Treatment with two setting condition manipulations and use of a visual occlusion helmet was found to decelerate intense screaming by a 16-year-old girl with developmental disabilities. Cranial pressure was found to be the critical element in self-control, and replacing the helmet with a headband was found to be effective in maintaining behavior…

This article reviews general classes of variables which help to maintain aberrant behavior including attention seeking, sensory and perceptual consequences, and access to materials or activities. Suggestions for a methodology providing a comprehensive functional analysis are offered which include descriptive analysis, hypothesis forming,…

This article summarizes and critically analyzes the literature on self-restraint (in which a mentally retarded individual restricts or prevents motion of a body part), particularly its identification, etiology, modification, and relationship to self-injurious behavior. The paper examines the hypotheses of negative reinforcement and stimulus…

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)

A case study of a 25-year-old man with moderate mental retardation who engaged in self-injurious behavior included a functional analysis to determine the effects of the presence and absence of respite care. Results demonstrated a relationship between the presence of self-injury and the occurrence of respite care the previous evening. Altering the…

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…

This study used a data-based assessment to identify reinforcers and punishers for successful treatment of two children with severe destructive behaviors. Results suggested that empirically derived consequences may be useful in decreasing destructive behavior when a functional assessment is inconclusive or suggests that internal stimuli are…

Three analyses were conducted to assess the effects of different consequent stimuli on the stereotypical and self-injurious behavior of two children with severe developmental disabilities and dual sensory impairments. Contingent presentation of the specially selected stimuli plus response interruption resulted in more suppression than contingent…

This study evaluated a multicomponent treatment package with three adults having profound mental retardation who engaged in self-injurious hand mouthing. The intervention, which involved brief response interruption followed by the introduction of a preferred leisure item, was successfully implemented during both individual and small group…

Key elements of a continuum of services for individuals with autism and other severe behavior disorders are described, focusing on development of a strong central organization; funding; staff recruitment, training, supervision, and evaluation; program evaluation; outreach parent training; home-based early intervention; vocational training;…

A study of 4-year-old girl with severe intellectual disabilities, congenital heart defects, and pulmonary disease investigated the effectiveness of restraint and no-restraint methods to prevent pica. Both methods prevented pica, however, the no restraint condition required less therapist effort and had less negative impact on quality of life.…

A function-based behavioral treatment package was developed for an 18-year-old male with mild mental retardation in a specialized inpatient unit for treatment of severe destructive behaviors associated with school refusal behavior. Treatment goals were achieved relatively quickly and follow-up data indicated treatment effects were durable.…

A study analyzed reading level and readability of 20 behavior treatment plans developed by certified behavior analysts. Those with higher readability levels had somewhat better treatment outcomes. A second study involving four individuals found that manipulations of reading grade level and readability of behavior treatment plans greatly enhanced…

This article outlines problems associated with large mental hospitals, describes how knowledge gained from these problems can be used to create alternative treatment programs, and introduces the papers in this special issue on community-based treatment programs for individuals with developmental disabilities. (JDD)