Assessment & Research

Facilitated communication since 1995: a review of published studies.

Mostert (2001) · Journal of autism and developmental disorders 2001
★ The Verdict

Facilitated Communication still lacks proof—use data-backed AAC and skip the hand support.

✓ Read this if BCBAs who get questions about Facilitated Communication or select AAC for clients with developmental disabilities.
✗ Skip if Practitioners only serving verbal clients who do not need AAC.

01Research in Context

01

What this study did

Mostert (2001) looked at every paper on Facilitated Communication published after 1995. The team used strict systematic-review rules to find credible evidence that FC helps people communicate.

They checked study quality, participant details, and outcome measures. Any paper that let a facilitator guide the client's hand was included.

02

What they found

The review found zero sound studies showing FC works. Every paper had fatal flaws like facilitator influence or missing controls.

In short, the evidence for Facilitated Communication since 1995 is still empty.

03

How this fits with other research

Bathelt et al. (2019) and O'Brien et al. (2024) paint a brighter picture for aided AAC. Their reviews cover high-tech apps and speech devices that show real promise, the opposite of FC's blank record.

Urrea et al. (2024) and Ohan et al. (2015) add that tech tools can teach vocabulary to kids with ASD, but results are mixed. These papers do not clash with Mostert (2001); they simply moved the field toward tools that pass scientific tests.

Early et al. (2012) give a practical framework for picking those tested AAC apps, filling the gap FC left open.

04

Why it matters

If a family asks about Facilitated Communication, you now have a clear answer: no evidence since 1995. Shift the plan to an evidence-based AAC system instead. Run a quick mand modality preference assessment, choose high-tech or low-tech that the learner can operate independently, and take data from day one. Leave the facilitator's hand out of it.

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Place FC on your do-not-use list and trial at least two aided AAC options with independent access.

02At a glance

Intervention
not applicable
Design
systematic review
Population
not specified
Finding
not reported

03Original abstract

Previous reviews of Facilitated Communication (FC) studies have clearly established that proponents' claims are largely unsubstantiated and that using FC as an intervention for communicatively impaired or noncommunicative individuals is not recommended. However, while FC is less prominent than in the recent past, investigations of the technique's efficacy continue. This review examines published FC studies since the previous major reviews by Jacobson, Mulick, and Schwartz (1995) and Simpson and Myles (1995a). Findings support the conclusions of previous reviews. Furthermore, this review critiques and discounts the claims of two studies purporting to offer empirical evidence of FC efficacy using control procedures.

Journal of autism and developmental disorders, 2001 · doi:10.1023/a:1010795219886