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.