The development of research on functional analysis and assessments for skil
ls deficits has continued to a considerable level of sophistication. Treatm
ents tied to the specific results of assessment include noncontingent reinf
orcement, differential reinforcement of communication, functional communica
tion training, extinction and various methods of skills training. Based on
these principles several authors have developed comprehensive treatment sys
tems that have been evaluated in terms of the effects on individuals in gen
eral, the effects across long time periods, and the effects on educational
attainment and cost effectiveness. More recent studies have developed into
new areas such as decision making, sexual abuse and problems related to emo
tional difficulties. Curr Opin Psychiatry 12:561-565. (C) 1999 Lippincott W
illiams & Wilkins.