Members comment on each other’s changing communication skills all the time. Anecdotally, we notice changes in many members’ communication. Sometimes that change is in the types of strategies used to communicate or in having the confidence to initiate a question in a group. Because we do not track members’ progress as is done in traditional speech therapy, we cannot guarantee that each member’s communication skills will progress or that speaking will improve. We continually conduct research into the effectiveness of our programs. Our research, conducted in-house, shows that after one year of participation in our program, members perceive a better quality of life.