Missing in execution, therapies and activities for individuals with profound multiple disabilities

Abstract

Individuals with profound multiple (mental or motor) disabilities are an extremely heterogeneous group in terms of functional abilities and behavioural repertoires. Due to the severity of mental and physical dysfunctions, and in many cases sensory dysfunctions as well, the majority of persons with profound multiple disabilities go to special day centres or live in an institution where a day programme is part of their daily routine. By and large, in most cases and for most of the time, they are cared for by professional care-staff and qualified therapists, including physical therapists, speech therapists, occupational therapists and play therapists. The extent of their disabilities seriously limits these individuals’ ability to carry out activities without support. Trained staff must set aside time for this purpose. Activities and therapies are usually incorporated