A simple and effective program for the reduction or elimination of ruminative behavior in four school-aged students with multiple handicaps used a combination of peanut butter, reduced fluid consumption at meals, and fading. In each of the cases, the ruminative behavior was significantly reduced or eliminated. (Author/CL)

Three children with severe and multiple disabilities (8-25 months old) were provided contingent learning experiences via electromechanical apparatus. Results indicated that all three children increased the frequency of the target behavior. The data are equivocal as to whether or not children showed an awareness of the response-contingent feedback.…

Compared to nonreactive toys (ones without or with restricted sensory feedback), reactive toys had a substantially greater influence on the amount of time each of three severely disabled children (6-9 years old) spent in manipulative activity. Comparative effects of two toy classes on visual attention to toy play were inconclusive. (CL)

A rural deinstitutionalization project for young people with multiple handicaps and maladaptive behavior is described. Measures of adaptive behavior change, maladaptive behavior, daily activities, and consumer satisfaction indicate that young people can be successfully deinstitutionalized regardless of their skill level, their behavior problems,…

Teachers (N=150) of students with severe and multiple impairments were surveyed to identify the prevalence of health-related procedures being used in the classrooms, the person(s) routinely responsible for implementing the procedure(s), and the person(s) the teacher felt should be responsible for implementing the procedure(s). (Author/DB)

Two teachers were taught positioning and handling techniques using written task analyses, demonstrations by an occupational therapist, verbal and modeling prompts, corrective feedback, and praise. Training took place in the natural school environment, during school hours, and with students that the teachers taught. A functional relationship…

Case studies are used to demonstrate several strategies used in the San Francisco Bay area to ensure the inclusion of persons with dual sensory impairments and other multiple disabilities in integrated community employment. Strategies include heterogeneous group placement, job restructuring, use of natural support, volunteerism, and social skills…

This qualitative study identified 4 major themes during interviews with 28 families whose children have dual sensory impairments. Concerns clustered around parental perceptions of a "good life" for their children, and their experiences with fear, frustration, and change. (Author/DB)

The study evaluated the effects of extended year (summer) programming with 36 multihandicapped students (ages 7-16). Data collected indicated that students enrolled in summer programming acquired new skills, and that acquisition was additive to skills acquired during this regular year. (Author/JW)

A review of 10 studies that utilize the behavior chain interruption strategy (BCIS) to teach communication skills to individuals with severe disabilities found that BCIS has been successfully applied to individuals across a wide range of ages and levels of disability, including learners with multiple disabilities. Generalization concerns are…

Planning and implementing successful community-based social integration experiences for infants and toddlers with multiple disabilities require consideration of such issues as the developmental needs unique to this age-group, family needs and concerns, health and safety considerations, and training needs of staff. (JDD)

Investigation of the quality of programing for 35 students with severe multiple disabilities found that individualized education programs contained many age-inappropriate and nonfunctional objectives, and that students with little voluntary movement received more passive instruction than students who were more physically able. (Author/DB)

A study investigated the use of functional assessment for the transition difficulties of an 11-year-old girl with multiple disabilities who engaged in flopping to the ground during transitions. Assessment information led to the scheduling of a period for interaction immediately following problematic transitions and resulted in reduced rates of…

The effects of a combined neuromotor/behavioral approach using a microcomputer mediated teaching system on the acquisition of basic motor skills by two young children (17- and 24-months-old) with severe and multiple disabilities were examined. Increased frequency and duration of target behaviors in both training and generalizing settings were…

Behavior states and related developmental and medical variables were observed for 34 infants with severe cognitive and multiple disabilities for their first four years. Findings demonstrated emerging state profiles consistent with those found among older populations in previous studies. Results suggest the need for specific, early interventions…