This article describes a framework for assessing young children with severe multiple disabilities. The assessment is child-led and examines underlying processes of learning, including biobehavioral state, orienting response, learning channels, approach-withdrawal, memory, interactions, communication, and problem solving. Case studies and a sample…

Three experiments, involving five students (aged 13-20) with profound, multiple handicaps, showed that the students could effectively use microswitches to demonstrate toy preferences, to indicate preferences for social attention, and to make specific requests of educational staff in school and community settings. (Author/JDD)

Issues that underlie the development of measurement systems to evaluate the social effects of supported education for disabled students are discussed. An assessment model which examines both outcome (i.e., increased acceptance, social participation, and levels of friendships) and process variables (e.g., specific social interaction skills) is…

Results are presented of a national survey of teachers (n=134) of visually handicapped students on service delivery to severely multiply handicapped students. Significant correlations were found between teachers' perception of adequacy of preparation and their level of degree and additional certification. Results indicate a need for better…

A survey of 10 states indicated the presence of hiring procedures that discourage or limit public-sector supported employment for persons having severe disabilities. Survey results, and recommendations for state system change to promote supported employment, are presented in 4 areas: civil service examination requirements, job classification…

This paper describes a computer-assisted communication system successfully used in three cases of "locked in syndrome" (in which the only reliable motor functions are eye movements). The paper concludes that patients who survive locked in syndrome for several weeks should be given the chance to communicate via a suitable system. (DB)

This study examined strategies used by 18 general education teachers to promote positive relationships between elementary students with and without moderate to severe disabilities in inclusive classrooms. Five strategies were identified: active facilitation of social interactions, empowering children, building a sense of community, modeling…

High-probability requests were provided to two boys (age seven) with behavior disorders and severe disabilities as an antecedent to delivering a low-probability request. Results showed an immediate increase in appropriate responding when the intervention was delivered. Generalized responding and response maintenance were also exhibited.…

Analysis of concerns expressed by 42 members of 19 families of young adults with severe developmental disabilities indicated concerns in such areas as self-care capabilities, sexuality, and quality of residential services. Concerns in the residential domain were most predictive of overall individual and family stress. Effects of questioning…

This study found that accuracy in predicting the out-of-home placement of children with severe disabilities increased little in a large cross-sectional sample (n=5,992) over a smaller semilongitudinal sample (n=141). Factors such as age, adaptive and maladaptive behavior, and ethnicity are discussed. (Author/JDD)

This article discusses the development of an orientation and mobility screening measure suitable for use with children having severe visual impairments (and possibly additional impairments) from birth through five years of age. Twenty instructors rated the measures as being useful. The two forms of the measure (for either ambulatory or…

Reports on 2 studies of the perceptions of 51 nonhandicapped children about severe learning difficulties. Finds that the understanding of severe learning difficulties can be interpreted in terms of three conceptual changes. Discusses these changes in the broader context of the development of social cognition. (CFR)

The pyramid model of staff training provides rural school districts with a practical low-cost solution to the problem of underqualified teachers of students with severe disabilities. In this model, special-education administrators or supervisors receive training in program improvement, train teachers in their districts, and provide ongoing…

Evaluation of knowledge and attitudes of 220 adolescents with severe emotional disturbances toward AIDS (Acquired Immune Deficiency Syndrome) and HIV (human immunodeficiency virus) infection found most students knew the main modes of HIV transmission. Student age, race, and gender were related to level of knowledge and attitudes toward people with…

This investigation examined longitudinal cost data of one school district's movement toward more inclusive practices. Findings included district costs were significantly less than comparable costs for out-of-district services; numbers of students with severe disabilities significantly increased over a five-year period; and contractual (related…