How should you communicate with a service user who has limited speech or is non-verbal?

• A. Use complex language and medical jargon
• B. Speak loudly and slowly with minimal gestures
• C. Use simple language, plenty of time, nonverbal cues, pictures or symbols, communication aids (e.g., Makaton, PECS), involve family or carers, and confirm understanding
• D. Rely only on written notes

Answer: (C)

Communicating with someone who has limited speech or is non-verbal means using accessible, person-centered methods that match how they best understand and express themselves. The strongest approach combines simple, plain language with plenty of processing time, plus nonverbal cues and visual supports. Visuals—pictures, symbols, or aids such as Makaton or PECS—provide concrete ways to convey needs, wants, and feelings and can be used alongside spoken language. Involving family or carers who know the person well helps tailor the method to their usual communication style and ensures accuracy. Always confirm understanding, not just assume, by inviting the person to respond in their preferred way or to demonstrate what they’ve understood.

Why other approaches fall short: complex medical terms can be confusing; speaking loudly with little gesture doesn’t address the need for alternative communication channels; relying solely on written notes excludes those who cannot read or process written language. The aim is clear, respectful communication that gives the person a voice and reduces frustration for everyone involved.