Individuals with deaf-blindness and co-occurring diagnoses, such as intellectual and developmental disabilities, may experience difficulty with independence, specifically with communication. One behavior-analytic procedure that may be useful for increasing independence and teaching communication to this population is the behavior-chain interruption strategy (BCIS). The current study examined the use of the BCIS to teach a 65-year-old deaf-blind participant with severe intellectual disability to use a SadoTech Elderly Monitoring Pager to notify others in the environment when help was needed. The researcher alternated between establishing operation (EO; help needed, items missing, or inoperable) and abolishing operation (AO; help not needed, items present, and operable) trials for three previously mastered daily living routines. The results demonstrated that following intervention, the participant used the device independently during EO trials and never used it during AO trials across behavior chains, and similar results were obtained during a treatment-extension phase. Limitations and implications for applied practice are discussed.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s40616-024-00204-8.

A survey of state mental health agencies found that a majority have no specific policy or procedure regarding how to provide mental health services to persons who are deaf or who are deaf-blind. Agency representatives report that staff lack knowledge of how to provide mental health services to persons who are deaf-blind and the agencies lack qualified interpreters. They recommend training for social workers and counselors to address best practices in working with people who are deaf-blind concerning communication methods and strategies, physical interaction, cultural issues, everyday life, sensory deprivation, ethics, use of an interpreter, and other general issues.

When someone looses one type of sensory input, s/he may compensate by using the sensory information conveyed by other senses. To verify whether loosing a sense or two has consequences on a spared sensory modality, namely touch, and whether these consequences depend on the type of sensory loss, we investigated the effects of deafness and blindness on temporal and spatial tactile tasks in deaf, blind and deaf-blind people. Deaf and deaf-blind people performed the spatial tactile task better than the temporal one, while blind and controls showed the opposite pattern. Deaf and deaf-blind participants were impaired in temporal discrimination as compared to controls, while deaf-blind individuals outperformed blind participants in the spatial tactile task. Overall, sensory-deprived participants did not show an enhanced tactile performance. We speculate that discriminative touch is not so relevant in humans, while social touch is. Probably, more complex tactile tasks would have revealed an increased performance in sensory-deprived people.