The article summarizes the following factors identified in service provision for severely and multiply handicapped students: programmatic considerations; administrative considerations; service delivery models; assessment; educational placement; individual educational programs; and program documentation. (CL)

The designing of a remedial education program for a six-year-old boy is described. The process included several weeks of observation, selective diagnostic testing, test result analysis, consideration of the child's preferences and attitudes, and formulation of an individualized program. (MSE)