Eight cases of early onset bipolar affective disorder in adolescents with mental impairment are described, focusing on age of onset; common characteristics such as rapid cycling, mixed affective states, and lithium resistance; and the likelihood that cerebral dysfunction might cause a secondary form of bipolar disorder. (JDD)

Describes a school-based curriculum for children with profound and multiple learning difficulties in community schools. Considers issues which schools will face as the children are integrated into the community. (RJC)

Discusses the need to improve library and information services for the deaf community, describes technological support available, offers current examples and future possibilities, addresses the needs of users with multiple disabilities, considers compliance with the Americans with Disabilities Act, and suggests guidelines for serving the…

This paper presents the Institute of Medicine model of the dynamic nature of the disabling process of both primary disabilities and secondary conditions, and the interaction of that process with risk factors and quality of life. The components of a comprehensive disability prevention program are discussed. (Author/JDD)

A teacher recounts a summer school program for 9 students (ages 9-16), all with hearing loss and several with other learning problems. Stressed is the role of the summer program in maintaining academic skills. Specific activities around the theme of "rivers" are detailed. (DB)

This article discusses issues in the identification of learning disabilities in students with low vision and examines the academic performance of one 8-year-old student and the methods that his multidisciplinary team used to document a dual diagnosis of low vision and learning disabilities. (Contains references.) (Author/DB)

Favorite stimuli were automatically delivered contingent on the performance of steps by two persons (a boy and a woman) with multiple disabilities during their use of support walker devices. The study lasted about 4 months and was carried out according to a multiple baseline design across participants. Recording concerned the participants'…

There is a paucity of research on counseling parents of children with hearing loss and additional special needs. Therefore, we must extrapolate from what we know of counseling parents of children with a single disability and provide information based on experience. The emotional aftermath of the diagnosis appears similar for both groups. Parents…

There is extensive discussion on the quality of education and support for individuals with profound intellectual and multiple disabilities (PIMD) in relation to inclusion and full citizenship. The discussions are complicated because of differences or lack of clarity in the description of the variations and types of PIMD. A description of the core…

This article describes the development, implementation, and evaluation of an online professional development course designed to develop an understanding of the foundations, perspectives, and strategies used by key disciplines (e.g., occupational therapy, physical therapy, speech-language pathology, early childhood special education, visual…

The manual was designed to provide an overview of the Developmental Physical Management program used at the University of Alabama in classes for infants and children with multiple disabilities. The multidisabled child may be affected by one or more of the following problems: slow development, lack of normal integration of basic reflexes, abnormal…

The final report analyzes the achievements of Project SERVE, a training program for teachers of multiply handicapped/visually impaired students. The two basic objectives were (1) to prepare teachers who have demonstrated both generic teaching competencies as well as skills related to the target population; and (2) to produce teachers who have…

The paper presents an overview of the interdisciplinary team approach for providing services to multihandicapped learners (3 to 18 years old). The model was developed to alleviate problems encountered by educational personnel serving the multihandicapped in a rural state. The model incorporates a local and a state interdisciplinary team. The two…

In an effort to obtain data on services delivered by one clinical center (Downey, California) to nonspeaking cerebral palsied persons, demographic and clinical characteristics were obtained on 66 such patients during the assessment, management, and follow-up phases of a service delivery program. (Author/DB)

The article discusses the uses of mechanical vibration for stimulating, rewarding, and suppressing behaviors of multiply handicapped blind children. Suggestions for further research and refinement of the techniques are made. (Author)