A Cost Analysis of an Institutional Token Motivational System
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Authors
Howley, Thomas J.
Issue Date
1973-08
Type
Thesis
Language
en_US
Keywords
People with mental disabilities--Treatment--Analysis , Reward (Psychology)--Analysis , Behavior modification--Analysis , Cost effectiveness--Analysis
Alternative Title
Abstract
The problem: An analysis was performed on the cost and effectiveness of a token motivational system in a state hospital.
Procedure: A token economy program, designed and implemented by a multidisciplinary team, attempted to motivate 48 retarded residents to perform 27 self-help skills and 51 work tasks. Six weeks of residents' baseline performance was compared to the effects of eight weeks of treatment programming. Cost break-outs of the total treatment cost for direct and indirect treatment cost, three stages of program development and a comparison of the monthly ward cost with and without the treatment program were performed.
Findings: The treatment program was effective in increasing the self-help and work behaviors. The various cost breakouts indicated that: (a) professional and non-professional time was reallocated cost to the system, (b) the only major additional cost to the system was supplies, (c) the dollar cost for operating a large number of projects was relatively small.
Conclusion: A behavior modification program fulfills the requirements for a Program-Planning-Budgeting-System analysis and makes possible an evaluation of the cost and effectiveness of a residential treatment program.
Recommendations: Future research should be directed toward developing more useful empirical cost data collection procedures.
Description
48 leaves.
Citation
Publisher
Drake University