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About Us
The mission of Communication by Design Specialists, LLC is to provide evidence-based interventions for individuals with severe communication disorders, autism, neurodiversity, or other pervasive developmental disabilities. CoDeS is dedicated to maximizing the potential for all clients to communicate, learn, and socialize, while offering training, information, resources and compassionate support to families, educators, and members of the community.



Communication by Design Specialists, LLC (CoDeS) is a private consultation practice based in Cuyahoga County in the State of Ohio. It was established by Dr. Vicki L. Turner in response to caregivers and professionals who appealed for support when attempting to assist individuals with severe communication disorders, autism, neurodiversity, and other pervasive developmental disabilities (PDDs).

As Speech Language Pathologists, Assistive Technologists, and Alternative-Augmentative Communication Specialists, Turner and partner, Carol L. Spears, utilize extensive professional experience, continuing education, and personal perspectives to provide evidenced-based intervention strategies that have been proven effective.

CoDeS provide interventions for individuals with autism, pervasive developmental disorders (PDD), cognitive delay, traumatic brain injury, cerebral palsy, specific language disability, developmental apraxia, and muscular dystrophy among other communication disorders. Customized treatment, as clients’ needs dictates, include alternative-augmentative communication (AAC), assistive technology, speech generating device support/training, and intervention planning. Services are provided to members of educational institutions as well as to individual families.



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The Calm by Design Collection is a comprehensive tool kit for managing stress, gaining tranquility, facilitating a sense of calm, maintaining focus, and getting the job done. 

Appropriate for school-aged children with autism or anxiety, teens receiving counseling, residents of rehabilitation facilities, or patients with mental illness, among others.  

Valuable in the home to achieve relaxation or in the office to de-stress quickly.  Satisfies sensory needs through vision, touch, hearing, and smell.


  Click  to view and print
Calm Collection brochure

Please send email when order is mailed to:
mailto:communicationdesignspecialists1@yahoo.com
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Complete How-to Guide

Written by Carol L. Spears & Vicki L. Turner

The Definitive Guide to Alternative Augmentative Communication
Visual Strategies
and Learning Supports
at Home and School









Click to purchase eBook or paperback edition

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