A survey of state policies regarding the use of restrictive/aversive behavior modification procedures

A survey was conducted of the state policies regarding the use of restrictive/ aversive behavior modification procedures with mentally retarded persons. Policies varied substantially with respect to both scope and length; however, the overwhelming majority required that behavior modification programs be developed through the interdisciplinary planning process. No consistent pattern emerged with respect to the review and approval process for the use of aversive procedures. Approximately 75% of the states appear to permit the use of restraint as a treatment modality. Policies direct only minimal attention to the issue of training staff to implement aversive procedures. From the results of the survey, a model for the use of aversive procedures was developed and is presented.