Sophie is a bright, engaging, and energetic teenager with a diagnosis of autism spectrum disorder. Prior to her admission to the Judge Rotenberg Educational Center (JRC) in January, Sophie had attended a residential program but was discharged due to the unmanageable frequency and intensity of her aggressive and self-injurious behaviors. Sophie engaged in high rates of aggressive behavior in the form of hitting, kicking, head-butting, biting, and hair pulling as well as significant self-injurious behaviors.