Provided are suggestions for selecting and implementing a sign language system with multiply handicapped deaf children and adults, based on a program at the Stone Belt Center (Bloomington, Indiana). Discussed are reasons for deciding to use sign language with the multiply handicapped deaf, nine different sign language systems, guidelines for choosing a particular system, and research indicating that sign language can be taught to the multiply handicapped person. Suggestions for implementing sign language include using materials on an appropriate interest level, having the student's vision checked, reinforcing eye contact, and altering signs when necessary. (LS)