She still rarely spoke aloud.

Sometimes she used a single word, sometimes signs, sometimes writing or pictures.

Dr.

Morales emphasized that the goal was not to produce a dramatic speech for the adults.

The goal was confident communication and a sense of safety.

The school district arranged an evaluation and planning meetings.

Pearl would have appropriate communication support, and her teachers would learn how to respond without treating her silence as disobedience.

Desmond attended every meeting with a notebook.