A comprehensive review was conducted of intervention studies designed to teach component skills of self-determination to individuals with severe disabilities. Twenty-one articles were analyzed regarding content and methodology. Results (a) support previous research on the efficacy of teaching choice making; (b) increase awareness of teaching self-management, problem solving, goal setting, decision making, and self-advocacy; (c) indicate the need for increased methodological rigor in future research; and (d) expand the research body traditionally associated with self-determination interventions for this population. (Contains 1 table.)