This article reviews normal visual development and the role of visual gaze behaviors in attention and social interaction, discusses how the information applies to many multiply handicapped visually impaired children, and describes ways of incorporating this information into assessment and programing. (DB)

This survey of 82 institutions and 490 teachers serving deaf students found that significant numbers of deaf students also have vision problems and that teachers do not receive adequate training and information to meet the needs of this population. (Author/JDD)

Comparison of residential rehabilitation outcomes of blind clients with (n=45) or without (n=67) previous psychiatric diagnosis found no intergroup differences after rehabilitation in skill, attitude, and overall adjustment. All clients improved significantly during rehabilitation. (DB)

This article summarizes major academic problems of students with attention deficit hyperactivity disorder (ADHD) and addresses the extent to which these problems are secondary to ADHD itself, rather than a part of a co-occurring learning or cognitive disability. Recommendations are made for modification of classroom settings to enhance academic…

This article argues that orientation and mobility (O&M) training should be part of functional and meaningful activities for children and youth with severe multiple disabilities including a visual impairment. Evidence is provided that out-of-context instruction has not been effective, and the role of the O&M instructor is discussed. (DB)

This article presents a practical approach to the problem of attention deficit disorder in children with deafness or hearing impairment, based on experience with a model treatment program at a residential school. Suggestions are provided regarding diagnostic procedures; management in the classroom, home, and residential area; therapeutic…

This study found that the schizophrenia subscale of the Psychopathology Instrument for Mentally Retarded Adults was a valid quantitative measure of schizophrenia if one item was removed from the scale. Comparison with a nonretarded population indicated that mentally retarded patients had less delusions and more incoherence and flat affect. They…

This article presents information on the etiologies of learning disabilities in preschool children with impaired hearing; the etiologies of hearing impairments in preschool children with learning disabilities; estimated prevalence; aspects of identification, assessment, and educational programing; and an agenda for practice and research with this…

Two studies (with 78 experts in deaf blindness and multiple disabilities and 44 parents of children with deaf blindness) explored the content and social validity of an educational planning tool--COACH (Choosing Options and Accommodations for Children). Combined results provide initial validation that COACH is congruent with exemplary practice.…

This article reports the experiences of one school district as it moved from serving students with severe disabilities in segregated programs to a full inclusion model. Year one focused on getting started, planning, and beginning integration efforts and year two on implementation of a structured peer integration program. Applicability of the full…

Analysis of the 1977 and 1985 National Nursing Home Surveys with respect to residents with mental retardation found little change in the size of the population; resident characteristics (such as other disabling conditions and functional limitations and primary source of payment); and level of services received. Challenges in implementing Public…

Two studies with 50 students (ages 1 to 21) with severe, profound, and multiply handicapping conditions examined similarities and differences in behavior state conditions. Among findings were that profile groups could be identified by behavior state patterns and that students spent an average of 42 percent of classroom time in state conditions not…

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 New Zealand study investigated the prevalence, health status, and service needs of people with mental retardation born before 1940. Of 1,063 people identified, 42% resided in institutions, 7% with family, 13% in nursing homes, and 38% in community-based residential facilities. Additionally, 75% received regular medication, and 75% had at least…

A treatment package consisting of differential reinforcement of other behavior (DRO), token fines, and prompted relaxation was used to reduce the agitated-disruptive behavior of a young adult with autism and mental retardation living in a community group home. DRO procedures were partially implemented by a peer with Down syndrome. Baseline rates…