa;text-decoration:none;font-size:.84rem;font-weight:600;color:#3b428e}.dbi-art-5e107b6b .communication-article .sources-mini{margin:35px 0 0;font-size:.85rem;color:#59667c}.communication-article .sources-mini h2{font-size:1.1rem;border:0;padding:0;margin:15px 0}.dbi-art-5e107b6b .communication-article .sources-mini p{font-size:.85rem}.communication-article .product-card p{font-size:.93rem}.dbi-art-5e107b6b .communication-article .article-body{padding-bottom:40px}.communication-article .ideas-list li{margin-bottom:18px}@media (max-width:760px){.dbi-art-5e107b6b .communication-article .multi-products, .dbi-art-5e107b6b .communication-article .visual-grid{grid-template-columns:1fr}.dbi-art-5e107b6b .communication-article .visual-grid{gap:17px}}.dbi-art-5e107b6b .communication-article .product-card{grid-template-columns:minmax(250px,.9fr) 1.2fr}
.communication-article .product-card .product-visual{display:block;padding:10px;background:#fff;border-radius:16px}
.dbi-art-5e107b6b .communication-article .product-card img{aspect-ratio:auto;max-height:390px;object-fit:contain}
.communication-article .sequence-showcase{margin:38px 0;padding:23px;border:1px solid #dbe2ef;background:#f5f8fc;border-radius:20px}
.dbi-art-5e107b6b .communication-article .sequence-showcase img{display:block;width:100%;max-height:540px;object-fit:contain;height:auto;border-radius:12px}
.communication-article .sequence-showcase figcaption{max-width:800px;margin:auto}
.dbi-art-5e107b6b .communication-article .article-body{padding-bottom:40px}
.communication-article .sources-mini{margin-top:32px;padding-top:16px;border-top:1px solid #dce3ed}
.dbi-art-5e107b6b .communication-article .sources-mini h2{border:0;font-size:1.12rem;padding:0;margin:16px 0}
.communication-article .sources-mini p,.communication-article .sources-mini li{font-size:.84rem;line-height:1.75}
.dbi-art-5e107b6b .communication-article .sources-mini li{margin:7px 0}
.communication-article .intro-block+.contents{margin-top:26px}
@media (max-width:760px){.dbi-art-5e107b6b .communication-article .product-card{grid-template-columns:1fr}.dbi-art-5e107b6b .communication-article .product-card .product-visual{max-width:450px;width:100%}.dbi-art-5e107b6b .communication-article .sequence-showcase{padding:16px}}
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section[id]{scroll-margin-top:30px}.dbi-art-5e107b6b .communication-article .article-hero{background:linear-gradient(135deg,#5e5ed7,#5268c9);color:white;padding:48px 0 100px;position:relative;overflow:hidden}.communication-article .article-breadcrumb{display:flex;gap:11px;flex-wrap:wrap;font-size:.8rem;margin-bottom:27px}.dbi-art-5e107b6b .communication-article .article-breadcrumb a{color:white}.communication-article .article-category{display:inline-block;background:var(--teal);color:#253e78;padding:8px 17px;border-radius:30px;font-size:.83rem;font-weight:700}.dbi-art-5e107b6b .communication-article h1{font-size:clamp(2rem,4.6vw,3.25rem);font-weight:800;margin:23px 0 25px;color:white;max-width:1010px}.communication-article .hl{color:var(--yellow)}.dbi-art-5e107b6b .communication-article .hero-intro{font-size:1.1rem;max-width:860px;line-height:1.8}.communication-article .article-meta{display:flex;gap:20px;flex-wrap:wrap;font-size:.8rem;opacity:.95;margin-top:24px}.dbi-art-5e107b6b 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Afbeeldingen en alternatieve communicatie
Alternatieve en verbeterde communicatie: een eerste benadering voor de naasten
Een persoon kan woorden, gebaren, objecten, foto's of een digitaal medium associëren om te communiceren. Alternatieve en verbeterde communicatie, vaak CAA genoemd, omvat middelen die de expressie en het begrip aanvullen of ondersteunen, afhankelijk van de behoeften.
Een hulpmiddel kiezen is slechts een deel van de aanpak. Men moet ook kijken hoe de persoon toegang krijgt, wat zij wil uitdrukken en de manier waarop haar partners reageren. MON DICO kan deel uitmaken van deze middelen, met een personalisatie die verband houdt met het dagelijks leven.
Begrijp een aanpak die verschillende middelen kan combineren
CAA verplicht niet om de beschikbare spraak op te geven. Een persoon kan in bepaalde contexten spreken en in andere beelden gebruiken. Een vertrouwd gebaar, een papierbord en een applicatie kunnen ook naast elkaar bestaan.
De richtlijnen van ASHA benadrukken dat het niet nodig is om te wachten op algemene leeftijds- of capaciteitsvereisten om CAA te overwegen. Dit doet niets af aan het belang van een passende evaluatie: de toegangsmiddelen en de hulpmiddelen moeten overeenkomen met de persoon.
Begin met wat men wil kunnen zeggen
Begin met de belangrijke situaties voor de gebruiker, niet alleen met de behoeften die volwassenen willen controleren. Hulp vragen, weigeren, een foto van commentaar voorzien of over een dierbare praten zijn verschillende communicatiefuncties.
U kunt situaties noteren waarin de persoon al probeert zich uit te drukken en die waarin haar boodschap moeilijk te begrijpen blijft. Deze lijst helpt bij het kiezen van de eerste hulpmiddelen zonder haar vocabulaire blijvend te beperken tot enkele praktische verzoeken.
Onderzoek de toegang tot het hulpmiddel met de betrokken partners
Het zien van het beeld, begrijpen wat het vertegenwoordigt en het selecteren zijn verschillende vragen. Een moeilijkheid in een van deze dimensies kan de keuze van het hulpmiddel beïnvloeden. Bevoegde professionals kunnen helpen bij het evalueren van de mogelijkheden en het uitproberen van oplossingen.
- Zijn de representaties betekenisvol voor de persoon?
- Is de pagina zichtbaar op de gebruikelijke plaatsen?
- Is de selectiemethode voldoende toegankelijk?
- Weten de partners hoe ze de boodschap moeten controleren?
- Is het hulpmiddel beschikbaar wanneer de persoon wil spreken?
Leer ook een communicatiepartner te zijn
De omgeving kan het gebruik van een beeld in een echte situatie laten zien, tijd geven en reageren op de uitgesproken boodschap. De persoon hoeft niet alleen al het werk te doen om het hulpmiddel begrijpelijk te maken voor anderen.
Een eerste situatie om voor te bereiden
Kies samen een dagelijkse activiteit waarbij een keuze nuttig zou zijn. Bereid de representaties voor, de manier om iets anders te vragen en de manier om te bevestigen. Observeer vervolgens wat werkt en wat nog moet worden aangepast, met de steun van het team.
Een plek geven aan het proberen en de evolutie
Een ondersteuning die vandaag is geprobeerd, kan evolueren. Een gebruiker kan andere onderwerpen ontdekken, meer vocabulaire vragen of behoefte hebben aan een andere toegang. Houd deze mogelijke evoluties in het project in plaats van de eerste pagina als definitief te beschouwen.
De DYNSEO-training maakt het mogelijk om de houding en de specificiteiten van de begeleidingssituaties te werken. MON DICO biedt afbeeldingen en routines; hun belang hangt af van de overeenstemming met de gewoonten en de middelen van de persoon.
Veelgestelde vragen
Kan men CAA gebruiken als men al een beetje spreekt?
Ja. Het kan de spraak in bepaalde situaties aanvullen. De middelen sluiten elkaar niet uit en worden gekozen op basis van de behoeften van de persoon.
Moet men beginnen met een applicatie?
Een applicatie is een mogelijkheid naast andere ondersteuningen. Voorwerpen, papieren afbeeldingen en gebaren kunnen ook deel uitmaken van de aanpak.
Wie kan helpen bij het kiezen van een geschikte middel?
De persoon, zijn of haar naasten en de betrokken professionals, met name de logopedist afhankelijk van de situatie, kunnen deelnemen aan de evaluatie en de proeven.
Bereid uw volgende communicatiesituatie voor
Kies een concrete situatie, en vervolgens de houding en de ondersteuningen die passen bij de persoon. De training en MON DICO kunnen deze voorbereiding ondersteunen.
Voor verdieping
- ASHA — Alternatieve en verbeterde communicatie (in het Engels) : referentiemateriaal over begeleiding of communicatie.
- Officiële pagina MON DICO : functionaliteiten en presentatie van de ondersteuningen.
- Programma van de DYNSEO-training : inhoud en modaliteiten van het parcours.
De situaties en de voorgestelde voorbeelden zijn voorbereidende pistes die moeten worden aangepast met de persoon en zijn of haar communicatiepartners.
Heeft deze inhoud u geholpen? Steun DYNSEO 💙
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