In this study, a three year-old boy with autism named Alex's communication needs were evaluated and then his current communication program was compared to other communication programs. The programs must have included an Augmentative and Alternative Communication (AAC) for use with children in Alex's cognitive state and chronological age, a final goal of verbal communication, and were tested on children in the autism spectrum. Alex had been taught using the Picture Exchange Communication System (PECS), so PECS was chosen to be analyzed for this review for its efficacy with children similar to Alex. Once Alex completed the program, he again was assessed. It was found that he still had limited verbal communications and little to no use of spontaneous verbal communication. Further help with his expressive needs were found to be needed
