| Abstract: | The results of a two-year project designed to organize a unit for 18 developmentally disabled clients with severe behavior disorders (primarily aggression) were presented. Providing tightly organized structure and focusing on appropriate resident behavior resulted in substantial gains. Noted changes included significant decreases in aggression, total number of target behaviors, required uses of restrictive procedures, and residents' injuries. Decreases were also noted in staff injuries and turnover. Subjectively, the unit became a better place to work and live. Difficulties encountered with developing, maintaining, and generalizing the project were discussed. |
