The National Joint Committee for the Communication Needs of People with Severe Disabilities (NJC) reviewed literature regarding practices for people with severe disabilities in order to update guidance provided in documents originally published in 1992. Changes in laws, definitions, and policies that affect communication attainments by persons with severe disabilities are presented, along with guidance regarding assessment and intervention practices. A revised version of the Communication Bill of Rights, a powerful document that describes the communication rights of all individuals, including those with severe disabilities is included in this article. The information contained within this article is intended to be used by professionals, family members, and individuals with severe disabilities to inform and advocate for effective communication services and opportunities.

This literature review was conducted to evaluate the current state of evidence supporting communication interventions for individuals with severe disabilities. Authors reviewed 116 articles published between 1987 and 2007 in refereed journals meeting three criteria: (a) described a communication intervention, (b) involved one or more participants with severe disabilities, and (c) addressed one or more areas of communication performance. Many researchers failed to report treatment fidelity or to assess basic aspects of intervention effects including generalization, maintenance, and social validity. The evidence reviewed indicates that 96% of the studies reported positive changes in some aspects of communication. These findings support the provision of 1 We would like to thank both Youngzie Lee, University of Virginia, and R. Michael Barker, Georgia State University, for their help with the analyses. We also thank the National Center on Evidence-Based Practice in Communication Disorders of the American Speech-Language-Hearing Association for their assistance in conducting the systematic literature search.Correspondence concerning this article should be addressed to Martha E. Snell, Curry School of Education, University of Virginia, P. O. Box 400273, Charlottesville, VA, 22904-4273., Snell@virginia.edu. NIH Public AccessAuthor Manuscript Am J Intellect Dev Disabil. Author manuscript; available in PMC 2011 February 8. Published in final edited form as: Am J Intellect Dev Disabil. 2010 September ; 115(5): 364-380. doi:10.1352/1944. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript communication intervention to persons with severe disabilities. Gaps in the research were reported with recommendations for future research. Keywords communication; mental retardation; severe disabilities; intellectual and developmental disabilities; autism; multiple disabilities; literature review; intervention The ability to communicate effectively with others is essential for good quality of life. Individuals who have severe disabilities include those with severe to profound intellectual disability, autism, deaf-blindness, and multiple-disabilities. For these individuals, the ability to communicate can be substantially compromised. The question of whether and how this ability to communicate can be improved through intervention was the focus of a national consensus conference convened by the U.S. Department of Education's Office of Special Education Programs, (OSEP) and its Technical Assistance Development System (TADS) in 1985 (OSEP/TADS, 1985). In addition to producing a number of consensus statements, these 1985 conferees called for the formation of "an interagency task force" to disseminate guidelines for the "development and enhancement of functional communication abilities" in individuals with severe disabilities.This recommendation resulted in the establishment of a "National Joint Committee for the Communicative Needs of Persons with Severe Disabilities" (NJC) in 1986. The present review was con...

We examined the social status of six high school students with moderate or severe disabilities in general education cooking classes and compared their social interaction behaviors with those of peers without disabilities. The peers without disabilities who participated were selected from an “average” group based on peer nomination sociometric assessments. Results showed that the social status of the students with disabilities varied. Although no participating students with disabilities were classified as “popular” among their peers, the majority of the participating students with disabilities obtained “average” social status ratings. Results also indicated that students with disabilities were involved in fewer social interactions, interacted with peers without disabilities slightly more often than with adults, and were more often passive participants in interactions. Future studies should examine peer interactions and peer acceptance of students with moderate or severe disabilities in more academic classes, as well as factors that impact their social status and social relationships in inclusive environments.

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A single-subject, alternating treatment study compared the impact of two types of photograph displays of contrasting contextual complexity. The study examined the impact of high-context and no-context photographs, displayed on an iPad, on the ability of three preschool children with autism spectrum disorder (ASD) to transition to play activities. The influence of the two photograph types on the children’s duration of transition time, number of prompts required, and type of prompts were measured. Results indicated that both photograph types provided helpful support for the children’s transition time to play activities. Results for duration of transition time and number of prompts required during transitions suggest that the participant with more challenging needs performed more quickly and independently using high-context photographs. Results suggest the photographs that have contextual information matched to a child’s needs can provide salient information and support their transition to activities in familiar settings.