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Students with severe multiple disabilities need instruction based on two fundamental best practices:

natural contexts
and
frequent practice.

Natural context is any place or circumstance which is typical for an activity or event.

Example:

Releasing a seatbelt is an event.

The car or the school bus is a natural context for this event.

Frequent practice is the opportunity to do something often enough that a skill is learned or perfected.

Example:

Lifting the clamp on a seatbelt to release it  is a skill.

Lifting the clamp on the student's own seatbelt as well as those of several of his peers when the school bus stops is frequent practice.