Studies assessing treatments for severe behavior problems of developmentally delayed persons were reviewed. Procedures used in the 382 studies, published from 1967-1987, were analyzed in terms of problem behaviors, side effects, and treatment methods. Also examined were number of studies reported yearly, maintenance and generalization of effects,…

This study compared rates of self-injurious behavior (SIB) exhibited by a 32-year-old woman with profound mental retardation across conditions in which access to restraint was either continuously available, presented as a consequence for SIB, or unavailable. Rates of SIB increased when access to restraint was contingent upon SIB, suggesting that…

The teacher of a second-grade gifted girl with disruptive classroom behaviors worked to modify the girl's behavior and to develop a cooperative relationship with the girl's mother despite early friction. Efforts included strengthening home-school communication, having the mother secretly observe the girl's behavior problems, and rewarding both the…

Four studies analyzed eye poking behavior of a youth with profound disabilities. Results demonstrated substantive reductions in the frequency of eye poking when goggles were worn and when a video game was provided as a competing source of visual stimulation and as a reinforcer. Music was less effective in reducing eye poking. (Author/DB)

A urine alarm, typically used to treat nocturnal enuresis, was effectively used to treat diurnal enuresis in a 15-year-old female with depression, attention deficit hyperactivity disorder, and conduct disorder. The study indicated that the alarm eliminated wetting in both treatment phases and that continence was maintained at three-month and…

Nine mothers of children with physical disabilities in Ireland participated in a 10-week training program that focused on social learning theory and identification and modification of undesirable child behaviors. Evaluation indicated reduced maternal stress and substantial reductions in identified problem behaviors. (DB)

Three functional assessment methods were compared with four adults with severe/profound mental retardation and stereotypic behavior patterns. The results of the antecedents, behavior, and consequences observation and the Motivation Assessment Scale indicated a sensory function of the stereotypic behavior for all subjects, whereas functional…

Assessed role of social support in outcome of child management training (CMT) for single parents and assessed impact of adjunctive ally support training (AST) on treatment outcome. Single parents (n=22) with oppositional or conduct-disordered child received either CMT or CMT plus AST. Both groups improved, with changes maintained at followup; AST…

The following stages in planning a token economy with students having behavior problems are discussed: (1) identifying target behaviors; (2) specifying and selecting reinforcers; (3) identifying token types and schedules; (4) planning token distribution and redemption; (5) initiating and implementing the token economy system; and (6) planning…

A multicomponent intervention to change problem behavior, which prevented community integration of three adolescents with autism, was evaluated. The intervention (implemented in a supermarket setting) included choice making, embedding, functional communication training, building tolerance for delay of reinforcement, and presenting discriminative…

A behavioral consultation approach was effectively used to reduce problem behaviors in 2 field studies with 3 students (ages 10-14) having severe or profound mental retardation and their teachers. Intervention involved extinction of inappropriate behaviors, reinforcement of appropriate play behaviors, and teaching verbal skills functionally…

Positive reinforcement (food) presented both regularly and variably was effectively used to reduce self-stimulatory behavior in a 12-year-old profoundly retarded visually impaired male over a 2-month period. The improved behavior was maintained after the summer break and into the new school year. (DB)

A treatment package consisting of differential reinforcement of other behavior (DRO), token fines, and prompted relaxation was used to reduce the agitated-disruptive behavior of a young adult with autism and mental retardation living in a community group home. DRO procedures were partially implemented by a peer with Down syndrome. Baseline rates…

The food refusal of a 6-year-old girl with autism and destructive behavior was treated using stimulus fading, reinforcement, and escape extinction. Intake increased, and compliance with prompting procedures remained relatively stable despite the increased consumption requirement. (Author/CR)

The efficacy of guided compliance and high-probability instructional sequences was compared with two young children with disabilities and noncompliant behavior. Levels of compliance were higher under guided compliance than under high-probability instructional sequences. Parents were able to learn to implement treatments accurately and reported…