Abstract
The present study evaluated the effects of psychotropic medication in concert with comprehensive behavioral intervention on multiple forms of self-injury in a deaf-blind child. Treatment consisted of a combination of reinforcement for noninjurious behaviors, plus brief, response-contingent interruption/immobilization. In addition, the study included programming for cross-setting generalization, training parents as home interventionists, and evaluating maintenance of intervention effects. Using a modified multiple-baseline design, treatment was demonstrated to be successful in reducing self-injurious behaviors to near-zero levels, with results maintained at a 6-month follow-up, Therapeutic effects were established across program settings and within the child's home. Psychotropic medication did not have a positive influence on the control of self-injury. issues relevant to the comprehensive assessment and management of self-injurious behavior are discussed.
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