This poster presentation will review studies which address students with the most significant disabilities, including students with complex health care needs, over the last 30 years. Findings will address research foci and key findings, organized in a thematic framework. Implications for promoting research on students who present the most involved and significant support needs will be discussed. Participants will gain a better understanding of shifting foci in research on severe disabilities, and an awareness of how persons with the most significant disabilities are represented in the literature. In addition, participants will be invited to dialogue on ways researchers can better represent individuals who present some of the most pervasive and complex support needs.