The published intervention research on the remediation of challenging behavior of persons with developmental disabilities was reviewed. A total of 179 studies over a recent 5-year period (1988 through 1992) were reviewed for adherence to certain standards of practice, including the use of functional assessment, function-treatment matching, level of intervention intrusiveness, monitoring of collateral behaviors, follow-up, and generalization. Results are presented with regard to each standard of practice and the relations among practices. The results largely support meaningful improvements in the state of the intervention literature since the time of several previous reviews. Areas of progress are noted and continuing deficits are discussed.
American Psychological Association: Task Force on Promotion and Dissemination of Psychological Procedures, D. L. Chambless (Chair). (1995). Training in and dissemination of empirically-validated psychological treatments: Report and recommendations. The Clinical Psychologist, 48(1), 3–23.
2.
AndersonC. M.FreemanK. A.ScottiJ. R. (1996). Evaluation of the reliability and validity of analog functional assessment methodology. Unpublished manuscript.
3.
AxelrodS. (1987). Functional and structural analyses of behavior: Approaches leading to reduced use of punishment procedures?Research in Developmental Disabilities, 8, 165–178.
4.
BerkmanK. A.MeyerL. H. (1988). Alternative strategies and multiple outcomes in remediation of severe self-injury: Going “all out” nonaversively. Journal of The Association for Persons with Severe Handicaps, 13, 76–88.
5.
CarrE. G. (1994). Emerging themes in the functional analysis of problem behavior. Journal of Applied Behavior Analysis, 27, 393–399.
6.
CarrE. G.DurandV. M. (1985a). Reducing behavior problems through functional communication training. Journal of Applied Behavior Analysis, 18, 111–126.
7.
CarrE. G.DurandV. M. (1985b). The social-communicative basis of severe behavior problems in children. In ReissS.BootzinR. R. (Eds.), Theoretical issues in behavior therapy (pp. 219–254). New York: Academic Press.
8.
CarrE. G.LevinL.McConnachieG.CarlsonJ. I.KempD. C.SmithC. E. (1994). Communication-based intervention for problem behavior: A user's guide for producing positive change. Baltimore, MD: Paul H. Brookes.
9.
DurandV. M. (1990). Severe behavior problems: A functional communication training approach. New York: Guilford Press.
10.
DurandV. M.CarrE. G. (1991). Functional communication training to reduce challenging behavior: Maintenance and application in new settings. Journal of Applied Behavior Analysis, 24, 251–264.
11.
EifertG. H.EvansI. M.McKendrickV. G. (1990). Matching treatments to client problems not diagnostic labels: A case for paradigmatic behavior therapy. Journal of Behavior Therapy and Experimental Psychiatry, 21, 163–172.
12.
EvansI. M.MeyerL. H. (1985). An educative approach to behavior problems: A practical decision model for intervention with severely handicapped learners. Baltimore, MD: Paul H. Brookes.
13.
EvansI. M.MeyerL. H.KurkjianJ. A.KishiG. A. (1987). An evaluation of behavioral interrelationships in child behavior therapy. In WittJ. C.ElliottS. N.GreshamF. N. (Eds.), Handbook of behavior therapy in education (pp. 189–216). New York: Plenum.
14.
GoldfriedM. R.DavisonG. C. (1976). Clinical behavior therapy. New York: Holt, Rinehart, 8#x38; Winston.
15.
GoldiamondI. (1974). Toward a constructional approach to social problems: Ethical and constitutional issues raised by applied behavioral analysis. Behaviorism, 2, 1–85.
16.
HawkinsR. P. (1986). Selection of target behaviors. In NelsonR. O.HayesS. C. (Eds.), Conceptual foundations of behavioral assessment (pp. 331–385). New York: Guilford.
17.
IwataB. A.FisherW. (Eds.). (1994). Functional analysis approaches to behavioral assessment and treatment [Special issue). Journal of Applied Behavior Analysis, 27(2).
18.
IwataB. A.PaceG. M.DorseyM. F.ZarconeJ. R.VollmerT. R.SmithR. G.RodgersT. A.LermanD. C.ShoreB. A.MazaleskiJ. L.GohH. L.CowdreyG. E.KalsherM. J.McCoshK. C.WillisK. D. (1994). The functions of self-injurious behavior: An experimental-epidemiological analysis. Journal of Applied Behavior Analysis, 27, 215–240.
19.
IwataB. A.VollmerT. R.ZarconeJ. R. (1990). The experimental (functional) analysis of behavior disorders: Methodology, applications, and limitations. In ReppA. C.SinghN. N. (Eds.), Perspectives on the use of nonaversive and aversive interventions for persons with developmental disabilities (pp. 301–330). Sycamore, IL: Sycamore Publishing.
20.
KanferF. H.SaslowG. (1969). Behavioral diagnosis. In FranksC. M. (Ed.), Behavior therapy: Appraisal and status (pp. 417–444). New York: McGraw-Hill.
21.
KazdinA. E. (1982). Symptom substitution, generalization, and response covariation: Implications for psychotherapy outcome. Psychological Bulletin, 91, 349–365.
22.
KirkK. S. (in press). Issues in selecting intervention strategies for persons with attention deficit hyperactivity disorder. In ScottiJ. R.MeyerL. H. (Eds.), Behavioral intervention: Principles, models, and practices. Baltimore, MD: Paul H. Brookes.
23.
KoegelL. K.KoegelR. L.DunlapG. (Eds.). (1996). Positive behavioral support: Including people with difficult behavior in the community. Baltimore, MD: Paul H. Brookes.
24.
La VignaG. W.DonnellanA. M. (1986). Alternatives to punishment: Solving behavior problems with non-aversive strategies. New York: Irvington.
25.
LennoxD. B.MiltenbergerR. G.SpenglerP.ErfanianN. (1988). Decelerative treatment practices with persons who have mental retardation: A review of five years of the literature. American Journal on Mental Retardation, 92, 492–501.
26.
LucyshynJ. M.OlsonD.HornerR. H. (1995). Building an ecology of support: A case study of one young woman with severe problem behaviors living in the community. Journal of The Association for Persons with Severe Handicaps, 20, 16–30.
27.
MatsonJ. L.TarasM. E. (1989). A 20 year review of punishment and alternative methods to treat problem behaviors in developmentally delayed persons. Research in Developmental Disabilities, 10, 85–104.
28.
McKnightD. L.NelsonR. O.HayesS. C.JarrettR. B. (1984). Importance of treating individually-assessed response classes in the amelioration of depression. Behavior Therapy, 15, 315–335.
29.
MeyerL. H.EvansI. M. (1989). Nonaversive intervention for behavior problems: A manual for home and community. Baltimore, MD: Paul H. Brookes.
30.
National Institutes of Health. (1989). NIH consensus development conference on the treatment of destructive behaviors in persons with developmental disabilities. Bethesda, MD: Author.
31.
ReichleJ.WackerD. P. (Eds.). (1993). Communicative alternatives to challenging behavior: Integrating functional assessment and intervention strategies. Baltimore, MD: Paul H. Brookes.
32.
ReppA. C.FelceD.BartonL. E. (1988). Basing the treatment of stereotypic and self-injurious behaviors on hypotheses of their causes. Journal of Applied Behavior Analysis, 21, 281–289.
33.
ReppA. C.KarshK. G.MunkD.DahlquistC. M. (1995). Hypothesis-based interventions: A theory of clinical decision making. In O'DonohueW.KrasnerL. (Eds.), Theories of behavior therapy: Exploring behavior change (pp. 585–608). Washington, DC: American Psychological Association.
34.
SchaalD. W.HackenburgT. (1994). Toward a functional analysis of drug treatment for behavior problems of people with developmental disabilities. American Journal on Mental Retardation, 99, 123–140.
35.
ScottiJ. R.EvansI. M.MeyerL. H.DiBennedettoA. (1991). Individual repertoires as behavioral systems: Implications for program design and evaluation. In RemingtonB. (Ed.), The challenge of severe mental handicap: A behaviour analytic approach (pp. 139–163). London: Wiley.
36.
ScottiJ. R.EvansI. M.MeyerL. H.WalkerP. (1991). A meta-analysis of intervention research with problem behavior: Treatment validity and standards of practice. American Journal on Mental Retardation, 96, 233–256.
37.
ScottiJ. R.KirkK. S.WeigleK. L.UjcichK. J.HollandC.MagrudaA. L. (1995). Interventions with challenging behavior of persons with developmental disabilities: An updated bibliography (1988–1992). (ERIC Document Reproduction Service No. ED 379 872).
38.
ScottiJ. R.McMorrowM. J.TrawitzkiA. L. (1993). Behavioral treatment of chronic psychiatric disorders: Publication trends and future directions. Behavior Therapy, 24, 527–550.
39.
ScottiJ. R.MeyerL. H. (Eds.), (in press). Behavioral intervention: Principles, models, and practices. Baltimore, MD: Paul H. Brookes.
40.
ScottiJ. R.MullenK. B.HawkinsR. P. (in press). From theory to practice in the treatment of excess behaviors in child conduct and developmental disabilities. In PlaudJ. J.EifertG. H. (Eds.), From behavior theory to behavior therapy. New York: Allyn 8#x38; Bacon.
41.
ScottiJ. R.MullenK. B.WeigleK. L.FreemanK. A.AndersonC. M. (1996). Outcome of a course on nonaversive intervention strategies: Teaching teachers and direct care staff about functional assessment. Unpublished manuscript.
42.
ScottiJ. R.SchulmanD. E.HojnackiR. M. (1994). Functional analysis and unsuccessful treatment of Tourette's syndrome in a man with profound mental retardation. Behavior Therapy, 25, 721–738.
43.
SkinnerB. F. (1953). Science and human behavior. New York: Free Press.
44.
SugaiG.HornerR. (1994). Including students with severe behavior problems in general education settings: Assumptions, challenges, and solutions. In MarrJ.SugaiG.TindalG. (Eds.), The Oregon Conference monograph (vol. 6; pp. 102–120). Eugene, OR: University of Oregon.
45.
VittimbergaG. L.WeigleK. L.ScottiJ. R. (in press). Standards of practice in behavioral intervention with persons with developmental disabilities and chronic psychiatric disorders. In ScottiJ. R.MeyerL. H. (Eds.), Behavioral intervention: Principles, models, and practices. Baltimore, MD: Paul H. Brookes.
46.
VoeltzL. M.EvansI. M. (1982). The assessment of behavioral interrelationships in child behavior therapy. Behavioral Assessment, 4, 131–165.
47.
WackerD.SteegeM.NorthupJ.ReimersT.BergW.SassoG. (1990). Use of functional analysis and acceptability measures to assess and treat severe behavior problems: An outpatient clinic model. In ReppA. C.SinghN. N. (Eds.), Perspectives on the use of nonaversive and aversive interventions for persons with developmental disabilities (pp. 331–347). Sycamore, IL: Sycamore Publishing.
48.
WahlerR. G. (1975). Some structural aspects of deviant child behavior. Journal of Applied Behavior Analysis, 8, 21–42.
49.
WahlerR. G.SperlingK. A.ThomasM. R.TeeterN. C.LuperH. L. (1970). The modification of childhood stuttering: Some response-response relationships. Journal of Experimental Child Psychology, 9, 411–428.
50.
WeigleK. L. (in press). Positive behavior support as a model for inclusion: Theoretical and procedural considerations. Journal of The Association for Persons with Severe Handicaps.
51.
WeigleK. L.ScottiJ. R. (1996). The effects of functional analysis information on ratings of treatment acceptability and effectiveness. Unpublished manuscript.
52.
WolfensbergerW. (1972). The principle of normalization in human services. Toronto: National Institute on Mental Retardation.
