Planning and implementing successful community-based social integration experiences for infants and toddlers with multiple disabilities require consideration of such issues as the developmental needs unique to this age-group, family needs and concerns, health and safety considerations, and training needs of staff. (JDD)

Five articles focus on school-to-work transition issues from the perspectives of administrators, consultants, and parents of visually handicapped and multiply impaired/blind students. Programs described include community-based training, state-sponsored vocational training, one-day training seminars, and a job readiness clinic. (Author/CL)

The case study describes various treatments implemented over a three-year period to reduce and eliminate multiple and severe self-injurious behaviors in a 45-year-old retarded and psychotic institutionalized man. Nonaversive intervention and community involvement was associated with positive behavior change and eventual community placement. (DB)

The paper describes the community residence and independent living services offered by Perkins School for the Blind which serves multi-impaired, blind, visually impaired, and deaf blind individuals. The first part reviews existing community living options and emphasizes the need for thorough diagnosis, extensive training in daily living skills and…

The report examines the status of community integration for people with the most severe disabilities. Information is drawn from literature reviews, telephone surveys of over 50 programs nationwide, and visits to 5 community service systems in 4 states. An initial section outlines basic principles for community integration, followed by a review and…

This article discusses development and implementation of a community-based residential program for deaf blind young adults at the Hilltop House (Texas). The article outlines principles of sound management, realistic staff expectations, developmentally appropriate activities, family participation, crisis management, medication, and close…

This article describes the structure, content, and functions of a specialized adaptive diabetes education program in a large community-based blindness rehabilitation agency in Cleveland, Ohio. The program emphasizes helping clients learn diabetes self-care skills and adjust emotionally to their situation. (Author/DB)

The case study describes a family residential service for three people with profound and multiple disabilities in Burlington, Vermont. The disabled individuals live with a couple and their two children who are also provided support services in the form of weekend relief and helpers for the late afternoon and evening period. The house is owned by a…

This report summarizes the results of a 3-year project in the metropolitan Boston (Massachusetts) area designed to demonstrate job placement and support for individuals with multiple disabilities that include severe physical disabilities and mental retardation. The report summarizes project outcomes, the cost and range of supports that…

This report on Community Vision, Inc. is part of a series documenting innovative supports for community living for adults with severe disabilities. Community Vision was created as an alternative to facility-based services in Oregon that would intentionally focus on providing inclusive community living for those with the most severe disabilities…

Four interdisciplinary programs for the developmentally disabled are described: (1) a paraprofessional degree training program; (2) supported employment for institutionalized adults; (3) a service/research program in the area of communication technology and training for nonspeaking persons; and (4) a communication skills program for persons who…

The final report of the Head Injury Re-entry Project (Project HIRe) describes activities of this 3-year (1987 to 1990) project, which used a "best practices" model approach and a community-based employment strategy with persons having traumatic brain injury (TBI) in nonurban areas. Among 15 project accomplishments are the following: (1)…

This report on "Options for Individuals" is part of a series documenting innovative supports for community living for adults with severe disabilities. Options for Individuals, which began in 1984 in Kentucky, uses Medicaid waiver funding to support 29 people with severe and often multiple disabilities during the day. While the program is…

This compilation brings together various conference papers and a working group report on the topic of residential services for people with deaf-blindness and other profound disabilities. The title paper by Lyle T. Romer describes three measures for evaluating residential programs: capacity, progress, and lifestyle. Valued outcomes of a residential…