This article suggests that the speech-language pathologist may appropriately serve as a case manager for students who have multiple needs and describes a case management model. The skills necessary for effective case management are outlined and functional outcomes are demonstrated with a child and family story. (Contains references.) (DB)

An introduction to the special section on dual diagnosis comments on the prevalence of dual diagnosis. A study is then reported in which 205 people with mental retardation were administered the Reiss Screen for Maladaptive Behavior. Fifty-nine subjects were then evaluated by clinical psychologists, and a dual diagnosis rate of 39 percent was…

Severely and profoundly mentally retarded institutionalized residents (N=74) who received lithium carbonate for behavior disorders were followed in a 10-year retrospective study. Thirty-one subjects demonstrated a sustained major reduction or elimination of behavioral symptoms. Lithium responders were likely to be older and to present symptoms of…

In this case study, a six-year-old, multihandicapped child was treated for self-injurious arm-biting using two response contingent deceleration procedures and two forms of sensory extinction. Only the sensory extinction procedure with protective cuffs reduced arm-biting to manageable levels. (Author/DB)

This article discusses the increasing incidence of cortical visual impairments, resulting from medical advancements making possible the survival of critically ill children with severe brain damage. Discussed are the prevalence of multiple handicaps, formation of visual concepts, foreground/background distinction, potential for mainstreaming, use…

The article describes the Oregon Transition to Employment Project, a three-year federally supported project, which investigated and identified strategies school programs can use to prepare students with physical and multiple disabilities for the transition from school to community-based employment. (DB)

The article addresses the need to identify the unconventional, nonsymbolic behaviors of children with severe, multiple disabilities. Suggestions for improving the frequency and quality of communicative interactions by building on the child's current behavioral repertoire. (Author/DB)

The study compared adapted leisure materials to standard leisure materials typically available in an institutional setting and evaluated their effects on profoundly retarded clients' (N=8) engagement, aberrant behaviors, staff interactions with clients, and client smiles. Among findings were higher staff interactions when standard leisure…

The effectiveness of a graduated guidance procedure for increasing independence in dressing was examined in a multiple baseline analysis across behaviors with two multihandicapped children (ages nine and five). Results showed both children learned dressing skills with generalization of training to similar garments and maintenance of skills and 18…

Clinical features, pathogenetic hypotheses, and symptoms of the cardio-auditory or surdo-cardiac disorder first reported by Jervell and Lange-Nielsen are described, and methods of diagnosis and treatment are presented, to alert teachers and other professionals to potentially life-threatening symptoms they may observe when working with deaf and…

All 1,101 clients with mental retardation residing in about 120 group homes of a residential service agency were surveyed on one date for usage of psychotropic medication. Findings indicated 27 percent had received one or more psychotropic drugs for behavioral or emotional disorders. Diagnoses such as psychosis and mood disorder and certain target…

This study assessed the prevalence of epileptic seizures in 378 children attending special education centers for students with intellectual disability in Amman, Jordan. Findings indicated that 20% had a history of epilepsy. Epilepsy was more prevalent among children with severe disability than mild intellectual disability, males than females, and…

An intervention in Australia to improve the nutrition of 69 underweight, institutionalized persons (mean age 27) with multiple disabilities including severe intellectual disability involved an enriched diet for a year with increased energy density. Results included increased weight, improved vitamin and mineral levels, and fewer infections.…

The applicability of two reinforcer assessment procedures to children with developmental disabilities and visual impairments was evaluated. Greater differentiation between stimuli occurred with a choice procedure than with a preference procedure. Measurement of compliance and responding rate in adaptive skill training confirmed that the choice…

This study examined the language skills of 30 students (ages 9-16) with mild or moderate behavior disorders (BD). Results revealed that BD students fell a minimum of one standard deviation below the normative mean on all but one measure used. Further analysis indicated the students were having difficulty with both receptive and expressive…