The group treatment opened with a brief period of socialization prior to structured activities, which enhanced social participation and engagement in community living. It was noticed that the group members have developed relationships with other aphasia group members. Secondly, the participants would take turns sharing good or bad news from the previous week. Prior to sharing the news, the participants were suppose to write it out on paper to assist with their writing deficits. This activity was similar to examples of structured diaries provided in Aphasia and Related Neurogenic Communication Disorders. Word scramble activities such as creating new words from the word “Earth Day” associated with stimulating word retrieval was also incorporated in the support group. Throughout the support group, the group leader used multiple multimodal communication strategies: photographs, number lines, drawing, letter and syllable cues and gestures. For example, when asking questions about the rain forest, the group leader provided a map of the world as a visual aid. To assist with reading skills, the group leader incorporated current news articles for the participants to read aloud and discuss