Picture Exchange Communication SystemWhat is PECS (Picture Exchange Communication System)?

Picture Exchange Communication System is a system intended to help individuals who are nonverbal or lack speech skills. Through the use of pictures and word phrases individuals that are nonverbal or lacking speech can communicate their wants, needs, and feelings. Each learner has their own communication book, which has all of their highly preferred picture items in it as well as daily living tasks and every day items/activities that would be needed or used. The communication books should be individualized to meet the needs of each person.

With the Picture Exchange Communication System, there are usually six different phases that are taught in chronological order. Sometimes phases will be taught together though.

Phase 1: How to Communicate: During this phase, the individual is taught to give the instructor the picture of a desired item. Once the picture is handed to the instructor, the individual is given the item that is on the picture.

Phase 2: Distance and Persistence: The communication book as well as the instructor is in different areas of the room. The individual is now required to find his/her book, pull out the desired picture, and bring it to the instructor. The individual will then receive the item they requested. Within this phase, training will also take place with different people and in different places to make sure the individual can use the picture exchange communication system with various people and in a variety of different settings.

Phase 3: Picture Discrimination: The individual is taught to choose between different pictures. First, the person is taught to differentiate between preferred and non-preferred items. Then, they are taught to pick between equally preferred items.

Phase 4: Sentence Structure: This phase teaches the individual to make simple sentences. There is typically a word phase that reads, “I want” with a picture of the desired item. Later, sentences can be expanded and made more complex by teaching and including different adjectives, verbs, and prepositions.

Phase 5: Answering Questions: Individuals are taught to answer the question, “What do you want?” through the use of the picture exchange communication system.

Phase 6: Commenting: Through this phase, the individual is taught to communicate about his/her environment. With the use of word strips and pictures, the individual is able to state what he/she feels, hears, and sees, etc.

Client Reviews (16)

NSPT provided me with an exceptional learning opportunity to further my clinical skills as a SLP student. I left NSPT with more knowledge in my field and more confidence in myself as a clinician. The positive environment, interdisciplinary team work, and everlasting support at NSPT made my externship placement truly wonderful!

Maddie

NSPT provided me the opportunity to not only gain more clinicial skills in my area of study, but also alllowed me to better understand and experience what other clinicial professions do. I appreciated the feedback and experiences here at NSPT and am so happy I had the opportunity to work alongside other therapists!

Frances

My daughter saw Zoe in Glenview for feeding therapy starting when she was 6 months old. We were very concerned because she was losing weight and refusing to eat solids. From the first session, Zoe was able to work with our baby to not only get her to try foods, but to take an active interest in them. Zoe also provided tremendous comfort to us by sharing her breadth of professional and personal knowledge on infant feeding. Our baby is nearly 1 year old now and she is a happy, healthy eater (though still a little picky). We are so grateful to Zoe for starting us on this path.

Matt Galin

My son has been receiving speech therarpy here for the past 3 years. If it wasn’t for the intellect of the therapist he was working with we would have never discovered that he has APD. Through hard work over the course of the years, my son has blossomed into a talking machine. I highly recommend NSPT for all your kids needs.

Carla Robinson

Our son Ian received speech therapy from Ms. Katie 2x per week for 6 months. We were so thrilled to see his confidence increasing as his verbal skills improved. While we have moved out-of-state & no longer go to NSPT, I am hopeful that we will find a therapy center that is as wonderful & caring as they were!

Stephanie Long

NSTP has managed to turn a difficult and sometimes frustrating situation into a fun and educational experience for my 6 year old daughter. Their confidence, willingness to explain every detail of what they do and what they have planned for my daughters sessions has been a life saver to me. The enthusiasm and confidence I encounter with her therapists is not only a needed relief to me as a parent but is also picked up by my daughter and can been seen in her interactions with the therapists and other children as we walk into the office.

Ben

My 3-year-old receives speech therapy at NSPT. I’ve been so happy with the progress she’s making in this area. She has been learning new words and phrases and is incorporating them at home, which has been great! I’m impressed with the concern and level of care of the therapists at NSPT.

Pamela S

North Shore Pediatric Therapy provides a supportive and fun educational atmosphere for both clinical interns and clients. I learned a lot from both my supervisor as well as the rest of the team, made of clinicians from the fields of speech-language pathology, occupational therapy, physical therapy, and social work. I received constructive feedback, had access to a variety of helpful treatment and diagnostic materials, and experienced providing services to a variety of clients and their families. Overall, I learned a lot during my time at NSPT and will be very sad not to spend more time there.

Stephanie Long

My son is making wonderful progress with voice volume and enunciation! We love Jaclyn! Thank you for your loving support!

Lisa D

I have three children who have been coming to NSPT since October 2012 in the Glenview office. The therapists are amazing with my children. They are very caring and kind and they love working with children. My son reached all of his goals after one year of being with his therapist. My other two kids are showing a lot of progress and improvement in their speech. I am very happy with the services my kids are receiving.

Weam S

My son (now 4 1/2) has been coming to Speech Therapy at North Shore Pediatric Therapy in Highland Park for 9 months. When he started, he was fairly unintelligible, and we were very concerned. Thanks to the amazing SLPs at NSPT, my son has greatly improved and is so much more intelligible. While we still have a ways to go I believe we are on the right track. I no longer have to translate everything he says to everyone. We are thrilled with the speech services our son has received.

Leah B

My son has been going for speech and ot for almost a year and Ellyn and Katie have been so great working with my son. since starting at north shore pediatric therapy he has really shown huge improvement and has made everyday life easier for my son. they have been great.

Merrick

My son (now 4) has been coming to Speech Therapy at North Shore Pediatric Therapy in Glenview for over a year. When he started, he could barely form words was somewhat unintelligible, and we were obviously very concerned. Everyone used to tell me that one day he would be talking so much I would just want him to stop, but I had a hard time believing them. Thanks to the amazing SLPs at NSPT, it’s true! My son now speaks in full sentences, is fully intelligible, has gained an enormous amount of self-confidence, and I do sometimes think “when is this kid going to be quiet?”. Haha – Needless to say we are thrilled with the speech services our son has received.

Jennifer N

North Shore Pediatric Therapy provides a positive and fun learning environment for their clients. I enjoyed working alongside the therapists in a multi-disciplinary setting and I learned a lot from the experience!

Tanya Noronha

Since my family put my autistic sister into speech therapy in North Shore Pediatric Therapy she had improved in her speech and developed new words, and found confidence in trying to speak more and Maureen is very happy, because everybody is very friendly and pays attention to her needs.

Anonymous

My 22 month old son has been coming to Speech Therapy here at North Shore Pediatric Therapy in Bucktown since last fall (2013). He has been seeing Jessica Jamicich. Jessica is a warm, kind and extremely caring Speech Therapist who is wonderful with children with developmental delays. Currently, he is working on action words and two word phrases. My husband and I are extremely please with his speech development. Jessica has been instrumental in helping his speech development along.

Melinda V

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