Quasi-experimental follow-up of token-economy and conventional treatment graduates

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Using time-series analyses, it was found that a conventional treatment program included in a 3-tiered token economy designed to prepare patients for community living effectively reduced the mean number of days spent in hospital per month, over a 30-mo period; for a group of 25 young chronic schizophrenics, when these data were compared to their pretreatment data. The slope of these data also changed from a positively increasing one prior to treatment to zero following treatment. A group of 25 similar, although not directly comparable, chronic schizophrenics showed no change in either level or slope of these data after completing a conventional treatment program alone. These results suggest that token economies may enhance conventional treatment techniques and that they may be useful in preparing patients for community living if attempts are made to include factors that encourage response generalization. (3 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved)

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