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Autistic child with Down syndrome benefits more from iPad than dedicated disability tech

The father of an autistic child with Down syndrome has said that an iPad with a speech app has made more difference to his son’s life than the far more expensive dedicated device offered under state programs.

The piece highlights the gap between what will most benefit kids with special needs, and what healthcare and education programs are willing to pay for …

David Perry tells the story of his son in a piece in The Verge.

My son is 15. He is also an autistic boy with Down syndrome. From the moment he was born, well-informed experts, well-intentioned fellow parents, and a whole universe of marketing suggested that technology would provide answers to many of the problems we’d end up facing […]

Technology can provide disabled people with wondrous new tools, but only — as with so many kinds of innovation — when they are married to systems that take into account our complex and varied humanity […]

My son’s most significant needs relate to speech. By the time he was three, it was clear he was not going to predominantly use verbal speech, though he was learning to communicate in a wide variety of ways. His speech therapist at the time quickly sent us to a world-class facility to assess the best way for him to use tech to talk.

What they hoped for was a $250 speech app, and an iPad on which to run it. What they got was three thousand dollars’ worth of the lowest-tech you could possibly imagine.

We tried a wide variety of devices, but because he had the manual dexterity to operate the simplest one, that’s the one the state would pay for. Within a few weeks after having it prescribed, we had a plastic box where you could literally cut and paste pieces of paper with words and pictures on it, and then use your voice to record sounds that then my son could press to play out loud. It was over a foot long. It cost over $3,000 […]

We wanted Proloquo2go, one of a number of programs that can reproduce words or phrases by selecting from an infinitely customizable menu. It cost $250, which we didn’t have, and needed to be on an iPad, which we also couldn’t afford. The price would have been much lower than our state-funded arts and crafts box, but at the time the system wouldn’t pay for medical programs on non-medical devices. 

Fortunately, a donor stepped in to provide the iPad and app. Not only has that provided the teenager with the much-needed speech app, which he’s able to use at school, but it has also given him access to much-needed visual and auditory stimulation – key to an autistic child.

Like many teens, he watches YouTube or streams music on Amazon. His favorite videos include music and video from the Just Dance games and the entire corpus of Sesame Street’s Ernie and Bert, which are amazing short-form explorations of emotion, language, humor, and daily living. Sometimes he watches them in German or Dutch. He used to watch superhero movies but has lately shifted into a creature-feature phase, finding clips of monster fights from the Jurassic Park and King Kong franchises. He could stream the movies of course, but he likes to skip to the good parts and re-watch them. In all cases, he likes to dramatically re-enact his favorite dances, fights, and puppet skits in the room as he watches […]

As I’m writing this, my son is downstairs watching YouTube videos. When we have dinner, he’ll stream music on an iPad, typing song titles into the app’s search box either from memory or from a list we’ve written down (at his insistence) on paper.

The other items that most helped? Straws, velcro straps, rubber bands, and a $3 hand mirror so he can see the shapes his tongue is making when working on forming words.

Perry says that there’s no single solution to the communication challenges, but an iPad and app has clearly achieved way more than the more expensive yet laughably crude device they were offered.

You can read the full piece here. Perry has chosen not to name or photograph his autistic child for the piece, so the above photo is a stock image.

Photo: Emily Wade/Unsplash

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Avatar for Ben Lovejoy Ben Lovejoy

Ben Lovejoy is a British technology writer and EU Editor for 9to5Mac. He’s known for his op-eds and diary pieces, exploring his experience of Apple products over time, for a more rounded review. He also writes fiction, with two technothriller novels, a couple of SF shorts and a rom-com!


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