Opportunities to participate in making choices are often limited for individuals with severe disabilities. When choices are provided for these individuals, they are not often the types of choices that allow the individual control over daily events. In order for choice-making to be meaningful to an individual, opportunities must be available throughout the day in all contexts and include a range of choices beyond just a simple choice of two materials within an activity (e.g., “Do you want juice or milk”). This article provides practitioners with guidelines for identifying a wide range of meaningful choices available to individuals within the context of their daily lives.
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