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Community-based instruction for independent meal preparation by adults with profound mental retardation
Authors:Nirbhay N. Singh Ph.D.  Donald P. Oswald Ph.D.  Cynthia R. Ellis M.D.  Subhashni D. Singh
Affiliation:(1) Clover Hill High School, Midlothian, Virginia;(2) Department of Psychiatry, Medical College of Virginia, Virginia Commonwealth University, P.O. Box 980489, 23298-0489 Richmond, Virginia
Abstract:Three adults with profound mental retardation and very limited reading skills were transitioned to community living after spending more than 20 years in a residential facility. Community-based instruction was used to teach them to independently prepare meals. Directed rehearsal and prompting procedures were used to teach them those meal preparation skills that they were unable to perform independently. We present assessment, training and followup data on the preparation of a dessert by the three participants. Following an assessment on the steps needed to prepare the dessert, training was introduced in a multiple baseline across subjects design. Results showed that the participants were able to independently prepare the dessert in up to 21 pre-training and training sessions. Monthly followup for six months showed that they were able to independently prepare the dessert in various community settings of their choice.
Keywords:community-based instruction  meal preparation  profound mental retardation  directed rehearsal  prompting strategies
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