The monograph presents with work of the Association for Persons with Severe Handicaps (TASH) regarding best practices for physical and occupational therapy and speech/communication services for individuals with severe disabilities. The document consists of a position paper, list of readings, survey results, and an article on training needs. The position statement emphasizes requirements of integration of services and facilitation of functioning in natural settings. Recommended readings include 65 journal articles and book chapters and 16 research reports relevant to integrated therapy; and 11 guidelines from professional organizations. A sample survey form is provided of a 1987 survey of training background and needs given to TASH related services personnel (N=82); the results are presented in 21 tables and focus on training components, types of programs, facilitators and barriers to best practices, needs assessment for training, and suggested training topics. An article on training needs of physical and occupational therapists discusses these needs in terms of four areas: (1) assumptions underlying service design; (2) knowledge and skills about educational models of service provision; (3) knowledge and skills related specifically to the disciplines of occupational and physical therapy; and (4) collaborative teamwork knowledge and skills. The article contains 75 references. An appendix provides a sample job description for physical/occupational therapists who provide services to students with severe disabilities. (DB)