A token reinforcement system for large wards of institutionalized adolescents

Problems associated with the application of token systems to large public institutions for male and female adolescents are discussed. The present experiments demonstrate that two specific behavior problems on an adolescent ward of a state hospital could be controlled through the use of contingent points via a rapid-delivery token procedure and backed up by reinforcers already available in the hospital setting. Sixty male and female patients were maintained by a staff of five aides. Experiment I examined the effects of verbal demands and contingent points on room maintenance behavior. Experiment II examined the effects of verbal demands and contingent points on ward maintenance behavior. Contingent points produced substantial effects on both types of behavior. Several design criteria are elaborated which facilitate working within the limitations of a setting with low priorities on research.