Previous studies, typically with children, have used delay-tolerance training to treat problem behavior maintained by access to tangibles. This often involves physical prompting and waiting rather than exchanging, two practices that may not be possible or relevant to adults with intellectual disabilities (ID). For many adults with ID in residential settings, exchanging items, rather than waiting per se, may be evocative for problem behavior. In the current study, I evaluated an exchange program to treat problem behavior maintained by access to tangibles for adults diagnosed with ID at a residential facility. I measured the latency to exchange low- and high-preference items following a request for the item and the individual's problem behaviors. Results demonstrated that the exchange program increased relinquishing of an item while decreasing the rate of problem behavior. This analysis provides another method to treat problem behavior maintained by access to tangibles for adults without using physical prompting.