![]() The total communication approach is about finding and using the right combination of communication methods for each person. We aim to create a ‘Total Communication Environment’ at Millstead. Some children with PMLD may not have reached the stage of using intentional communication, and they may rely on staff to interpret their reactions to events and people. Instead, they tend to rely on facial expressions, vocal sounds, body language and behaviour to communicate. But this does not mean that they can’t communicate. Many children with profound and multiple learning disabilities (PMLD) do not communicate using formal communication like speech, symbols or signs. The move from pre-intentional communication to intentional communication is a big step for children with severe or profound learning needs. Intentional communication develops once a child has learned that their actions have an effect on other people. This type of communication can be used to protest about something or to make requests. intentional - saying or doing things with the purpose of sending a message to another person.This type of communication can be used by someone to calm themselves, focus themselves or as a reaction to an upsetting/fun experience pre-intentional - saying or doing things without intending to affect those around them.the way we express our feelings, thoughts and emotions.
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