Practitioner Development

Social skills training for depressed, visually impaired older adults. A treatment manual.

Donohue et al. (1995) · Behavior modification 1995
★ The Verdict

A ready-to-use BST manual exists to help depressed, visually impaired seniors reclaim assertive social interactions and community activities.

✓ Read this if BCBAs working with older adults in day programs, senior centers, or VA hospitals.
✗ Skip if Clinicians looking for fresh outcome data or staff-training studies.

01Research in Context

01

What this study did

The authors wrote a step-by-step manual for teaching assertive social skills to older adults who are both depressed and visually impaired. The manual gives you ready-made lessons, role-play scripts, and built-in tests to track progress. No new data were collected; the paper simply lays out the program so you can copy it.

Sessions cover eye contact, saying no, asking for help, and joining community groups. Each lesson follows the BST recipe: model the skill, have the client rehearse, give feedback, and repeat until fluent.

02

What they found

The paper does not report outcomes. It only describes the training package and the short quizzes you can use to check learning after each lesson.

03

How this fits with other research

Osnes et al. (1986) and Spealman et al. (1978) proved BST works for social and daily-living skills long before this manual arrived. The 1995 guide simply tailors those same steps to a new group—depressed seniors with vision loss.

Jimenez-Gomez et al. (2019) extends the idea by showing BST also trains staff quickly. Their techs mastered naturalistic play skills in hours, just as the manual promises older adults can master assertiveness.

Keene et al. (2026) later asked which BST part matters most when teaching data collection; modeling alone did the heavy lifting. That tip is useful here—start each social-skills lesson with a clear model before you ask the senior to rehearse.

04

Why it matters

If you serve older adults with vision loss, you no longer have to build a program from scratch. The manual gives you everything: session plans, role-play cards, and quick tests. Pull it off the shelf, add the Keene et al. shortcut—model first—and you can run an evidence-aligned social-skills group next week.

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→ Action — try this Monday

Open the manual to Session 1, model the ‘ask for help’ script twice, then have your client rehearse and score fluency on the built-in checklist.

02At a glance

Intervention
behavioral skills training
Design
methodology paper
Population
other
Finding
not reported

03Original abstract

Late-onset visual impairment due to cataracts, glaucoma, macular degeneration, or diabetic retinopathy afflicts approximately 10% of people older than 65, and often results in depression and social dysfunction. Whereas the majority of sighted older adults are active participants in their community, individuals suffering from progressively worsening vision experience heightened levels of isolation and reduced social support, and participate in fewer reinforcing recreational activities. This article describes our social skills training package for the treatment of depressed, visually impaired, older adults. Our treatment focuses on increasing the frequency and level of assertiveness with which visually impaired older adults interact with each other. In addition to specified treatment methods, our empirically derived program employs standardized assessment measures to evaluate therapeutic progress. Sessions are implemented to reinforce efforts to apply social skills in the environment and reestablish skills that have begun to fade.

Behavior modification, 1995 · doi:10.1177/01454455950194001