This article provides an in-depth analysis of the comprehensive supports necessary for an adult with multiple disabilities and significant problem behavior to experience an inclusive adulthood. Written from the perspective of parents, the article highlights "lessons learned" about how to implement and finance comprehensive supports across domains…

This paper introduces educators to CHARGE syndrome (CS), a multiple anomaly developmental syndrome that is usually accompanied by some degree of hearing and visual impairment. We describe the defining medical characteristics of the syndrome, and following this, outline the behavioral features commonly seen in individuals with CS. Throughout, we…

The recalcitrant spitting of a blind, deaf, and retarded adolescent was eliminated with a behavioral intervention consisting of positive reinforcement for not spitting and facial screening for spitting. The social and academic implications of modifying such behaviors are discussed. (Author/CMG)

An automated training device was used in the differential reinforcement of an incompatible behavior in the treatment of hand mouthing of a boy with profound mental retardation and blindness. The presentation of music and vibration contingent upon bilateral hand-switch placement resulted in substantial and sustained reduction of hand mouthing with…

The article discusses the uses of mechanical vibration for stimulating, rewarding, and suppressing behaviors of multiply handicapped blind children. Suggestions for further research and refinement of the techniques are made. (Author)

The applicability of two reinforcer assessment procedures to children with developmental disabilities and visual impairments was evaluated. Greater differentiation between stimuli occurred with a choice procedure than with a preference procedure. Measurement of compliance and responding rate in adaptive skill training confirmed that the choice…

This guide describes methods to help parents and others reduce the unacceptable behaviors of children with multiple sensory impairments and replace those behaviors with acceptable ones. The guide recommends that the behavior change program begin with simple changes so that both the parents and the child gain experience in changing behavior. The…

This study applied functional behavioral analysis to the destructive behaviors of two young boys with multiple disabilities including behavior disorders. Results suggested that the subjects' destructive behaviors were sensitive to both escape and attention as reinforcers. Results support the importance of establishing operations in determining the…

Inappropriate mealtime behaviors of a blind, mentally retarded, behaviorally disordered 10-year-old were modified via behavior therapy techniques, including audiotape of favorite stories turned off during inappropriate behavior and praise (plus access to food) for appropriate napkin and utensil use, once desired sitting posture had been…

The study found significant improvements in behavior when a profoundly mentally retarded blind subject was reinforced with music. The young woman also discriminated among different types of music, and behavior rates varied accordingly. (Author/DB)

A multiply-handicapped totally dependent young adult exhibited a steadily increasing rate of response in learning to turn her radio on and off by moving her head to activate a controlling device mounted on the headrest of her wheelchair. Positive reinforcement, prompting, and fading were employed during the intervention (Author/JW)

Positive reinforcement was used to effectively treat aggressive and noncompliant behavior of two visually impaired, multiply handicapped male students (an 18-year-old and an 11-year-old). In one case positive effects of treating aggressive behaviors generalized to a reduction in self injurious behaviors. (DB)

Positive reinforcement (food) presented both regularly and variably was effectively used to reduce self-stimulatory behavior in a 12-year-old profoundly retarded visually impaired male over a 2-month period. The improved behavior was maintained after the summer break and into the new school year. (DB)

A single-subject multiple treatment design counterbalanced across nine participants with moderate to severe and multiple disabilities was used to determine the efficacy of a school-based multi-treatment package (a combined dysphagia treatment and positive reinforcement behavior management program) for children and youth (ages 4-17) with feeding…

This study employed a multiple probe design to evaluate the effectiveness of a school-based lunchtime oral-sensory/oral-motor/positive reinforcement program on food acceptance behaviors of three youth with multiple disabilities. Overall dramatic gains in food acceptance behaviors of all participants indicated that trained school personnel were…