Achievement Place: development of the elected manager system

A series of experiments was carried out to compare several administrative systems at Achievement Place, a family style behavior modification program for pre-delinquent boys. One aspect of the motivation system at Achievement Place was the token economy in which the youths could earn or lose points that could be exchanged for privileges. Several arrangements for assigning routine tasks and for providing token consequences for task performance were compared for their effectiveness in accomplishing the tasks and for their preference by the boys. The independent variables studied included: (1) individually assigned tasks versus group assigned tasks; (2) consequences for individual performance versus consequences for group performance; (3) a peer managership that could be earned by the highest bidder versus a peer managership that could be determined democratically by the peers. The results suggested that among those systems studied the system that best met the criteria of effectiveness and preference involved a democratically elected peer manager who had the authority both to give and to take away points for his peers' performances.     

Predicting treatment outcome and recidivism among patients in a maximum security token economy

The relationship between program performance and outcome for patients in maximum security token economy programs has not been previously studied. We examined variables related to success in a token economy program and to postrelease failure for 92 men in a maximum security psychiatric hospital. Point earnings later in the program were best predicted by earlier point earnings. Variables that best predicted postrelease failure, defined in various ways, were similar to those found in other studies; youthfulness, having spent more time in institutions, a diagnosis of personality disorder or retardation rather than psychosis, not having been found not guilty by reason of insanity or unfit to stand trial, and having been referred from another psychiatric hospital. That program variables were generally unrelated to later outcome suggests that treatment programs for patients in maximum security settings must emphasize skills that are relevant to postrelease success.     

TOKEN REINFORCEMENT DURING THE INSTATEMENT AND SHAPING OF FLUENCY IN THE TREATMENT OF STUTTERING

The value of token reinforcement in the instatement and shaping of fluency was examined in an intensive treatment program for adult stutterers. Experiment 1 examined the effect of removing the tangible back-up reinforcers for the token system and found that clients' performance in the program was equally good with or without these back-up reinforcers, suggesting that a strict token economy may not be crucial to rapid progress through treatment. Experiment 2 compared contingent and noncontingent token reinforcement, while controlling for some variables that may have confounded the results of earlier research, and found no difference in clients' performance. Experiment 3 examined the effect of the entire removal of token reinforcement. Performance was found to be no worse under a “no tokens” system than under a system of tokens with back-up reinforcers. It is argued that in a highly structured treatment program where many other reinforcers are operating, token reinforcement may be largely redundant. Clinical and theoretical implications of the findings are discussed.     

Preference Assessment for Dimensions of Reinforcement to Inform Token Economies Targeting Problem Behavior

The purpose of the current two-experiment study was to examine the use of a preference assessment for dimensions of reinforcement to inform an effective token economy arrangement. Three participants diagnosed with developmental disabilities who engaged in negatively reinforced problem behavior participated in this study. During Experiment 1, a preference assessment for four dimensions of reinforcement (i.e., quality, immediacy, magnitude, and rate) occurred to inform a more- and less-preferred token economy arrangement. During Experiment 2, a treatment evaluation compared these two token economy arrangements. Results for all three participants showed lower rates of problem behavior under the more-preferred token economy arrangement compared to the less-preferred token economy arrangement. Rates of task completion were higher under the more-preferred token economy arrangement for one of the three participants. Results are discussed in terms of their practical implications for clinicians and educators implementing token economies to manage problem behavior.     

MULTIPLE-BASELINE ANALYSIS OF A TOKEN ECONOMY FOR PSYCHIATRIC INPATIENTS

Twelve behaviors selected for reinforcement among 16 chronic psychiatric inpatients were divided into four classes: (a) personal hygiene, (b) personal management, (c) ward work, and (d) social skills. A token economy program was introduced for each class in a sequential, cumulative, multiple-baseline format. Corrections were included for methodological deficiencies frequently encountered in past studies. Treatment variables were systematically monitored, and target behavior rates, levels of global individual functioning, general ward behavior, and off-ward behavior were assessed during baseline, implementation, and probe periods. Results indicated abrupt and substantial increases in performance of most target behaviors, significant improvements in global individual functioning (p < .025), positive changes in general ward behavior, and increases in social interaction during off-ward activities. The findings provide strong evidence for the efficacy of a token economy and indicate that the multiple-baseline design can be a useful method for evaluating token economy programs.     

Why classroom token economies fail

The reasons for clinical failures of classroom token economies are divided into three groups: (1) Problems associated with the token program itself, (2) Problems associated with the teacher, and (3) Problems associated with the specific population on which the classroom token economy is used. Each of these problem areas is discussed. Methods of anticipating problems before they occur are enumerated and ways of solving them should they occur are illustrated.     

Maintaining patients' improvements in a token economy.

Eighteen long stay male patients (diagnosis chronic schizophrenia) were involved in a six month token economy prior to random assignment to one of three experimental groups to investigate the importance of social reinforcement and other token-related variables in maintaining improvements brought about by the token system. Assessment included standardised psychiatric rating scales, nurse rating scales, and behavioural measures. Analysis of variance suggests the full token economy system produced significant improvements, but that the social factors involved in token exchanges were not demonstrably important sources of reinforcement. and that none of the variables studies at the experimental phase were critical factors. Once patients returned to a complete token system, results indicate that this may have more value in the promotion of work activities rather than social responding. It is argued that the token system provides a necessary clear structure within which nurses can encourage continuous improvements with long stay patients.     

THE TOKEN ECONOMY: A DECADE LATER

In the last decade, the token economy has been extended widely across populations and behaviors in treatment, rehabilitation, educational, and community settings. Outcome research has expanded as well to include large-scale program evaluations and comparative and combined treatment studies of the token economy. In a previous review (Kazdin & Bootzin, 1972), several obstacles were identified for the effective application of the token economy. These included identifying procedures to enhance program efficacy, to train staff, to overcome client resistance, and to promote long-term maintenance and transfer of training. The present paper discusses recent advances in research and reviews progress on the major issues identified previously. New issues have become salient in the last decade that pertain to the extension of the token economy to institutional settings. The demands for maintaining the integrity of treatment, the ability to integrate token economies within existing institutional constraints, and the disseminability of the procedures on a large scale are major issues that may dictate the future of the token economy.     

An analysis of a token economy in stuttering therapy

A stuttering therapy program in which adult stutterers were hospitalized and treated in small groups (n = 4) under token economy conditions is described. The Token System reinforced reductions and penalized increases in stuttering during conversation. The therapy program was divided into three stages. Initially, subjects were treated by the token system, which was then integrated with a delayed auditory feedback schedule designed to instate and shape a prolonged speech pattern into normal fluent speech. Finally, subjects passed through a speech situation hierarchy while under token control conditions. Experiments conducted in the first two stages of treatment are described. The first-stage experiments examined the design of the token system; the second-stage experiment assessed the effect of a contingent punishment schedule integrated with the delayed auditory feedback procedure in order to shape rate of speaking as well as fluency.     

Modification of articulation errors of pre-delinquents by their peers

Pre-delinquent peers in Achievement Place (a community based family style rehabilitation program based on a token economy) were given points (token reinforcement) to modify the articulation errors of two boys. In Experiment I, using a multiple baseline experimental design, error words involving the /l/, /r/, /th/, and /ting/ sounds were successfully treated by both a group of peers and by individual peers. Also, generalization occurred to words that were not trained. The speech correction procedure used by the peers involved a number of variables including modelling, peer approval, contingent points, and feedback. The individual role of each of these variables was not experimentally analyzed, but it was demonstrated that peers could function as speech therapists without instructions, feedback, or the presence of an adult. It was also found that payment of points to peers for detecting correct articulations produced closer agreement with the experimenter than when they were paid points for finding incorrect articulations. The results were replicated in a second experiment with another subject who had similar articulation errors. In addition, the second experiment showed that peer speech correction procedures resulted in some generalization to the correct use of target words in sentences and significant improvements on standard tests of articulation.     

Item preference in a token economy ward store

Token spending by 20 schizophrenic patients was monitored over a six-month period. It was found that: (1) token expenditures for cigarettes and "edibles" far surpassed other store item categories; and (2) percentage increases in token expenditures were greatest for categories of items relating to appearance and grooming, strongly suggesting that store purchasing patterns over time may provide an index of program effectiveness.     

A token economy program for chronic schizophrenic patients

Abstract.— A token economy program was applied on a ward for 12 chronic schizophrenic patients. An ABABC-design, i.e. a group reversal design with a noncontingent reinforcement phase at the end, was used to evaluate the treatment. The patients' activity-level increased from baseline to the treatment phase. During the reversal period the activity-level decreased but it increased again when the token economy was reintroduced. The non-contingent reinforcement resulted in the predicted decrease for two of the six behaviors recorded. Five of the twelve patients were discharged from the ward during the 8-month program period and none of them had been readmitted at the end of the one year follow-up. Individual treatment programs for two of the patients concerning aggressive acts, deficient eye-contact and lip-biting are described.     

A systematic evaluation of token economies as a classroom management tool for students with challenging behavior

A two-part systematic review was undertaken to assess the effectiveness of token economies in increasing rates of appropriate classroom behavior for students demonstrating behavioral difficulties. The first part of the review utilized the recently published What Works Clearinghouse (WWC) standards for evaluating single-subject research to determine the extent to which eligible studies demonstrated sufficient evidence to classify the token economy as an evidence-based practice. The second part of the review employed meta-analytic techniques across four different types of effect sizes to evaluate the quantitative strength of the findings. Methodological strengths and weaknesses across the studies were systematically investigated. Results indicated that the extant research on token economies does not provide sufficient evidence to be deemed best-practice based on the WWC criteria.     

The home point system: token reinforcement procedures for application by parents of children with behavior problems

Parent-child problems within the home are frequently reported to be instances in which children refuse to help with household chores, bicker among themselves, or engage in verbally inappropriate behavior toward their parents. The present study investigated the effects of a token reinforcement program administered by the parents in ameliorating these problems. Two sets of parents, with a total of five children between the ages of 5 and 10 yr, were taught to administer a token economy within their homes. The parents received instruction in specifying desired social and chore behaviors, communicated these behavioral goals to their children, recorded data on their occurrence, and managed a point system backed with reinforcers normally found in the home. The token reinforcement program was shown to have successfully modified 15 problem behaviors in Family 1 and six in Family 2. In addition, the parents rated all 21 behavior changes as significant improvements. These studies indicated that some cooperative parents need only a small amount of professional help to learn to manage their children's behavior problems with token reinforcement procedures.     

SOCIOMETRIC AND DISRUPTIVE BEHAVIOR AS A FUNCTION OF FOUR TYPES OF TOKEN REINFORCEMENT PROGRAMS1

Children in a first-grade classroom were divided into four groups. Baseline measures of disruptive classroom behavior were taken on a well-behaved and disruptive child in each group. Following baseline, four types of token economies were simultaneously introduced and rotated every 10 days within a Latin Square design. The token economies were: (1) individual reinforcement determined by individual performance; (2) group reinforcement determined by the behavior of the most disruptive child; (3) group reinforcement determined by the behavior of the least disruptive child; (4) group reinforcement determined by the behavior of a randomly chosen child. The token economies were compared on their effectiveness in changing target behavior, preference by the targets, ease of use, and cost. Additionally, sociometric responses were taken on questions of responsibility, friendship, and funniness. Results showed a significant decrease of inappropriate behavior for the disruptive children and no difference between the effectiveness of the four types of token economies in producing behavior change. However, there were other differences that indicated that the system in which group reinforcement was determined by a randomly selected child would be desirable for most teachers. Results also showed changes in the sociometric status of the disruptive children. As predicted, disruptive children were rated as more responsible when they were in the group reinforcement determined by the most disruptive child in the group token economy. Using behavior modification techniques indirectly to change sociometric status is suggested as offering a new potential technique for behavior change agents.     

THE EFFECTS OF TOKEN REINFORCEMENT ON THE BEHAVIOR OF DELINQUENTS IN COTTAGE SETTINGS1

A token economy designed to modify the behavior of 125 adolescent males committed to a state correctional institution was implemented in the boys' cottages, focusing on social behavior (peer interaction), rule following, and task completion. The program was sequentially introduced in a multiple-baseline design in three independent cottages; a fourth group served as a comparison cottage. Appropriate behavior increased when the token program was introduced in each cottage. Data were collected for 14 months. Thus, the long-term effects of initial behavior change were assessed.     

Internal control and success orientation in a token economy for emotionally disturbed adolescents.

Forty-one emotionally disturbed adolescents were tested at each of three token economy levels on Rotter's Internal-External Locus of Control Scale and Guevar's Success-Failure Inventory. Delay of reinforcement (immediate, daily, weekly) was the primary differentiation between levels. One-way analyses of variance indicated a change across levels in the direction of more perceived internal control of behavior (p less than .025) and a greater success orientation (p less than .005). Change scores were not correlated with length of time in the program. Results suggest that the token economy as an external source of control is not necessarily incompatible with increasing patient expectancies of present and future control of the environment.     

Token economy: patient and staff changes

A token economy program conducted with severely regressed, “backward” state hospital patients is described. An evaluation of the effects of the reinforcement program after one year has revealed substantial gains in patient eating, grooming, and dressing behavior and involvement in activities on and off the ward. In addition, several measures of staff attitudes toward patients evidence meaningful gains in staff expectations about the treatability of patients and the degree of the latters' psychological deficit.