AAC is an abbreviation for the concept Alternative and Augmentative Communication, a joint term for methods used to support and develop communication for individuals who are non-speaking or with severe communicative disabilities. From 2007 and onwards, universities in Sweden, Belarus, Russia and Ukraine have cooperated to develop strategies for integrating these methods into inclusive special education practice and education in each country. The report will present some results and ongoing activities. In Sweden AAC is well-known and methods are used in many inclusive settings. In Russia there are a number of habilitation settings where training in communicative AAC-methods are available and some national and international conferences have been administrated as well as reports published. In Ukraine, some activities are developed from one university in Kyiv and finally in Belarus, AAC is well integrated into the central curriculum on special education training of teachers and others in the country. The cooperation has been initiated from Sweden through projects financed by Swedish agencies and some support from international AAC agencies. The results show that developing new structures in the infrastructure takes time but that international cooperation between EU and adjoining countries support joint inclusive development.