Working with children who have multiple disabilities that include visual impairments can be especially challenging. Many disabling conditions manifest into behavioral difficulties that may take away from learning. Acting out may be a student's way of expressing a lack of healthy coping mechanisms in relation to his or her environment. Implementing…

This study examined the effects of presession exposure to attention, response blocking, attention with response blocking, and noninteraction conditions on subsequent engagement in automatically maintained challenging behavior and correct responding in four individuals with significant intellectual disabilities. Following a functional analysis, the…

The current study examined the rate of expulsions and mouth cleans across 3 presentation methods (upright spoon, flipped spoon, Nuk brush) for a 3-year-old girl with a feeding disorder. The participant expelled all bites presented on an upright spoon. Results showed reduced rates of expulsions and increased mouth cleans during the flipped spoon…

Numerous researchers have reported a high incidence of additional disabilities coexisting with intellectual disabilities. Although an intuitive link can be made between the existence of multiple disabilities and greater need for support, little has been reported about this relationship. Using measures of adaptive functioning and support needs, we…

We evaluated an upgraded version of a microswitch-cluster program used for promoting adaptive foot and head responses and reducing finger mouthing with a boy with multiple disabilities. The boy had been exposed to an early version of the program, which ensured that positive stimulation followed only adaptive responses occurring free from finger…

The authors assessed new microswitch clusters (i.e., combinations of two microswitches) and contingent stimulation to increase adaptive responses (i.e., foot and head movements) and reduce aberrant behavior (i.e., finger mouthing) in a boy with multiple disabilities. Initially, intervention was directed at increasing the frequency of each adaptive…

This study examined the outcomes of a competing activities intervention to decrease skin picking exhibited by a 9-year-old student with comorbid diagnoses. Results of an ABCBAB design revealed that the use of student-selected manipulatives resulted in reduced skin picking. (Contains 1 figure.)

Chronic tic disorders, including Tourette's syndrome (TS), affect approximately .5% of children and adolescents. Although strong evidence exists supporting a neurobiological etiology, operant factors may play a role in the maintenance of tic behaviors. Pharmacological approaches remain the most commonly used intervention for chronic tic disorder…

A forward graduated guidance procedure was used to increase the independent dressing skills of two profoundly multihandicapped adolescents living in a noninstitutional environment. One subject reached criterion and treatment gains generalized to other settings. The other subject failed to reach criterion but required fewer prompts after training.…

The effects of a combined neuromotor/behavioral approach using a microcomputer mediated teaching system on the acquisition of basic motor skills by two young children (17- and 24-months-old) with severe and multiple disabilities were examined. Increased frequency and duration of target behaviors in both training and generalizing settings were…

Positive reinforcement was used to effectively treat aggressive and noncompliant behavior of two visually impaired, multiply handicapped male students (an 18-year-old and an 11-year-old). In one case positive effects of treating aggressive behaviors generalized to a reduction in self injurious behaviors. (DB)

This study employed a multiple probe design to evaluate the effectiveness of a school-based lunchtime oral-sensory/oral-motor/positive reinforcement program on food acceptance behaviors of three youth with multiple disabilities. Overall dramatic gains in food acceptance behaviors of all participants indicated that trained school personnel were…

A consultation model provided technical assistance in the areas of behavior management and curriculum design for the treatment of severe behavior problems exhibited by persons with severe/profound retardation and dual sensory impairments (deaf/blind). Four of the five clients showed significant behavioral improvements as a result of the…

Noting the high incidence of attention deficit hyperactivity disorder (ADHD) in programs for children with emotional disturbances or learning disabilities, this article reviews evidence that comorbid diagnoses affect outcomes differentially and that psychopharmacologic treatments may be superior to behavioral interventions, depending on this…

This article compares approaches to teaching children with special learning needs, especially those with severe multiple disabilities. It suggests that behavioral methods result in undesirable instructor control of learning and compares these methods with approaches of effective teachers which encourage student initiative and pupil control.…