This article considers classroom instruction in reading and writing for children with severe speech and physical impairments (e.g., cerebral palsy). A model of classroom instruction (involving teacher characteristics, context, process, and product) is offered, effective instructional strategies are identified, and recommendations are made to…

Three individuals with multiple severe disabilities were taught an appropriate response to problem behaviors, but the response was less efficient than the problem behavior on physical effort, schedule of reinforcement, or stimulus-reinforcer time delay. The response did not compete successfully with the problem behaviors until a new, more…

This review describes Rett syndrome as a disorder afflicting females and characterized by a progressive loss of cognitive and motor skills and development of stereotypic hand movements. The paper discusses its clinical manifestations, etiology, diagnostic criteria and differential diagnosis, prevalence, pathogenesis, treatment, and educational…

Teachers and habilitative specialists (n=120) of multiply handicapped blind and deaf-blind children in Massachusetts responded to a survey on the use of assistive technology. Respondents reported problems in knowledge of electronic mobility aids and communication devices; the availability, maintenance, and funding of devices; and adequate…

The immediate and short-term effects of a preplanned, 10-day overnight respite on 14 mothers of school-age and adult children with multiple disabilities were evaluated. Results indicated that, during respite, mothers experienced increased well-being and less depression, and these changes continued after respite. Mothers also exhibited changes in…

A program for teaching orientation and mobility to New York City public school students with severe sensory and cognitive impairments incorporates tactile and tangible communication systems and embeds mobility education in students' daily school and home activities. This paper examines necessary prerequisite concepts and offers planning and…

Offers guidelines to teachers for identifying depression in students with mental retardation. Discusses prevalence and symptoms of depression, causes of depression, difficulty of diagnosis in students with mental retardation, detecting symptoms in the classroom, treatment of depression, and psychological services. Inserts list ideas for helping…

Addresses the problems resulting from the frequent co-occurrence of dyslexia and attention-deficit hyperactivity disorder. The importance of identifying comorbidity before planning and implementing educational programs is stressed and implications for diagnosis and intervention are drawn. (DB)

A study of 211 children and adults with autism (n=81), other pervasive development disorders (PDD) (n=24), and conditions other than PDD (n=106) found the prevalence of medical conditions with suspected etiologic relationships with autism varies between 10 and 15%, depending on the diagnostic system employed. (Author/CR)

This article reviews "ADHD with Comorbid Disorders: Clinical Assessment and Management" by Steven R. Pliszka, Caryn L. Carlson, and James M. Swanson, a book that provides information on children displaying both attention-deficit/hyperactivity disorder and other comorbid psychiatric conditions, complex psychopharmacological interventions that may…

Effects of synthetic speech output on the learning of graphic symbols by three adults with severe to profound mental retardation and communication impairments were evaluated. All participants achieved criterion learning using synthetic speech; two also reached criterion without synthetic speech, but the addition of synthetic speech resulted in…

Three case studies are provided of the evaluation of assessment-based interventions strategies within the natural classroom context for students (ages 11-14) with attention deficit hyperactivity disorder and comorbid disorders. For each participant, results demonstrated that assessment-based environmental modifications could decrease problematic…

Six tables provide a breakdown of the answers to a survey responded to by 93 experts in the treatment of psychiatric and behavioral problems in people with mental retardation. Questions address confidence in diagnosing such disorders in this population, methods of evaluation, value of various rating scales, appropriateness of medication for…

The authors studied how care provision and educational and therapeutic support for children with profound multiple disabilities are organized and coordinated in the German-, French-, and Italian-speaking parts of Switzerland. Study questions were: (a) how do the care and educational elements of support coexist in the everyday life of these…

In 2004, nearly 30,000 students were included in the blind or visually impaired (B/VI) category (approximately .04% of the total public school population). This figure, however, only includes children and youth for whom blindness or visual impairment is identified as a primary disability. States indicate that these numbers may actually double or…