Pediatrics On Call Prescribing Assistive Technology, Thinking Developmentally – Ep. 257
Aug 12, 2025
Join expert guests Amy Houtrow, a professor in Physical Medicine and Rehabilitation, Andrew Garner, a primary care pediatrician, and Robert Saul, an emeritus pediatrics professor, as they delve into the transformative world of assistive technology. They discuss how tailored tech can empower children with complex communication needs. The conversation spans the critical role of early relationships in development, the challenges faced by children with disabilities, and the concept of 'good enough parenting' for fostering resilience. With a blend of science and heart, they provide valuable insights for families and practitioners alike.
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Devices Support, Not Replace, Speech
- AAC devices do not reduce a child's drive to speak; instead, they support and often accelerate communication development.
- Communication tools beget more communication rather than inhibiting speech acquisition.
Advocate For Funding Paths
- Advocate and write letters of medical necessity to obtain Medicaid or insurer coverage for AAC devices.
- Use school funding, EPSDT, and appeals when insurers deny coverage for multifunction devices like iPads.
Use The Medical Home Team
- Do rely on the child's medical home neighborhood: speech, occupational therapy, special educators, and school teams to select devices.
- Start with simple, loaner, or trial devices to ensure usability before full prescription.
