The Autism Program at Camarillo State Hospital and Developmental Center (California) has implemented "deinstitutionalization" within a large facility by providing effective and appropriate treatment based on individual needs. This paper describes the design of treatment services, quality assurance mechanisms, medical care (including…

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…

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;…

This corrected article on parent-managed interventions with children with autism reports on analysis of data on 66 children. Findings generally indicated that, after 31.6 months of intervention, IQ scores had not changed but adaptive behavior scores had increased significantly (n=21). However, overall interventions did not reproduce results from…

This study reports on the extent to which pharmacological and behavioral consequences were applied to behavior problems within a population of 31,000 adults in New York's developmental services system. Findings indicated that these consequences were significantly related to variables of intellectual level, residential setting type, type and extent…

Results from administration of the Maslach Burnout Inventory indicated that 60 direct care staff working with autistic clients in school programs that permitted the use of strong aversives reported more intense feelings of personal accomplishment than did 56 staff whose programs were limited to the use of mild aversives. (Author/JDD)

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)

Identifies four treatment techniques that may be applied when problem behavior is maintained by negative reinforcement: (1) functional communication training; (2) behavioral momentum; (3) differential reinforcement or an alternative escape behavior; and (4) errorless learning. Each of the techniques is defined, and applications and guidelines for…

This study evaluated a home-based intervention for parents with intellectual disability to promote child health and home safety in the preschool years. The intervention improved parents' ability to recognize home dangers and to handle emergencies, increased their knowledge about illness and medicines, and increased the number of safety precautions…

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.…

This study reviewed 113 research articles involving 299 subjects and a corresponding sample of 299 adaptive skill programs implemented in state-funded residential facilities for adults with developmental disabilities. Statistical analysis revealed significant differences between researchers and clinicians in adaptive and maladaptive behavior…