This article charts one school's journey in securing an assessment regime aligned with its vision for its learners with profound and multiple difficulties (PMLD). Previous iterations, based on commercially-based systems, as well as lessons learned from reflecting on the school's own assessment practices, were used as catalysts for the development…

Communication assessment of people with profound intellectual and multiple disabilities (PIMD) has seldom been investigated. Here, we explore approaches and decision making in undertaking communication assessments in this group of people. A questionnaire was sent to UK practitioners. The questionnaire elicited information about assessment…

The general purpose of the present study is to determine the relationship between direct and indirect preference assessments of individuals with severe and multiple disabilities (SMD) and the relationship between the direct preference assessments (single-stimulus, paired-stimulus, and multiple-stimulus) as applied to individuals with SMD, and to…

A camera-based microswitch technology was recently used to successfully monitor small eyelid and mouth responses of two adults with profound multiple disabilities (Lancioni et al., Res Dev Disab 31:1509-1514, 2010a). This technology, in contrast with the traditional optic microswitches used for those responses, did not require support frames on…

In the support of individuals with profound intellectual and multiple disabilities (PIMD), assessing the level of alertness is a recurring issue for parents and other direct support persons. Although observations show clear advantages above and beyond other assessment methods, there are problems related to this method as well. Subjectivity of…

This study assessed the validity of idiosyncratic choice-making behaviors of three children with multiple disabilities. Children were given either their "choice" of food or drink or were given the opposite. Direct observations of children's acceptance or refusal revealed the children consistently indicated choices during both conditions.…

This article reports on a study of the methods that 21 ophthalmologists used to assess the visual acuity of children with multiple impairments and the difficulties they encountered. Additional means of assessing visual function and alternative means of communicating the results are suggested. (Author/DB)

This study of the haptic exploratory strategies used by nine children with visual impairments and additional disabilities when interacting with portable and freely manipulable objects found that a broader approach to assessment and analysis is required than is used with typically developing children. An "adaptive-tasks" approach is proposed as a…

Fourteen severely multiply handicapped children with rubella syndrome, six to 16 years of age, were examined with the PLAYTEST system, an operant test procedure using sound and light as stimuli and reinforcers. (Author/MC)

Techniques used by the Special Visual Assessment Clinic for the Handicapped at the University of California-Berkeley School of Optometry are designed to serve handicapped children and adults generally considered "difficult to assess." This article describes the clinic's assessment goals, clientele, and methods for assessing visual ability and…

This study examined the use of air-puff conditioning audiometry in the hearing assessment of 12 multiply handicapped (including severe/profound mental retardation) subjects, ages 9-32. Ten subjects reached criterion conditioning and then completed the hearing assessment with the air-puff procedure while one reached criterion with a modified…

Techniques for evaluating the multiply impaired child's functional level of vision are described and a sequence of visual stimulation instruction for children with visual impairments is presented. (PHR)

This study examined the social validation of using microswitches versus interaction/stimulation conditions with persons with multiple disabilities. Teacher-assistant trainees and rehabilitation staff (n=72) were shown videotapes comparing the two methods and then scored both approaches. The microswitch condition was viewed as generally more…

A study examined detailed data on 100 consecutive Special Populations Assessment and Rehabilitation Center patients and found the program to be successful in conducting interdisciplinary visual evaluations of those with multiple impairments. The types of adaptive-testing procedures used for visual acuity and visual field testing are described. (CR)

This article describes the types of preference assessment procedures that have been used with individuals with profound multiple disabilities (PMD). It provides a rationale for conducting preference assessment to assist in curriculum development and describes a process for conducting preference assessments and targeting social, affective, and…