Six adults with both autism and moderate/profound mental retardation were assessed in a controlled environment for changes in frequency of maladaptive and stereotypic behaviors following nonexercise activities, general motor training activities, and aerobic exercise. Although antecedent aerobic exercise reduced undesirable behaviors, general motor…

Review of claims for the effectiveness of the gentle teaching philosophy with people having severe problem behaviors and mental retardation finds that the methods were unsuccessful with seven of nine individuals. Although more research is needed, the review suggests that gentle teaching cannot be considered an ethically defensible treatment…

This study examined the relationship between psychiatric and language disorders in 96 youth (mean age 13) in a private psychiatric hospital. Over 33% of subjects exhibited significant deficits in both phonology and syntax, qualifying for a language learning disability diagnosis, but only 44% of this group were receiving special education services…

Fifty children and adolescents with affective disorders and mental retardation admitted to a psychiatric inpatient unit were compared with 50 inpatients without depression. Behavioral symptoms occurred significantly more often in the affective group than in the comparison group. The behavioral presentation of affective symptoms in children and…

This paper explains the interdisciplinary team concept blended with the family-centered approach in a psychiatric setting and applies the approach in a case study of a family with a child diagnosed with mental retardation, autism, and severe behavior problems. Practical suggestions for implementing such a family-centered/interdisciplinary team…

This article discusses development and implementation of a community-based residential program for deaf blind young adults at the Hilltop House (Texas). The article outlines principles of sound management, realistic staff expectations, developmentally appropriate activities, family participation, crisis management, medication, and close…

A self-help skills instructional program used graduated guidance as a method of teaching independent dressing to an 11-year-old girl with profound mental retardation, seizure disorder, deafness, and blindness. Dressing skills improved with instruction and were maintained. Task analyses are presented for putting on socks, shorts, and shirts. (JDD)

The Language Lab was a pilot project which sought to develop communicative competence in deaf students with additional disabilities, through the use of the bilingual-bicultural approach and the whole language approach. This paper discusses goals of the Language Lab, classroom strategies, administration, and student evaluation. (Author/JDD)

A school district in Nanaimo, British Columbia (Canada) implemented a transdisciplinary team to provide services for students with multiple handicaps. The team comprises a special education teacher, speech/language pathologist, physiotherapist, occupational therapist, and teacher aides. This paper describes team member roles and responsibilities,…

The Training Resource Unit is a New South Wales (Australia) community services initiative that provides services such as direct client training, career training, and consultation to individuals with severe intellectual disability and severe challenging behaviors. The service is provided in the person's place of residence, workplace, or school…

The use of pictures in task analysis to teach complex tasks to students with multiple disabilities is detailed. The paper presents: benefits of picture task analysis as a receptive communication strategy, memory aid, and instructional efficiency; approaches to developing and implementing a picture task analysis; and a case study illustrating the…

The visual acuity of 8 children, aged 2-7, with low vision and multiple handicaps was effectively tested using the Teller Acuity Cards and a preferential-looking procedure with operant modification. This inexpensive procedure was found to be suitable for at-home testing by itinerant vision specialists in developing countries or rural areas. (DB)

This article describes addition of a "learn a routine" procedure to functional visual assessments of children with severe neurological and physical disabilities. The procedure capitalizes on the child's interest of the moment and provides information on the child's patterns of responses, ability to accommodate to variations of a stimulus, and…

This article describes challenges and solutions to the integration of children with multiple disabilities into supported regular elementary classes: (1) providing a functional curriculum in a regular class; (2) providing community-based instruction; (3) scheduling staff coverage; and (4) promoting social integration. Solutions are illustrated with…

This study presents data on the physical, developmental, and behavioral characteristics of a group of 203 nonambulatory persons with profound mental retardation. It found a high prevalence of physical and medical problems, as well as high rates of self-injurious, stereotypic, and aggressive behavior and high variability in cognitive and adaptive…