ASHA Suppl. 1992 Mar(7):1-8.
In summary, the current best practices in the facilitation and enhancement of communication among persons with severe disabilities reflect six major tenets: (a) communication is social behavior; (b) effective communicative acts can be produced in a variety of modes; (c) appropriate communicative functions are those that are useful in enabling individuals with disabilities to participate productively in interactions with other people; (d) effective intervention must also include efforts to modify the physical and social elements of environments in ways that ensure that these environments will invite, accept, and respond to the communicative acts of persons with severe disabilities; (e) effective intervention must fully utilize the naturally occurring interactive contexts (e.g., educational, living, leisure, and work) that are experienced by persons with severe disabilities; and (f) service delivery must involve family members or guardians and professional and paraprofessional personnel. These six tenets have resulted in assessment, intervention, and service delivery models that offer maximum responsiveness to the need to establish communicative repertoires that will allow persons with severe disabilities to function effectively in least restrictive environments--in productive interactions with others.
总之，当前促进和加强重度残疾人士之间沟通的最佳实践体现了六大原则：(a) 沟通是一种社会行为；(b) 有效的沟通行为可以通过多种方式产生；(c) 适当的沟通功能是那些有助于残疾人士有效地参与与他人互动的功能；(d) 有效的干预还必须包括努力以确保这些环境能够吸引、接纳并回应重度残疾人士的沟通行为的方式，改变环境的物理和社会要素；(e) 有效的干预必须充分利用重度残疾人士所经历的自然发生的互动情境（如教育、生活、休闲和工作）；以及 (f) 服务提供必须涉及家庭成员或监护人以及专业和辅助专业人员。这六大原则已形成评估、干预和服务提供模式，这些模式对建立沟通技能库的需求具有最大响应能力，而这种沟通技能库将使重度残疾人士能够在限制最少的环境中——在与他人的有效互动中——有效发挥作用。
