This study sought to ascertain the magnitude of the problems of unemployment, underemployment, job training, and job placements of blind and visually impaired people with additional severe disabilities. A survey of 32 institutions and agencies and visits to 7 settings revealed that only about 15% of this population is either employed or currently…

Examination of 1,273 individuals with mental retardation in a Virginia residential institution revealed that 15.55% also had psychiatric disorders. Males had a higher prevalence than females; individuals with mild retardation had higher rates than those with other levels of retardation. Prevalence rates are provided for specific disorders by level…

This paper summarizes the case histories of four young children with concurrent autistic disorder and Williams syndrome. Williams syndrome comprises a peculiar facial appearance, learning disorder, and often hypercalcemia, mild microcephaly, large blood vessel stenosis, and a specific behavioral phenotype. Literature on Williams syndrome is…

This paper examines studies of speech sound errors using traditional articulation and phonological process descriptions, focusing on the specific types of errors exhibited by young children who stutter. Approaches for treating children who exhibit both stuttering and disordered phonology are discussed, including issues of concurrent versus…

This article cites the increased number of children with multiple disabilities and visual disabilities who generally take therapeutic medications. It lists the side effects of several types of medications, outlines the educational implications of the side effects, discusses drug interactions, and offers a glossary of medical terms. (JDD)

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…