Purpose: Using data from a randomized clinical trial evaluating cognitive behavioral therapy (CBT) for children with autism and co-occurring anxiety, this study examined the relationship between autism features and anxiety symptoms throughout CBT. Methods: Two multilevel mediation analyses were run which examined the mediating role of changes in…

Working with children who have multiple disabilities that include visual impairments can be especially challenging. Many disabling conditions manifest into behavioral difficulties that may take away from learning. Acting out may be a student's way of expressing a lack of healthy coping mechanisms in relation to his or her environment. Implementing…

Persons with severe to profound multiple disabilities, such as intellectual, visual, and motor disabilities, may be characterized by low levels of adaptive engagement with the environment. They may also display forms of inappropriate, stereotypical behavior (like hand mouthing, that is, putting their fingers into or over their mouths) or…

Fourteen severely multiply handicapped children with rubella syndrome, six to 16 years of age, were examined with the PLAYTEST system, an operant test procedure using sound and light as stimuli and reinforcers. (Author/MC)

In this case study, a six-year-old, multihandicapped child was treated for self-injurious arm-biting using two response contingent deceleration procedures and two forms of sensory extinction. Only the sensory extinction procedure with protective cuffs reduced arm-biting to manageable levels. (Author/DB)

Chronic tic disorders, including Tourette's syndrome (TS), affect approximately .5% of children and adolescents. Although strong evidence exists supporting a neurobiological etiology, operant factors may play a role in the maintenance of tic behaviors. Pharmacological approaches remain the most commonly used intervention for chronic tic disorder…

The study examined the effectiveness of teaching self-management of classroom on-task behavior to four mentally retarded/emotionally disturbed children (6-9 years old). Also explored were the effects of procedures on disruptive behavior, task performance, and task accuracy. Following baseline, a standard token program was instituted. After…

The article describes a training program which effectively taught a profoundly retarded and blind nine-year-old boy to use a walker. One year follow-up indicated maintenance of treatment gains. Ambulation training was correlated with a significant reduction in stereotypic behavior. (Author/DB)

Therapeutic intervention to treat chronic food refusal in two children with multiple developmental disabilities consisted of elimination of feeding "demands" that provoked child agitation, incorporation of sensory stimulation as contingent reinforcement, and gradual introduction of the requirements for oral consumption. Consistent oral…

A single-subject multiple treatment design counterbalanced across nine participants with moderate to severe and multiple disabilities was used to determine the efficacy of a school-based multi-treatment package (a combined dysphagia treatment and positive reinforcement behavior management program) for children and youth (ages 4-17) with feeding…

This article reports on the outcomes of a study that used functional communication training (FCT) with two students, (ages 6 and 15) with autism and severe mental retardation, to add information to a database assessing the potential generalized effects of FCT and to examine the role that contingencies for appropriate and problem behaviors play in…

This case study reports use of ignoring, positive reinforcement, passive restraint, and time-out in treatment of a 10-year-old girl with profound retardation and disruptive behaviors in home and classroom. Time-out was the most effective intervention with all three target behaviors, with improved behaviors maintained for at least six months.…

Practical and concise, this introductory guide is filled with real-world tips and strategies for anyone working to improve the communication of children with moderate, severe, and multiple disabilities. Emphasizing the link between behavior and communication, three respected researchers transform up-to-date research and proven best practices into…

A naturalistic assessment of self-injurious behavior in an 11-year-old boy with multiple disabilities, including severe mental retardation, found that the boy's self-injury was occasioned by low attention and low stimulation and maintained by tangible and social reinforcement. Naturalistic assessment effectively guided the selection of behavioral…

Noting the high incidence of attention deficit hyperactivity disorder (ADHD) in programs for children with emotional disturbances or learning disabilities, this article reviews evidence that comorbid diagnoses affect outcomes differentially and that psychopharmacologic treatments may be superior to behavioral interventions, depending on this…