This paper describes preliminary development of a microcomputer system to facilitate extended conversation on a broad topic for people of normal intelligence who are physically disabled and lack speech. The paper concludes that, with prestorage and preorganization of potential speech acts, satisfactory computer-assisted, real-time conversations…

The study, using qualitative research methods with six families with severely or multiply disabled adopted children, found that interactions with school, medical, and other personnel were extremely stressful for all families, as were medical crises, difficulties in accessing appropriate services, and adolescents' behavior problems. Effective…

Computer-assisted instruction can aid in the implementation of British National Curriculum requirements with children having profound and multiple learning difficulties. Suggestions are given for developing visual skills, auditory skills, cognitive skills, vocalization, communication, fine motor skills, and gross motor skills. (DB)

This article describes the structure, content, and functions of a specialized adaptive diabetes education program in a large community-based blindness rehabilitation agency in Cleveland, Ohio. The program emphasizes helping clients learn diabetes self-care skills and adjust emotionally to their situation. (Author/DB)

This article describes two programs, one in Australia and one in the United States, that teach people with diabetes and visual impairment to incorporate proper diets and exercise into their daily lives and thus to gain better control of their blood glucose levels. It also presents a basic model of an exercise regimen that clients can perform at…

Examines the areas of visual and physical efficiency that are important to reading and writing braille or large print and conditions and modifications that may be used to make the selected media effective for individuals who have both visual and physical impairments. (Author/DB)

A study examined central auditory processing ability of 15 children with attention-deficit hyperactivity disorder (ADHD), 15 children with ADHD and learning disabilities (LD), and 15 controls. Results indicated lower central-auditory-processing ability and significant correlations between reading and ADHD and reading and…

Describes the activities of a Florida workshop designed to inform local service providers of the National Agenda for the Education of Children and Youths with Visual Impairments, Including Those with Multiple Disabilities, and to motivate them to design strategies to meet the eight goals of the National Agenda. (CR)

Describes how teamwork, consistency, and use of sign language helped a child with Down Syndrome and deafness to increase her vocabulary from less than 20 words at the beginning of kindergarten to 228 words by the end of first grade. Six specific teaching strategies are outlined. (DB)

Nurses applied standard behavioral criteria for major depression to evaluate 89 institutionalized adults with severe or profound intellectual disability. Results suggested that several additional behaviors listed on the Aberrant Behavior Checklist and the Developmental Behavior Checklist may be associated with this disorder in this population.…

An adolescent with severe mental retardation and cerebral palsy who displayed attention-maintained destructive behavior was exposed to noncontingent reinforcer delivery (NCR) with a high-preference or a low-preference stimulus while reinforcement for destructive behavior with attention remained in effect. NCR without extinction was effective only…

A study examined comorbidity of the five federal definition characteristics among 1,352 students already identified as having emotional disturbance (ED). The extent of comorbidity of ED characteristics was related to the criterion for deviance and to each of the selected student variables, particularly school level and educational placement.…

A 9-year-old with multiple disabilities and visual impairments was the focus of a 10-week developmental therapeutic riding program incorporating hippotherapy. The program has led to increased mobility, an increase in visual attention span and fixation time, signs of greater verbal communication, and the acquisition of new functional signs.…

This study examined the validity and internal and interrater reliability of the Wing Subgroups Questionnaire, an assessment that classifies children with autism into subtypes. Subjects were 42 students (ages 5 to 22) enrolled in multihandicapped special education classrooms. Findings support the reliability and validity of the questionnaire for…

A naturalistic assessment of self-injurious behavior in an 11-year-old boy with multiple disabilities, including severe mental retardation, found that the boy's self-injury was occasioned by low attention and low stimulation and maintained by tangible and social reinforcement. Naturalistic assessment effectively guided the selection of behavioral…