“…In particular, how do settings accurately monitor medication administration among client populations, what information must be reported to inform treatment decisions, and are there operations that support input from multiple disciplines and stakeholders? In the following program description and evaluation, we present an interdisciplinary review team (IRT) approach to psychotropic medication monitoring, which is a component of organizational infrastructure (Dixon & Loukus, 2013 ; Maguire et al, 2022 ) designed to (1) document the clinical, mental health, and medication status of students with ASD, (2) make data-driven decisions about medication prescriptions and adjustments, (3) evaluate the advantages and disadvantages of including medications with educational and behavior support plans, (4) confirm medication outcomes, (5) unify collaborative participation among professionals, care providers, and families, and (6) ensure student safety. Our description includes several case examples of children who presented with high-risk challenging behavior and underwent medication reduction-elimination trials including social validity assessment (acceptance and approval) of IRT members.…”