A new approach to behavioral control with individuals having both visual impairments and multiple disabilities stresses the use of positive intervention strategies, bases treatment on functional assessments of challenging responses, and emphasizes broad changes in the lifestyles of individuals. Case examples illustrate applications. (Author/DB)

Analysis of data for 3,266 individuals from the 1987 National Medical Expenditure Survey found that residents of state institutions were more severely retarded and more often multiple disabled than were residents of other types of residential facilities. Relatively more persons with severe impairments resided in state facilities in states where…

Sixty-six patients under age 25 with autism and epileptic seizures were treated and followed for 2 years. The cases are analyzed in terms of type of epilepsy, drugs used, and other treatments given. Practical guidelines are offered for the management of epilepsy in autism. (Author/JDD)

This case study of a 24-year-old man with autistic disorder and mental retardation who exhibited aggression found that antecedent exercise significantly decreased aggression; drug therapy with an anxiolytic (lorazepam) alone had no significant effect on aggression; and exercise plus medication decreased aggression to a somewhat lesser degree than…

Use of lithium with mentally retarded individuals with psychiatric conditions and/or behavior disturbances is discussed. The paper describes components of an adequate clinical trial and reviews case studies and double-blind cases. The paper concludes that aggression is the best indicator for lithium use, and reviews treatment parameters and…

A study attempted to assess preferences between a task arrangement involving mobility and a task arrangement involving sedentariness with three women with severe disabilities and visual impairments or blindness. Results found that participants' preferences about task arrangements could be successfully assessed. (Author/CR)

This directory of programs for deaf-blind children and adults lists these programs alphabetically by state. It also lists Helen Keller Centers for Deaf Blind Youth and Adults and programs for training teachers of deaf-blind students. Complete contact information (names, addresses, telephone numbers, e-mail, Web site) is provided. (DB)

This article describes the use of a transition portfolio to help a student with severe, multiple disabilities make the transition from middle school to high school. It describes the information gathering process and desirable portfolio components including personal and medical information, positioning, educational programming, adaptations and…

Two experiments with 15 individuals having profound mental retardation found difficulties in identifying reinforcers that were actually effective in treatment of chronic training needs. Research needs in evaluating training alternatives for people with profound multiple disabilities who move very little or who respond with very long latencies are…

This study evaluated the effectiveness of a brief, 2-minute pre-session stimulus preference assessment in predicting the levels of responding of four students (ages 6-9) with profound multiple disabilities. Use of the identified preferred stimulus resulted in higher levels of student responding during the instructional condition across all four…

The last in seven sets of guidelines based on the consensus of experts in the treatment of psychiatric and behavioral problems in mental retardation (MR) focuses on medication dosing. The guidelines cover classes of medication, specific medications, usual starting daily dose, and usual daily dose range. (DB)

A study involving four adults with multiple disabilities found that they not only could be taught to engage cooperatively in tasks with clearly discriminate response components, but that they preferred forms of cooperative engagement to individual engagement. The need for structured training strategies to teach engagement is stressed. (Contains…

This article examines issues associated with the diagnosis of depressive disorder in adolescents or young adults with autism. Specific methodological problems are identified. The use of treatment response methods to clarify symptoms that may be significant in diagnosing depression in this group is discussed. (Contains references.) (Author/DB)

Research on the meaning of play accelerated in the 1980s, but play in children with profound multiple disabilities is a topic, that is not discussed very often in research. In this article, play in children with profound multiple disabilities is in focus. The aim is to highlight studies on play as a tool for learning and early stimulation, and for…

In recent years, parents of children with hearing loss and various additional disabilities have shown increasing interest in cochlear implants. This article describes how the program in Hanover, Germany is attempting to respond to this interest. It discusses the selection process for children who receive cochlear implants who have multiple…