The purpose of this single case A-B-A-B study was to determine if the dependent variables of eye gaze, vocalization, and reaching would increase among students and peers with severe and multiple disabilities and complex communication needs when the independent variable of positioning for communication and socialization (peers facing each other and no more than two feet apart) was manipulated. Speech-generating devices were also provided as part of the intervention package. Three middle school students attending a therapeutic day school participated in the study during their out-of-wheelchair time. A functional relation was demonstrated between eye gaze and social positioning across all students. However, they did not maintain these levels of communication one and two weeks after completion of the study. Future research and implications were discussed.