Eighteen adolescents and adults with severe/profound intellectual disability were rated by two staff members using the Motivation Assessment Scale to identify variables maintaining their aggressive behaviors. Analysis of interrater reliability indicated that for some individuals the scale may not represent a feasible alternative to more formal…

This paper reviews the literature on functional assessment in the behavioral treatment of aggression in persons with mental retardation or developmental delays. Increased use of functional assessment and skill training is noted but no concomitant decrease in the use of intrusive procedures. (Author/DB)

Evaluation of a training procedure to improve staff skills in the preventative and reactive management of severely challenging behaviors in a small residential treatment unit found reduced (though not statistically significant) behavioral incidents, use of major reactive strategies (restraint and emergency medication), and staff and resident…