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Related Experiment Videos

Peer managed token economies: evaluation and description

J R Bedell, R P Archer

    Journal of Clinical Psychology
    |July 1, 1980
    PubMed
    Summary
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    Peer managed token economy programs (TEP) effectively maintained patient behavior and improved psychosocial adjustment in residential treatment. Non-contingent reinforcement, however, led to significant behavioral decline.

    Area of Science:

    • Behavioral Psychology
    • Clinical Psychology
    • Psychiatric Rehabilitation

    Background:

    • Token Economy Programs (TEP) are utilized in therapeutic settings to modify patient behavior.
    • The role of peer management within TEPs requires further investigation for optimizing patient outcomes.

    Purpose of the Study:

    • To evaluate the effectiveness of peer-managed Token Economy Programs (TEP) on patient behavior and psychosocial adjustment.
    • To compare different incentive structures within peer-managed TEPs.

    Main Methods:

    • Two experiments were conducted with 56 adult patients in a residential treatment program.
    • Behavioral observations and staff ratings were used to assess patient adjustment and ward behaviors.
    • Peer-managed and staff-managed TEPs were compared, along with a non-contingent reinforcement condition and varying incentive structures (group vs. individual).

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    Main Results:

    • Both peer-managed and staff-managed TEPs maintained satisfactory patient ward behaviors.
    • Non-contingent reinforcement resulted in significant decrements in patient behavior.
    • Peer-managed TEPs, regardless of incentive structure, maintained daily performance, reduced psychological issues, and enhanced social and community adjustment.

    Conclusions:

    • Peer-managed Token Economy Programs are effective in improving patient behavior and psychosocial adjustment in residential treatment.
    • Peer management offers a viable alternative to staff management in TEPs.
    • Further research should explore the specific advantages and applications of peer-managed TEPs.