Customizing Instruction to Maximize Functional Outcomes for Students With Profound Multiple Disabilities

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This article describes a process for customizing instruction for students with profound multiple disabilities that has been used to design instructional programs and maximize the attainment of functional outcomes for students. The process focuses on collaborative teamwork and problem solving to design and implement instructional programs by ensuring that the 5 components of the process are included. Team members determine (a) prepositioning handling procedures; (b) overall body positioning for instruction; (c) hand, arm, and head positioning; (d) instructional adaptations and materials; and (e) handling procedures to combine with systematic instructional strategies.