This article charts one school's journey in securing an assessment regime aligned with its vision for its learners with profound and multiple difficulties (PMLD). Previous iterations, based on commercially-based systems, as well as lessons learned from reflecting on the school's own assessment practices, were used as catalysts for the development…

The Every Student Succeeds Act (ESSA) requires 95% participation in state achievement testing. Students with the most significant cognitive disabilities participate in states' alternate assessments based on alternate academic achievement standards (AA-AAAS). A growing number of these students are also English learners (Christensen et al., 2018).…

Background: The purpose of this study is to describe feasibility and test-retest reliability of the six-minute walking distance test (6MWD) and an adapted shuttle run test (aSRT) in persons with severe intellectual and sensory (multiple) disabilities. Materials and Methods: Forty-seven persons with severe multiple disabilities, with Gross Motor…

In the support of individuals with profound intellectual and multiple disabilities (PIMD), assessing the level of alertness is a recurring issue for parents and other direct support persons. Although observations show clear advantages above and beyond other assessment methods, there are problems related to this method as well. Subjectivity of…

Many children born with severe and multiple disabilities have complex communication needs and may use no speech or only minimal speech to communicate. Meaningful assessment of their expressive skills to identify communication strengths along a developmental trajectory is an essential first step toward appropriate intervention. This article…

A multicomponent training package (live training, video modeling, role playing, and feedback) was used to train teachers to conduct assessment and to instruct students with profound multiple disabilities. Phase 1 of the study involved training seven teachers to conduct assessment in three areas: (a) preference assessment (i.e., identification of…

Because of a shortage of valid instruments to measure the QOL of people with profound multiple disabilities (PMD), the QOL-PMD was developed. In the present study, possibilities for item reduction as well as the psychometric properties of the questionnaire were examined. One hundred and forty-seven informants of people with PMD participated in the…

This study assessed the validity of idiosyncratic choice-making behaviors of three children with multiple disabilities. Children were given either their "choice" of food or drink or were given the opposite. Direct observations of children's acceptance or refusal revealed the children consistently indicated choices during both conditions.…

Four experiments with six students with multiple profound disabilities examined the function of behavioral stereotypies and sensory modalities maintaining them. Findings are discussed in terms of the sensory and social reinforcers that maintain stereotypy, assessment procedures used to identify reinforcers, and the interpretation of assessment…

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…

The paper describes an interactive evaluation process based on E. Brown's transactional evaluation model, and its application to evaluating programs serving children with severe and multiple disabilities or other low incidence populations. The model emphasizes the first part of the assessment process, determining which questions to ask and what…

A study attempted to assess preferences between a task arrangement involving mobility and a task arrangement involving sedentariness with three women with severe disabilities and visual impairments or blindness. Results found that participants' preferences about task arrangements could be successfully assessed. (Author/CR)

Crossmodal transfer of stimulus control procedures was used to establish reliable responding to an auditory cue in three severely multiply handicapped students who had previously failed to demonstrate reliable responses to stimuli presented in the auditory mode. As a result, all three students were able to participate in formal audiometric…

Four experiments involving 18 individuals (ages 14-55) with profound multiple handicaps found that 12 stimuli used in a preference assessment represented a comprehensive stimulus set for identifying preferences, though the utility of the set could sometimes be enhanced by caregiver opinion. Results also indicated that preferences identified were…