Communicating with people with profound and multiple learning disabilities (PMLD)

Many people with profound and multiple learning disabilities (PMLD) do not communicate using formal communication like speech, symbols or signs. But this does not mean that they can't communicate.

Girl with camera People communicate in many different ways. Communication is a basic human right and we need to make sure that everyone's way of communicating is valued.

However, parents and professionals have told us that the communication needs of people with PMLD are often not being met, as many people supporting and working with people with PMLD don't understand how they communicate.

She communicates through hand gestures, making noises and facial expressions.

About this guide

This guide is an introduction to communicating with people with PMLD. It explains how people with PMLD communicate and gives examples of some of the non-formal communication methods which people can use when working with people with PMLD. It also contains useful information about additional resources and support that are available. Look for this sign - What next? - for things you can do.