Individuals with profound intellectual and multiple disabilities (PIMD) rely on direct support professionals (DSPs) to communicate with them and plan meaningful activities of daily living (ADL) for them. This qualitative descriptive study explored how DSPs providing ongoing care who work directly with individuals with PIMD describe the use of…

The purpose of this single case A-B-A-B study was to determine if the dependent variables of eye gaze, vocalization, and reaching would increase among students and peers with severe and multiple disabilities and complex communication needs when the independent variable of positioning for communication and socialization (peers facing each other and…

The purpose of this study was to determine how a family communication partner (usually the mother IS primarily responsible for communication with a youth with a communication disability) could be trained to use an iPad and communication software for increasing appropriate communication and decreasing inappropriate behavior of youth with…

This study extended the assessment of a special messaging technology with two additional post-coma adults who had emerged from a minimally conscious state, but showed multiple disabilities including profound motor and communication impairments. For each participant, the study involved an ABAB design, in which the A represented baseline phases and…

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…

The article discusses some practical considerations in the use of Blissymbols--a system of visual symbols for those who cannot communicate with speech--with multiply handicapped children. (Author/DLS)