A survey of 35 parents of children with severe physical handicaps and severe/profound learning difficulties either attending or not attending a residential special school in Britain found that parents chose the school because of lack of local services, lack of family support, the 24-hour curriculum of the residential school, and provision of a…

This paper reviews studies that have used instructional variables as nonaversive interventions for problem behaviors of individuals with severe disabilities. These include student choice of task, task variation, pace of instruction, interspersal of high probability tasks, partial versus whole task training, decreasing task difficulty, and a…

This study evaluated procedures used to train 10 supervisors in a residential setting to provide feedback for maintaining direct-service staff members' teaching skills with people who have severe disabilities. A combination of classroom-based instruction, on-the-job observation, and feedback that targeted supervisors' feedback skills was found to…

Measuring employment outcomes for persons with severe disabilities has gone from a focus on task performance in sheltered settings to measurement of a number of individual outcomes in supported employment settings. Measurement considerations for individual, group, and organizational variables are discussed. Use of more than one measurement…

This case study demonstrates the effective use of functional assessment, with a 13-year-old student with autism functioning at a level of severe retardation. The process involved identifying and defining target behaviors (clothes touching and tearing), gathering information, forming and verifying the hypothesis, and implementing an intervention.…

Four high school students who were peer tutors to students with severe disabilities received social interaction training and were then compared to four controls. The training increased the frequency of initiations of interactions from tutors, increased the proportion of social rather than task interactions, and increased targeted social behaviors…

This article reviews the legal issues raised when parents request that early intervention professionals implement Do Not Resuscitate orders for their young children with special health care needs. The article explores divergent viewpoints, recommends administrative procedures, and calls for open discussion of the issues and development of clear…

Three nonvocal students (ages 5-8) with severe physical handicaps were trained in scan and selection responses (similar to responses needed for operating augmentative communication systems) using a microcomputer-operated video-game format. Results indicated that all three children showed substantial increases in the number of correct responses and…

This study, with six high school students with moderate to severe disabilities, found that students who received concurrent sequence training demonstrated better generalized performance in three nontrained grocery stores than students who had received serial sequence training, once training criterion was attained though training required more…

Three individuals with multiple severe disabilities were taught an appropriate response to problem behaviors, but the response was less efficient than the problem behavior on physical effort, schedule of reinforcement, or stimulus-reinforcer time delay. The response did not compete successfully with the problem behaviors until a new, more…

This review describes Rett syndrome as a disorder afflicting females and characterized by a progressive loss of cognitive and motor skills and development of stereotypic hand movements. The paper discusses its clinical manifestations, etiology, diagnostic criteria and differential diagnosis, prevalence, pathogenesis, treatment, and educational…

Questionnaires completed by families and teachers of 1,009 students with severe disabilities were analyzed in terms of 4 conceptual models of integrated student placement: a programs/facilities model, a socioeconomic model, an advocacy model, and a combined model. Teacher advocacy and Individualized Education Program characteristics were most…

This article describes a program to prepare students with moderate to severe disabilities for later community-based vocational instruction. It offers general principles, suggested content areas, and examples of appropriate school-based vocational activities. Tables outline Department of Labor guidelines and recommended amounts of time for…

The immediate and short-term effects of a preplanned, 10-day overnight respite on 14 mothers of school-age and adult children with multiple disabilities were evaluated. Results indicated that, during respite, mothers experienced increased well-being and less depression, and these changes continued after respite. Mothers also exhibited changes in…

A program for teaching orientation and mobility to New York City public school students with severe sensory and cognitive impairments incorporates tactile and tangible communication systems and embeds mobility education in students' daily school and home activities. This paper examines necessary prerequisite concepts and offers planning and…