Children with complex communication needs often have multiple disabilities including visual impairments that impact their ability to interact with aided augmentative and alternative communication (AAC) systems. Just as the field benefited from a consideration of visual cognitive neuroscience in construction of visual displays, an exploration of…

In pediatric health care there is increasing attention for a child-centered approach, also referred to as personalized care (Coyne, Hallstrom, & Soderback, 2016). In this care it is essential to assess personal relevant functioning, hence, to explore which activities are important for a child and to assess the quality of performance of these…

The Picture Exchange Communication System (PECS) is an augmentative and alternative communication program (Frost & Bondy, 2002). Although PECS has been effectively used to teach functional requesting skills for children with autism, mental retardation, visual impairment, and physical disabilities (e.g., Anderson, Moore, & Bourne, 2007; Chambers &…

Many children with severe or multiple disabilities, including those with visual impairment, are limited in their ability to communicate. "Communication" is defined as how a person exchanges information about his or her desires, needs, knowledge, and perceptions with another person. Communication can be verbal, written, or nonverbal, such…

Background: Microswitches can be vital tools to help individuals with extensive multiple disabilities acquire control of environmental stimulation. This study was aimed at extending the evaluation of a computer system used as a microswitch for word utterances with three participants with multiple disabilities. Method: Sets of 7 or 12 word…

The use of microswitches has been considered a crucial strategy to help individuals with extensive multiple disabilities overcome passivity and achieve control of environmental stimulation (Crawford & Schuster, 1993; Gutowski, 1996; Ko, McConachie, & Jolleff, 1998). In recent years, considerable efforts have been made to extend the evaluation of…

Effects of synthetic speech output on the learning of graphic symbols by three adults with severe to profound mental retardation and communication impairments were evaluated. All participants achieved criterion learning using synthetic speech; two also reached criterion without synthetic speech, but the addition of synthetic speech resulted in…

This study of an adolescent with multiple disabilities, including moderate mental retardation, who was reported to engage in validated facilitated communication (FC) found he did not engage in validated FC; performance was equivalent whether food or nonfood reinforcers were used; and the Picture Exchange Communication System was a valid and…

A young adult with multiple disabilities (profound mental retardation, spastic quadriplegia, and visual impairment) was provided with a voice output communication aid (VOCA) which allowed communication through synthesized speech. Both educational and residential staff members interacted with the individual more frequently when she had access to…

This paper summarizes the background, staffing, philosophy, participants, methods, and conclusions of the Case Studies on Facilitated Communication Project, which examined the use of facilitated communication (FC) with seven adult females, all with mental retardation and other disabilities. Information is provided on the development of the FC…

This manual describes the Wisconsin Sensorimotor Pointing Assessment (WSPA) for individuals with severe communication deficits complicated by other cognitive or motor disabilities, and provides guidelines for its administration. The WSPA was designed to quantify four categories of sensory and motor abilities necessary for initiating and accurately…

A case study is presented of a nine-year-old boy with quadriplegic cerebral palsy and vision impairment, chronicling his development of augmentative and alternative communication (AAC) and literacy skills from birth to second grade. Development and use of his AAC system is described, along with activities for language and literacy development.…