The paper notes the difficulties with most formal tests of language skills when applied to the assessment of communication and precommunication skills in individuals with severe and multiple handicaps. General principles for assessment and a flexible assessment device are summarized. The Functional Communication Assessment is offered as a basic…

A case study of a difficult to manage nonspeaking young man with brain injury is presented. Assessment and intervention indicated severe cognitive-linguistic deficits, severe physical involvement of all extremities, extensive surgical management, visual perceptual and acuity deficits, and behavioral problems. (Author/DB)

This manual describes the Wisconsin Sensorimotor Pointing Assessment (WSPA) for individuals with severe communication deficits complicated by other cognitive or motor disabilities, and provides guidelines for its administration. The WSPA was designed to quantify four categories of sensory and motor abilities necessary for initiating and accurately…

An augmentative and alternative communication device was designed for a nonspeaking, blind, severely mentally retarded 11-year-old. The device consisted of a computer-supported expanded keyboard that produced synthetic speech output when tactile symbols were activated. Described are the assessment procedures, instructional procedures, and…