This paper describes the current challenges facing nurses and other professionals who care for people with profound and multiple intellectual disabilities. This particularly vulnerable group of service users often rely on a repertoire of non-verbal behaviours to communicate their needs and wishes. These challenges include the requirements of…

Although today many more examples of postsecondary educational opportunities being made available to students are expanding for adults with intellectual disabilities (ID), the majority of these opportunities are either segregated or partially segregated with few accommodating students with significant disabilities or challenging behaviors. In this…

Adolescents with multiple or severe disabilities often lack access to opportunities available to their typically developing peers, whose in-school friendships are often reinforced through other out-of-school, and sometimes interschool, activities. Limitations to these opportunities can be a result of attending a separate school designed to provide…

The author outlines the history, current situation, and the future of the care and support system for people with intellectual and multiple disabilities in Japan. He describes how the service system has been shaped from within by Japanese legislation dating back to the Child Welfare Act of 1947, and how international events such as the…

The Indian Institute for Cerebral Palsy (IICP) has been providing education and other services in Kolkata, Eastern India, for children and young adults with cerebral palsy and related disabilities for over 30 years. IICP started by providing education for just two children, and was highly dependent on western expertise. Described is the history of…

In the Netherlands, the Dutch government instituted policies that enable persons with profound intellectual and multiple disabilities (PIMD) to attend day services. Over the past 15 years, surveys have indicated a progressive increase in the number of hours that such adults spend at day activities centers. However, information about how these…

A two-year project at the University of Manchester (England) is investigating the leisure opportunities available to people who are profoundly retarded and multiply impaired. The project is conducting an international literature review, identifying models of good practice within the European community, and disseminating information through reports…

In recent years, parents of children with hearing loss and various additional disabilities have shown increasing interest in cochlear implants. This article describes how the program in Hanover, Germany is attempting to respond to this interest. It discusses the selection process for children who receive cochlear implants who have multiple…

The document presents the final report of the Sensory Multihandicapped Project, which planned a comprehensive program for the education of children who were sensory multihandicapped (deaf blind, deaf with other handicaps, or blind with other handicaps) in Alberta, Canada. Project activities included reviewing the literature, visiting sites serving…

The article recounts the difficulties presented by the deep seated prejudices manifested in the Australian and English school systems to a cerebral palsied and hearing impaired child. Her eventual success is seen as a personal victory for herself and her persistent mother. (Author/DB)

Carisbrooke Day Centre was established in Scotland to provide full-time day care for 12 adults with profound and multiple impairments. This paper describes staff selection, admission criteria, student assessment, and the Carisbrooke Wheel, which outlines a coordinated strategy for the delivery of services. (Author/JDD)

Describes a school-based curriculum for children with profound and multiple learning difficulties in community schools. Considers issues which schools will face as the children are integrated into the community. (RJC)

The article discusses the uses of mechanical vibration for stimulating, rewarding, and suppressing behaviors of multiply handicapped blind children. Suggestions for further research and refinement of the techniques are made. (Author)

Discusses the potential uses of literature with people with severe and profound learning disabilities and describes a series of multisensory interactive drama games re-telling the story of "A Christmas Carol" by Charles Dickens. (Author/DB)

This paper explores the perceptions of a small group of teachers of pupils with profound and multiple learning disabilities (PMLD) in north-eastern England. The focus of the paper is their views of their pupils who have PMLD. A total of 14 teachers were interviewed, both individually and in small groups over a four-year period. This paper stems…