Although decades of behavior-analytic studies have focused on decreasing the aggressive behavior of clients, relatively little research has been conducted on preventing injuries for the staff members who implement treatment plans. In this study, three direct-care staff members working with clients presenting with aggressive behavior were taught…

A pyramidal training procedure was implemented with staff working with two adults who had developmental disabilities and self-injurious behavior, aggression, and disruption. Little change occurred following inservice training, but improvements in direct care and staff behaviors and decreases in clients' inappropriate behaviors followed a…