Managing one's dysphagia at the end-of-life is challenging for the patient and the medical care team. Decisions surrounding oral feeding safety and the use of artificially administered hydration and nutrition require the medical care team to provide its best advice, taking into consideration the patient's health-related goals and the impact the…

This article describes comprehensive, high-quality writing instruction for students with developmental disabilities. The Enriched Writers' Workshop combines differentiated writing process instruction with social communication instruction and cognitive strategy instruction for students with complex writing needs across a wide range of ages. It…

Communication prostheses are critical components of the nonvocal child's communication process, but are only one component. This article focuses on the steps involved in communicative interaction processes and the potential barriers to the development of effective interaction and analysis of nonvocal communicative interactions. A discussion of the…

This article considers classroom instruction in reading and writing for children with severe speech and physical impairments (e.g., cerebral palsy). A model of classroom instruction (involving teacher characteristics, context, process, and product) is offered, effective instructional strategies are identified, and recommendations are made to…

This article describes a conceptual model of the literacy learning process in individuals with severe congenital speech and motor impairments. The literature is reviewed on the relationship between spoken and written language development in both the nondisabled population and those with disabilities. Practical applications for instruction are…