This booklet is geared towards persons with autism of all ages who would benefit from enhancing their communication systems through the use of aided communication. It recognizes the importance of an effective expressive communication system to aid them in expressing thoughts and maintaining some power and control over decisions in their lives. Criteria for an effective expressive communication system are listed. The strengths and weaknesses of potential visual communication modes are outlined, including manual signs, gestures, aided communication, facilitation to assist motor movement, and eye gaze. Intervention strategies when using communication boards with persons with autism are suggested. These strategies deal with such issues as limited or infrequent initiation of communication, poor eye contact and pointing skills, picture identification, work within the context of an interdisciplinary team, responsibility for the communication board's use, limited opportunities to community, tendency to not understand the concept of choice, motivating a person to use the communication board, and expanding the communication board. (JDD)