helps family members who have trouble communicating. People can type what they want to say on the keyboard, and a computer generated voice says the word. Ideal for people with ALS, Autism, or recovering from a stroke. Generates unlimited vocabulary speech. Easy set up allows you to select male or female voice and English or Spanish language. Can hold 30 user-programmable phrases. Works over the telephone. Loud, clear voices. Full keyboard, speech generator speaker and manual for use.