There is growing interest in the role that physical illness and pain might play in exacerbating problem behavior in individuals with developmental disabilities. Assessment of these factors, however, is often difficult since many individuals have minimal verbal communication skills. In response to this difficulty, we developed a sequential method…

A case study of a difficult to manage nonspeaking young man with brain injury is presented. Assessment and intervention indicated severe cognitive-linguistic deficits, severe physical involvement of all extremities, extensive surgical management, visual perceptual and acuity deficits, and behavioral problems. (Author/DB)