The article reviews research and its clinical implications concerning children with speech, language, and communication disorders who also have or are at risk for developing emotional and behavioral disorders. Issues addressed include differential diagnosis, prevention, intervention, and the role of speech-language pathologists. (Author/DB)

The article describes methods used to bring a seven-year-old boy with severe auditory and visual impairments and no communication skills to a level of oral communication within one year. The manual, graphic, and oral-aural strategies used are described. (Author/DB)

CHARGE association is described as a diagnostic label for a group of congenital malformations, including coloboma, heart defects, atresia choanae, retarded postnatal growth/central nervous system defects, genital hypoplasia, and ear deformities. Etiology and characteristics of the CHARGE association are discussed, along with implications for…

This article discusses diagnostic considerations in identifying coexisting communication disorders and in differentiating between stuttering and secondary fluency disorders related to language formulation. Options for structuring therapy for coexisting problems are evaluated, including blended, lagged, and cycled approaches. Concerns implicit in…

Research and clinical data regarding concomitant speech and language problems in children who stutter are reviewed, along with theoretical models explaining this interrelationship. A framework is presented for the differential evaluation of children who stutter, involving four areas of assessment: case history, fluency assessment, language skills…

Three youths with mental retardation and behavior disorders were taught functional sight words that supported participation in recreation activities in community settings. Direct instruction with in vivo word find activities was demonstrated to be effective in promoting acquisition of functional sight words. Word recognition was maintained at…

Three elementary-aged students with multiple severe disabilities acquired basic communication and motor skills within cooperative-learning activities conducted in their general education classrooms and later generalized skills to other situations. Students without disabilities in the cooperative-learning groups achieved targeted academic…

Types of psychiatric and behavioral disturbances were reviewed for 169 preschoolers with developmental disabilities admitted to a psychiatric inpatient unit. Differences were found in the proportion of some diagnoses and behavior problems across cognitive functioning level and across age; 72 percent had 1 or more medical diagnoses. (Author/SW)

This article addresses the controversy concerning multisensory environments for children and adults with profound and multiple learning difficulties, from a British perspective. The need for critical evaluation of such multisensory interventions as the "snoezelen" approach and the paucity of relevant, rigorous research on educational…

The SKI*HI Institute (Utah) has developed a system of coactive signing for children who are deaf and blind. The system includes optimized coactive signs that are functional, easy to feel, easy to relate to the referent, and easy to make. It also includes techniques for effective coactive sign use. Videotapes of lessons are described. (Author/DB)

This article reports on a deinstitutionalization project for children with severe multiple intellectual and physical disabilities, in which 98 hospital residents were relocated to small group homes. Relocation generally resulted in a more varied life-routine for residents, a broader range of social activities and greater contact with their…

This article discusses the manifestations of attention deficit disorder (ADD) in children who are deaf or hard of hearing, the impact of ADD on behavior and performance, its prevalence, recent legislative initiatives, challenges for managing the problem, and directions for future research. (Author/JDD)

Three students (ages 5-10) with profound intellectual, sensory, and physical disabilities were taught to activate a communication device to request the continuation of activities in which they were involved. The intervention consisted of a consistent response interval and increasing time delay paired with decreasing physical assistance in…

Three case reports of people with severe or profound mental retardation and Tourette disorder are presented. Issues related to the diagnosis of Tourette disorder in this population are discussed. (Author)

Services provided to 12 young adults with visual impairments moving from school to work by either an educationally based or rehabilitation-based transition program were compared. No differences were found in types or number of services provided by the two programs. Both programs cooperated with other agencies and involved subjects and parents in…