The present study was a multisite randomized clinical trial assessing the effects of adding a cognitive-behavioral intervention to positive behavior support (PBS). Fifty-four families who met the criteria of (a) having a child with a developmental disability, (b) whose child displayed serious challenging behavior (e.g., aggression, self-injury,…

Four children (ages 2-12) with developmental disabilities and sleep disorders were provided with a consistent bedtime routine combined with a graduated extinction procedure for nighttime behavior problems. Treatment resulted in decreases in night wakings and disturbances, indicating the effectiveness of relatively simple behavioral interventions.…

Fourteen students, aged 7-24, with severe developmental disabilities who exhibited frequent aggression, self-injury, and/or tantrums were assessed to engage in problem behavior maintained by social attention or by escape from unpleasant situations. The differential effectiveness of praise and time-out was measured, indicating the importance of…

Results of a series of three experiments with four developmentally disabled males (ages 7-13) who exhibited hand flapping and body rocking indicated that some forms of repetitive stereotyped behaviors may serve social functions (e.g., escape from aversive situations), and that teaching a functionally equivalent communicative alternative can be an…

Self-injurious behavior is a serious concern for individuals who must provide educational services to developmentally disabled children. This article discusses research related to the motivation of self-injury; provides guidelines for designing treatment programs for self-injurious behavior; and introduces a new nonaversive treatment, differential…