Administrators of agencies serving the blind have the responsibility for their staffs serve multiply handicapped clients. Administrators set the tone of the agency. On a practical level, they can use personnel practices, staff development resources, and case management techniques to ensure implementation of sound, individualized service to…

Postsecondary services should be planned for three groups of multihandicapped deaf students: those needing independent living skills, those seeking direct occupational preparation, and those seeking and able to profit from an academic program. Seven guidelines are suggested for program planning and delivery. (Author)

The paper provides an overview of audiological terms and types of hearing impairments to help teachers of visually impaired preschoolers work more effectively with audiologists. Both functional auditory assessment and formal audiometric evaluations are discussed. (Author/CL)

The author recounts her experiences in serving as a resource person setting up a mainstreamed program for a seventh-grade girl with multiple disabilities. The need for inservice training so that all personnel involved are aware of the circumstances of the disabled student is stressed. (PHR)

Paraprofessionals are being employed to support special and regular educators in mainstreaming multihandicapped students. (Author/SBH)

Children with mental retardation and multiple handicaps can effectively participate in play activities and games, but the experience must be structured for them. Techniques for organizing play activities involving handicapped and nonhandicapped children are offered. Examples of singles play, rotation play, and associative play are described. (JDD)

The paper describes vocational education approaches designed to prepare severely handicapped students for nonsheltered, meaningful work. Training is cumulative, beginning with early childhood training and continuing through middle school, high school, and transition stages. Ecological strategies are advocated to match characteristics of non-school…

The guide presents a non-technical approach to adapting battery-operated and electrical devices for persons with severe handicapping conditions. The material was developed through Project REACH (Reconstructive Equipment Adaptations for Children with Handicaps). Chapter 1 presents rationales for the use of adapted switches and devices, including…

An eight-step decision-making paradigm appropriate for guiding decisions regarding selection of instructional programming alternatives for visually impaired multiply disabled children is presented. Brief case studies illustrate the application of the paradigm. (Author/DB)

Specific program suggestions are provided to enable the speech-language pathologist to utilize the mealtime setting to integrate both vocal and nonvocal communicative objectives. The roots of interaction and communication which underly both vocal and nonvocal systems are described. (Author)

This article reports on a study of the methods that 21 ophthalmologists used to assess the visual acuity of children with multiple impairments and the difficulties they encountered. Additional means of assessing visual function and alternative means of communicating the results are suggested. (Author/DB)

This article introduces this special issue focused on application of guidelines based on the consensus of experts to the treatment of psychiatric and behavioral problems in persons with mental retardation. It explains the method of developing the guidelines, the limitations and advantages of the guidelines, and the organization of the guidelines.…

The paper addresses the issue of placement for students with severe and multiple disabilities. Controversies over the principle of least restrictive environment are reviewed; and the implications of the normalization movement and the passage of P.L. 94-142, the Education for All Handicapped Children Act, are summarized. The rationale for…

The paper examines three case studies to illustrate problems and benefits involved in attempting to integrate severely handicapped persons into community and classroom settings. The authors discuss the integration efforts for two children with severe/multiple handicaps and one with autism and report on findings from site visits across the United…

The paper discusses ways in which the Apple II plus and Apple IIe computers can be adapted to become highly effective tools in the education of the physically/multiply handicapped student. The role of word processing programs as communication aids, alternative input and output devices, and innovative software programs is examined. Among the…