A water mist was employed as a punisher to reduce head hitting in a 10-year-old multiply handicapped, visually impaired child. Results indicated that water mist alone was effective in reducing the frequency of head hits during meals, but other situations required the addition of primary reinforcers, stimulus control, or both. (Author/JDD)

Two experiments combined the assessment of reinforcer preferences and the functional analysis of behavior to prescribe treatment of self-injurious behavior in two severely handicapped children, aged four and eight. The treatments reduced self-injurious behavior when the child was alone as well as during instructional training activities. (JDD)

Tactile cues were provided to a 19-year-old deaf, blind, and mentally retarded individual to guide her performance on packaging tasks. The tactile prompts effectively guided her on the training task and were also generalized to novel tasks and cues. Continued use of the cues was necessary to maintain performance. (Author/JDD)

The staff of an apartment-based residential support program was taught to use behavior interruption strategies to elicit requesting functions from two women with deaf-blindness and developmental disabilities. Results found the strategies to be both quickly assimilated by the staff and effective in increasing request rates from the subjects.…

This review of behavioral research on teaching individuals with profound multiple handicaps found that behavior change has resulted from contingency management interventions, but the behavior changes cannot be described as beneficially affecting the individuals' quality of life. Explanations for this are offered, and suggestions for future…

Evaluation of treatment acceptability was conducted with 78 staff members at a community-based residential facility for youth with severe behavior disorders and mental retardation, where the institutional treatment philosophy was explicitly behavioral. Unlike a previous study, in this setting acceptability ratings were not influenced by severity…

The purpose of this manual, the culmination of a graduate project begun at the University of Kansas, is to assist individuals with severe, multiple disabilities and their service providers in learning to utilize nonsymbolic behaviors in an expanded, facilitative manner that leads to more consistent and predictable communication functioning. The…

This study investigated the differential effectiveness of assertiveness and problem-solving training on 28 dually diagnosed (mild mental retardation and mental disorders) patients' adaptive social behavior, distress and psychiatric symptoms, anger control, and problem-solving coping skills. Improvements resulted from combined assertiveness and…

This book offers a British perspective on ways of conceptualizing, assessing, and intervening in the challenging behavior of people with severe learning disabilities, with emphasis on the types of technical support needed. An introductory chapter explains why the term "learning disability" is used rather than mental handicap, mental…

Sensory integrative therapy as a treatment for self-injurious behavior (SIB) was contrasted with an attention control condition involving a 15-year-old multiply handicapped boy. Lower rates of SIB during but not following treatment sessions were effected. Effects of such therapies are concluded to be highly variable across individuals. (Author/JDD)

The effectiveness of a multi-element approach to increase the self-determination of three adolescents with physical and multiple disabilities was examined. The intervention involved equipment and performance adaptations, brief in-school simulation training, and instruction and support for parents and home assistance providers. Dramatic increases…

This project developed and evaluated an intervention program involving applications of technology to enhance the communication skills and behaviors of children with deaf blindness and other severe disabilities. Of interest were specific applications designed to increase attention, use of symbols, reception, expression of choice, awareness of…

Training modules are presented for speech-language pathologists developing communication programming for Kentucky students with severe, profound, and multiple handicaps. The modules were developed for use in 2-day workshops that specifically deal with communication strategies to enhance opportunities for increased participation and integration for…

An augmentative and alternative communication device was designed for a nonspeaking, blind, severely mentally retarded 11-year-old. The device consisted of a computer-supported expanded keyboard that produced synthetic speech output when tactile symbols were activated. Described are the assessment procedures, instructional procedures, and…

Dual diagnosis of comorbid substance abuse and mental disorder is currently presenting great difficulties across Australia's health and community service sectors. Historically, mental health professionals have received relatively little formal education or training in substance abuse issues. A new curriculum on dual diagnosis was developed and…