A speech-generating device may improve behaviors in children with autism who cannot speak.

This case report describes the use of a speech-generating device by a 7-year-old boy with autism. The boy could not speak, but he did make sounds with his voice. Sometimes the sounds were not appropriate. He also had problem behaviors; for example, he would use aggression when he wanted attention or wanted to play with someone. The boy was taught how to use multiple options on the device. He used the device on the playground and during gym. When he used the device, he had problem behaviors 0 to 20% of the total time (for example, while on the playground). Without the device, he had problem behaviors 40 to 80% of the total time.