I have a little brother who has special needs and needs 100% care from dressing him, bathing, and making sure he is safe. He does not talk or use sign language, but he does understand a lot, probably more than we will ever know! :) He can do simple things like helping pull up his pants, but needs care after using the bathroom, eating, and can't shower by himself. He doesn't know how to brush his teeth so he needs that done for him. He needs constant supervision and needs 24 hr care, but he is the GREATEST joy of our lives. He is just a happy, loving person. He loves to listen to his music and story tapes, and his children videos. He always has a smile on his face, and a ball in his hand, that's his favorite thing in the world!! : )