One challenge teachers of students with orthopedic and multiple disabilities face is providing sufficient time and opportunity to communicate. This challenge is universal across countries, schools, and settings: teachers want students to communicate because communication lies at the core of what makes us human. Yet students with orthopedic and…

In this article, the author discusses pet therapy, using therapy dogs, as a new way of reaching students with additional disabilities. Therapy dogs aid in instruction in a variety of ways. They are particularly suited to work with preschool-aged children and special needs populations where the curriculum most easily can incorporate a therapy dog…

From the perspective of attachment theory, this paper discusses individual differences in the quality of caregiving by direct-care staff for persons with intellectual disabilities. Theoretical arguments and findings from related literature are cited to support the probable role of professionals' own attachment experiences and their mental…

Adolescents with multiple or severe disabilities often lack access to opportunities available to their typically developing peers, whose in-school friendships are often reinforced through other out-of-school, and sometimes interschool, activities. Limitations to these opportunities can be a result of attending a separate school designed to provide…

Two new techniques that were used with a group of seven blind, multiply handicapped young adults in a half-way house are described. Structured learning therapy is a social skills training technique and group assessment is a method of averaging psychological data on a group of clients to facilitate program planning based on client needs.…

Case studies are used to demonstrate several strategies used in the San Francisco Bay area to ensure the inclusion of persons with dual sensory impairments and other multiple disabilities in integrated community employment. Strategies include heterogeneous group placement, job restructuring, use of natural support, volunteerism, and social skills…

The article describes the Parent and Toddler Training Project, a research-based early intervention program for visually impaired and blind multihandicapped infants, toddlers, and their families in the Western Pennsylvania area. Project purposes include increasing infant social responsiveness, developing parenting skills, reducing family…

The report describes preliminary results of a study investigating the merits of teaching five severely and multiply handicapped preschoolers to take the initiative during social interaction with an adult using signals/actions already in his/her repertoire. Such initiative was theorized as fundamental to the development of communicative,…

This paper describes the need for and the structure of a socialization program designed to provide a social environment for five deaf adults with developmental disabilities residing in two different group homes. The program was developed to address the isolation experienced by such adults living in a community with others who do not use sign…

This article describes a program at the Dallas (Texas) Regional Day School for the Deaf for multihandicapped elementary and secondary students. The program utilizes the Functional Skills Screening Inventory to identify current skills, develop objectives, monitor student progress, facilitate long-range planning, and evaluate the instructional…

In this article, the authors report that, although social attention to the education of children with special needs began in the late 1970s, education for children with autism is the greatest challenge in special education in China. They point out that most school-age children with autism are still kept out of both regular and special schools. In…

This article describes the language abilities of 20 boys aged 10 to 13.5 years who were admitted to residential treatment because of their significant and persistent antisocial behavior. Primary diagnoses included oppositional/defiant disorder and conduct disorder. Eighty percent carried the additional diagnosis of attention deficit hyperactivity…

Competency based modules are presented for educating paraprofessionals to work with severely and multiply handicapped persons. Objectives, suggested learning activities, and performance criteria are listed for six modules (sample subtopics in parentheses): human growth and development (prenatal influences); orientation to disability and…

This paper discusses issues central to communicative/cognitive development in children with visual impairments who also have other disabilities, and presents a multi-modal model of augmentative alternative communication delivery that includes tangible symbols, language input strategies, voice output communication devices, software programs with…

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…