In 2004 the Oxford University Press included Makaton as a common usage word in the Oxford English Dictionary. those with learning disabilities." The Makaton Language Programme uses a multimodal approach to teach language and literacy skills, through a combination of speech, signs, and graphic symbols used concurrently, or, only with speech with signs, or, only with speech with graphic symbols as appropriate for the student's needs.

It consists of a Core Vocabulary of roughly 450 concepts that are taught in a specific order (there are 8 different stages).

This research was conducted with institutionalised deaf cognitively impaired adults resident at Botleys Park Hospital, Chertsey, Surrey (closed in 2008).

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The Makaton Vocabulary Development Project (MVDP) was founded in 1976 by Margaret Walker, who worked in a voluntary capacity as director until her retirement in October 2008.

The first Makaton training Workshop was held in 1976 and supporting resources and further training courses were, and continue, to be developed.

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