Most people with profound intellectual and multiple disabilities (PIMD) have limited social contact and it is unclear what is done to maintain or increase these contacts. Individual support planning (ISP) can be used in the systematic enhancement of social contacts. This study analyses the content of ISPs with respect to the social contacts of…

The Autism Program at Camarillo State Hospital and Developmental Center (California) has implemented "deinstitutionalization" within a large facility by providing effective and appropriate treatment based on individual needs. This paper describes the design of treatment services, quality assurance mechanisms, medical care (including…

Guidelines are presented for individualizing daily schedules or routines to reflect better the preferred lifestyles of persons with severe handicaps. Four dimensions that can be systematically manipulated to address challenging behavior are presented, including timing of routines, form of the activities, pattern of succession of activities, and…

A study evaluated the effectiveness of a residential program, based on the TEACCH model, in improving the program quality and adaptation of 32 adolescents and adults with autism and severe disabilities. Participants experienced an increase in structure and individualized programming in several areas, and the families were significantly more…