She has more than 30 years' experience as a professional and parent supporting children and adults with multiple disabilities. She has directed federal and regional grants for personnel preparation and research. Dr. Bruce's research interests are in the areas of communication development and programming, assessment, and action research. She is especially interested in the development of symbolic understanding and expression in children with severe and multiple disabilities. Dr. Bruce is an active consultant with school districts in the United States and abroad on topics such as communication programming, assessment, and the development of teacher preparation programs in severe disabilities.