Problem behaviors often compound the already difficult task of improving the lives of persons with severe disabilities. This important volume, representing the culmination of more than a decade of clinical research, presents the first complete description of the procedures used in Functional Communication Training--a positive approach for reducing severe behavior problems. The procedures described in this book have been validated by numerous empirical studies for use with children, adolescents, and adults who display behaviors as diverse as aggression, self-injury, tantrums, and bizarre, psychotic speech. Functional Communication Training involves teaching students how to communicate those basic wants and needs that they have previously sought to have fulfilled via their problem behavior. They are taught to replace their challenging behavior with learned communication skills. This book provides the practitioner with step-by-step instructions for implementing this effective approach. A variety of assessment strategies are reviewed and described to assist in determining appropriate interventions. The Motivation Assessment Scale--one device designed to assess the function of problem behavior--is outlined in detail and is accompanied with guidelines for its administration and interpretation. Communication training is then detailed and illustrated using speech, sign language, and augmentative systems as examples. Numerous case examples throughout illuminate both the assessment and intervention strategies. Providing clear direction for ameliorating complex behavior problems, this book will be valued by psychologists, behavior analysts, special educators, and speech and language therapists. It can be used as a text for advanced undergraduate courses on behavior management in psychology and special education, and also serves as supplementary reading for courses on behavior modification or mental retardation/developmental disabilities.

It is well known that behavior problems are a salient characteristic of children and adults with mental retardation. That is not to say that all persons with mental retardation experience behavior disorders; how ever, most studies indicate that the incidence of emotional disturbance in this population is four to six times greater than that observed in similar intellectually nonhandicapped children and adults. It is equally well known that the principal form of treatment accorded clients with mental retardation and behavior disorders is pharmacotherapy or the prescrip tion of behavior modifying drugs. Recent studies show that 6 out of every 10 individuals with mental retardation have been prescribed drugs as treatment for disorders of emotion or behavior. Unfortunately, further studies indicate that only one or 2 out of every 10 clients receiving medication are determined to be "responders," such that some thera peutic benefit is derived from their drug treatment. As noted by the title, the single major thrust of this volume is to review approaches to the treatment of behavior disorders in persons with mental retardation from a nondrug perspective. This requires the presentation of a wide range of material on treatment: basic behavior modification programming, cognitive-behavioral strategies, habilitative approaches, counseling and psychotherapy, designing therapeutic living environments, managing medical factors bearing relevance to emotional illness, intervening with families, training special education teachers and direct care staff, and supplying information on the client's rights to obtain treatment in the least restrictive and least intrusive manner.

How can severe behavior problems in individuals with developmental disabilities be prevented and treated? What strategies can be used to control difficult-to-treat problems such as self-injury, stereotypy, aggression, rumination, and pica? What curricular approaches have proven effective in controlling severe behavior problems in the classroom? You'll find discussion of these and other important issues in this comprehensive, research-based book. Grounded in theory and research, yet filled with case studies, short vignettes, and practical examples, this book considers behavior problems within the context of the individual and his or her environment. Whether you are a clinician, a therapist, a student in applied behavior analysis or clinical psychology, a teacher who works with students with developmental disabilities in the classroom, or a family member of a person with developmental disabilities, this book provides a conceptual framework that will assist you in developing strategies for preventing and treating a wide range of severe behavior problems.

Aggressive behavior among children and adolescents has confounded parents and perplexed professionals—especially those tasked with its treatment and prevention—for countless years. As baffling as these behaviors are, however, recent advances in neuroscience focusing on brain development have helped to make increasing sense of their complexity. Focusing on their most prevalent forms, Oppositional Defiant Disorder and Conduct Disorder, Disruptive Behavior Disorders advances the understanding of DBD on a number of significant fronts. Its neurodevelopmental emphasis within an ecological approach offers links between brain structure and function and critical environmental influences and the development of these specific disorders. The book's findings and theories help to differentiate DBD within the contexts of normal development, non-pathological misbehavior and non-DBD forms of pathology. Throughout these chapters are myriad implications for accurate identification, effective intervention and future cross-disciplinary study. Key issues covered include: Gene-environment interaction models. Neurobiological processes and brain functions. Callous-unemotional traits and developmental pathways. Relationships between gender and DBD. Multiple pathways of familial transmission. Disruptive Behavior Disorders is a groundbreaking resource for researchers, scientist-practitioners and graduate students in clinical child and school psychology, psychiatry, educational psychology, prevention science, child mental health care, developmental psychology and social work.

As reflected in the title, the purpose of this book is to guide clinicians in understanding and treating youth with severe antisocial behavior. Children and adolescents with conduct disorders operate at quite a high cost to society. In many opinion polls, juvenile crime and violence is rated as one of the most pressing concerns for many in our society. This widespread concern has prompted professionals from many disciplines to search for more effective interventions to prevent and treat youth with such disorders. This book is my attempt to summarize the current status of this very important endeavor. In providing this guide to clinicians, I have attempted to emphasize the critical link between understanding the clinical presentation, course, and causes of conduct disorders and designing effective interventions for children and adolescents with these disorders. Many past books, book chapters, and review articles have emphasized one or the other of these objectives. Some have provided excellent summaries of the vast amount of research on youth with conduct disorders without explicitly and clearly describing the clinical applica tions of this research. Others have focused on the implementation of specific interventions for youth with conduct disorders that is divorced from a basic understanding of the many diverse and clinically important characteristics of this population. The overriding theme of this book is that successful clinical inter vention requires an integration of both bodies of knowledge.