Students with multiple disabilities (MD) and concomitant impairments in domains such as vision and communication may experience restrictions in social interactions throughout their school days. These restrictions may be due in part to the intrinsic characteristics and skills of the students with MD, as well as potential barriers from communication…

The present study used a multiple probe across behaviors design, with an embedded alternating treatments design to compare the effects of two modified communication systems, the Picture Exchange Communication System (PECS) and a speech generating device, on requesting for a child with multiple disabilities, including autism and visual impairments.…

Individuals with profound intellectual and multiple disabilities (PIMD) rely on direct support professionals (DSPs) to communicate with them and plan meaningful activities of daily living (ADL) for them. This qualitative descriptive study explored how DSPs providing ongoing care who work directly with individuals with PIMD describe the use of…

The Picture Exchange Communication System (PECS) is an augmentative and alternative communication program (Frost & Bondy, 2002). Although PECS has been effectively used to teach functional requesting skills for children with autism, mental retardation, visual impairment, and physical disabilities (e.g., Anderson, Moore, & Bourne, 2007; Chambers &…