Total Communication: Bridging the Gap Between ABA and ASL for Holistic Growth
When it comes to supporting a child's language development, there's no one-size-fits-all solution. Every child communicates differently, and the most effective approach often involves using every tool available. That's where Total Communication comes in: a philosophy that embraces all forms of communication to help children thrive.
At Hands in Motion PNW, we believe in meeting children where they are. For families in Spokane, Eastern Washington, and North Idaho, this means combining the best of Applied Behavior Analysis (ABA) and American Sign Language (ASL) to create truly individualized support.
What Is Total Communication?
Total Communication isn't a single method: it's a mindset. The approach uses sign language, spoken language, gestures, augmentative and alternative communication (AAC) devices, and any other tools that help a child express themselves and understand others.
The core idea is simple: communication should happen through whatever channels work best for each individual child. This might include:
- American Sign Language (ASL)
- Spoken English
- Fingerspelling
- Picture exchange systems
- AAC devices and apps
- Natural gestures and body language
For children who are Deaf or Hard of Hearing, or those with autism who may be non-verbal or minimally verbal, Total Communication opens doors that might otherwise stay closed.

Why Combine ABA and ASL?
ABA therapy focuses on understanding behavior and using positive reinforcement to teach new skills. It's highly individualized and data-driven, which means therapists can track progress and adjust strategies in real time.
ASL, on the other hand, provides a complete visual language system. For many children, especially those in the Deaf and Hard of Hearing community, ASL isn't just a communication tool: it's a connection to culture and identity.
When these two approaches work together, something powerful happens. Children gain access to multiple pathways for learning and expression. They're not limited to one mode of communication. Instead, they can use whatever works best in any given moment.
The VAK Method in Action
One reason this combination works so well is the VAK (Visual, Auditory, Kinesthetic) learning method. When a therapist pairs a spoken word with a sign, the child experiences:
- Visual input – seeing the sign being made
- Auditory input – hearing the word spoken
- Kinesthetic input – feeling themselves make the sign
This multi-sensory approach engages different parts of the brain simultaneously. Research shows that while spoken language is primarily processed in the left hemisphere, sign language activates both sides of the brain. This dual processing may actually support and accelerate the development of spoken language skills.

Benefits for Children and Families
The integration of ABA and ASL within a Total Communication framework offers meaningful benefits that extend beyond the therapy room.
Reduced Frustration
One of the biggest challenges for children who struggle with communication is frustration. When a child can't express what they need or want, that frustration often shows up as challenging behaviors. By providing multiple ways to communicate, Total Communication helps children express themselves more effectively: which often leads to calmer, happier days for everyone.
Stronger Connections
Communication is the foundation of relationships. When children can share their thoughts, feelings, and needs, they build stronger bonds with parents, siblings, therapists, and peers. Families who learn signs together often report feeling more connected to their child.
Improved Social Skills
Total Communication also promotes awareness of non-verbal cues. Children learn to pay attention to facial expressions, body language, and gestures: skills that are essential for social engagement throughout life.
Respect for Identity and Culture
For families in the Deaf and Hard of Hearing community, incorporating ASL into therapy isn't just practical: it's a matter of respect. ASL is a complete language with its own grammar, syntax, and cultural context. When therapy includes ASL, it sends a clear message: your language and your culture matter.

An Ethical Approach to ABA
The field of ABA has evolved significantly over the years. Today, ethical ABA practice prioritizes the child's autonomy, preferences, and overall well-being: not just behavior change for its own sake.
Total Communication aligns perfectly with this modern, ethical approach. Instead of forcing a child to communicate in one specific way, therapists work with families to identify what works best for each child. This might mean:
- Using ASL as a primary language for a Deaf child
- Incorporating signs to supplement spoken language for a child with autism
- Introducing AAC devices for children who benefit from technology-assisted communication
- Combining multiple methods based on the child's preferences and progress
The goal is always the same: help the child communicate effectively in ways that feel natural and comfortable for them.
Practical Tips for Families
If you're interested in incorporating Total Communication principles at home, here are some starting points:
Start with Functional Signs
Focus on signs that help your child communicate immediate needs: things like "more," "help," "all done," "eat," and "drink." These high-frequency words give your child quick wins and build confidence.
Pair Signs with Speech
Whenever you sign, say the word out loud at the same time. This consistent pairing helps reinforce the connection between the visual sign and the spoken word.
Make It Part of Daily Routines
Don't save signing for "therapy time." Use signs during meals, bath time, play, and bedtime. The more natural and integrated the communication, the faster children tend to learn.
Get the Whole Family Involved
When siblings, grandparents, and other caregivers learn basic signs, communication becomes consistent across all environments. This consistency is key for lasting progress.
Be Patient and Celebrate Progress
Learning any new communication system takes time. Celebrate small victories and remember that every attempt at communication is a step forward.

Serving Spokane, Eastern Washington, and North Idaho
At Hands in Motion PNW, we're proud to serve families throughout our region with ABA therapy services that respect and incorporate diverse communication methods. Our service areas include:
Washington State:
- Spokane County
- Stevens County
- Pend Oreille County
- Lincoln County
- Whitman County
Idaho:
- Kootenai County
- Bonner County
- Boundary County
We understand that families in our region have unique needs, and we're committed to providing individualized support that honors each child's communication preferences and cultural background.
Moving Forward Together
Total Communication isn't about choosing between ABA and ASL: it's about recognizing that both can work together to support holistic growth. When we use all available tools, we give children the best possible chance to communicate, connect, and thrive.
If you're a family in Spokane, Eastern Washington, or North Idaho exploring communication options for your child, we'd love to connect. Whether your child is Deaf, Hard of Hearing, autistic, or simply benefits from multi-modal communication support, there's a path forward.
Visit Hands in Motion PNW to learn more about our services and how we can support your family's journey.
Categories: ABA + ASL, Language Development
Tags: Total Communication, ABA Therapy, ASL, American Sign Language, Deaf and Hard of Hearing, autism support, speech and language development, Spokane ABA, Eastern Washington therapy, North Idaho therapy, AAC, communication strategies, inclusive therapy
SEO Meta Title: Total Communication: How ABA and ASL Work Together | Hands in Motion PNW
SEO Meta Description: Learn how Total Communication combines ABA therapy and ASL to support holistic language development for children in Spokane, Eastern WA, and North Idaho.
Excerpt: Total Communication uses all available tools: sign language, speech, AAC, and gestures: to support a child's language development. Learn how this ethical approach bridges ABA and ASL for families in the Deaf and Hard of Hearing community.