This chapter provides "viewpoints" on the education of learners with extensive and pervasive support needs. That is, students who require the most support to learn, often categorized as having intellectual disability, multiple disabilities, autism spectrum disorder, or related disabilities. The lenses through which we provide these…

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…

Every year, under the federal law known as the Individuals with Disabilities Education Act (IDEA), millions of children with disabilities receive special services designed to meet their unique needs. Early intervention services are provided through the state to infants and toddlers with disabilities under three years of age and their families. For…

At least 60% of children with disabilities have multiple disabilities including visual impairments (VI). Because the visual system is neurologically based, any problems of the neurological system will also likely affect vision. The estimated number of students with VI and additional disabilities has increased significantly over the years. Since…

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…

A new approach to behavioral control with individuals having both visual impairments and multiple disabilities stresses the use of positive intervention strategies, bases treatment on functional assessments of challenging responses, and emphasizes broad changes in the lifestyles of individuals. Case examples illustrate applications. (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'…

Describes multiple techniques for facilitating development of initial communication repertoires for individuals with multiple disabilities, and integrates these techniques with strategies for increasing the alert, responsive behavior state through the Tri-Focus Framework, which emphasizes understanding the learner, broadening the communication…

This article offers an example of how teachers may successfully use a process for addressing problem behaviors in the classroom. The process includes (1) framing critical questions, (2) collecting relevant data, (3) taking well-researched actions, and (4) reflecting on the impact of these actions. Guided by these steps, the inappropriate comments…

This final report details the outcomes of a 3-year project involving children with severe disabilities (ages birth-6) designed to: (1) determine the effectiveness of specific therapeutic intervention techniques on the development of basic motor skills in young children with severe and multiple disabilities; (2) explore the relationship between…

The subject of this case report is a two-year, seven-month-old girl with de Lange syndrome, normal intelligence, and age-appropriate language skills. She demonstrated initial delays in gross motor skills and in receptive and expressive language but responded well to intensive speech and language intervention, as well as to physical therapy.…

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,…

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)

The parents of a 31-year-old man with mental retardation, mental illness, and behavioral disorders describe how his relatively independent life style is maintained through comprehensive lifestyle support including friends, home, work, community connections, transportation, and family. Anecdotal accounts illustrate interventions effective with…