Medical/Behavioral Treatment Perspectives: Case Studies of Mentally Retarded Persons with Maladaptive Behavior Problems.

Five case studies of mentally retarded persons with maladaptive behavior problems are presented to demonstrate an interdisciplinary approach which emphasized coordination between medical and behavioral input in client treatment plans. Case studies involve persons in group home settings who engaged in such maladaptive behaviors as aggression towards others or property, self injurious behavior, public disrobing, and tantrums. Cases illustrate how medical and environmental factors may precipitate inappropriate behavior and point to the effectiveness of intervention approaches developed through cooperative effort by interdisciplinary team members. Positive effects of eliminating or reducing psychotropic medication are noted. Twelve guidelines are offered, touching on such points as the importance of reviewing medical records, evaluating environmental factors, and implementing medical and/or program changes in an individualized and systematic fashion. (CL)