This review of literature focuses on health issues for individuals with Intellectual Disabilities (ID), Intellectual and Developmental Disabilities (IDD), and Multiple Impairments (MI). This population has two to three times higher overweight and obesity prevalence than typically developing individuals. Furthermore, they have higher risk for…

Using an autoethnographic approach, this dissertation explores the path taken by a person who serves a unique population of individuals--people who not only have more than one disability, but in addition, are unable to communicate using verbal (spoken) speech. Starting with a recap of the history of the use and subsequent oppression of American…

Direct-care and professional staff serving profoundly and multiply disabed persons in small community settings or in a large specialty hospital generally expressed positive attitudes regarding jobs and resident care. Staff members who worked with the most disabled residents did not differ from employees serving profoundly but relatively less…

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)

Attitudes of 340 staff members in 120 community living programs for people with mental retardation, mental illness, and dual diagnosis were assessed using the Community Living Attitudes Scale, a measure of attitudes toward inclusion. Findings identified attitudinal differences toward inclusion between managers and staff and between those working…

This community living assessment tool for parents of children with deaf-blindness was developed to help parents identify the strengths and weaknesses of their child's residential program using a user-friendly instrument. Three areas of assessment are covered: physical attributes of the home, available resources for promoting capabilities, and…

Five articles focus on school-to-work transition issues from the perspectives of administrators, consultants, and parents of visually handicapped and multiply impaired/blind students. Programs described include community-based training, state-sponsored vocational training, one-day training seminars, and a job readiness clinic. (Author/CL)

Fifteen papers from special study institutes and workshops focus on understanding planning, providing residential and community services, and traininq for the deaf-blind. Included are the following titles and authors: "Definition of the Problem" (L. Smith); "Normalcy of the Abnormal--Body and Sense Thinking Development of the Organically Impaired"…

STATISTICS OF 1964 AND EARLIER FROM 49 STATES, DISTRICT OF COLUMBIA, GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS ARE COMPILED IN THIS REPORT OF DATA ON HANDICAPPED CHILDREN PROVIDED PHYSICIANS' SERVICES UNDER TITLE FIVE, PART TWO, OF THE SOCIAL SECURITY ACT. PART ONE PRESENTS NATIONAL SUMMARY TABLES AND BREAKDOWNS BY STATE AND REGION. IN PART TWO…

The case study describes various treatments implemented over a three-year period to reduce and eliminate multiple and severe self-injurious behaviors in a 45-year-old retarded and psychotic institutionalized man. Nonaversive intervention and community involvement was associated with positive behavior change and eventual community placement. (DB)

Three youths with mental retardation and behavior disorders were taught functional sight words that supported participation in recreation activities in community settings. Direct instruction with in vivo word find activities was demonstrated to be effective in promoting acquisition of functional sight words. Word recognition was maintained at…

This examination of the successful community placement of 15 medically fragile individuals with profound mental retardation and complex epilepsy found that simplification of anticonvulsants, early intervention for seizures, and improved staff education resulted in fewer seizures, decreases in emergency room visits for status seizures and…

The paper describes the community residence and independent living services offered by Perkins School for the Blind which serves multi-impaired, blind, visually impaired, and deaf blind individuals. The first part reviews existing community living options and emphasizes the need for thorough diagnosis, extensive training in daily living skills and…

The Self-Report Depression Questionnaire (SRDQ), a measure of depressive symptomatology in persons with mental retardation, was administered to 89 mentally retarded adults living in community-based settings. The SRDQ demonstrated high internal consistency reliability, as well as moderate stability over an 11-week period. Content validity and…

The report examines the status of community integration for people with the most severe disabilities. Information is drawn from literature reviews, telephone surveys of over 50 programs nationwide, and visits to 5 community service systems in 4 states. An initial section outlines basic principles for community integration, followed by a review and…