A behavioral treatment program was used to improve the functional skills of a 12-year-old anoxic child. Neuropsychological test results indicated marked amnesia and global cognitive deficits. Functionally, self-care tasks could be performed, but only with verbal and physical prompting. Introduction of a monetary reward system significantly reduced the number of verbal cues and physical prompts necessary to produce the targeted behaviors of toileting and dressing. Results indicated decreases of 80 percent in the number of verbal prompts and 70 percent in the number of physical prompts required to complete dressing, and reductions of 92 percent and 75 percent in the verbal and physical cues necessary to complete toileting. Decreases were also obtained in the time taken to complete these tasks. The findings support the continued use of behavioral procedures with patients with severe brain injuries despite the presence of marked cognitive deficits. (Author/JDD)