People with Complex Communication Needs (CCN) require improved methods of accessing telecommunications since communication barriers impact on the ability for individuals to participate fully in society. This paper reports findings from research that explores the types of telecommunications access methods adults with CCN use, the reported usefulness of these methods and the perceived usefulness of a Video-Assisted Speech-to-Speech Relay (VAS) service. The research used a mixed-methods design involving both quantitative and qualitative approaches, including an online survey and an online focus group. This paper applies Bourdieu’s theory of society to post-modern perspectives on disability to examine the importance of social participation.