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The British Journal of Psychiatry (1975) 126: 60-72. doi: 10.1192/bjp.126.1.60
© 1975 The Royal College of Psychiatrists
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A Token Economy Ward Programme with Chronic Schizophrenic Patients

SUSAN J. MUMFORD B.A.1, I. C. LODGE PATCH M.D., M.R.C.P., M.R.C.Psych.2, N. ANDREWS M.A., D.M. and S.P.3, and L. WYNER B.A., M.Sc.4

1 Principal Psychologist, Springfield Hospital S.W.17
2 Consultant Psychiatrist, Springfield Hospital S.W.17
3 Senior Psychologist, Springfield Hospital S.W.17
4 Psychologist, Springfield Hospital S.W.17

A pilot investigation of the relevance of behavioural modification methods, in particular the token economy, to the management of a ward of chronic schizophrenic patients, given conditions of normal service facilities and staffing, is described. Fourteen severely regressed `institutionalized' female patients with average length of stay in hospital of 30 years were included in the programme, and available rewards were made contingent upon display of more independent behaviour. While there is both qualitative and quantitative evidence of change, the paper is mainly concerned with the practical problems in the institution and maintenance of the token economy which may be encountered by staff intending to set up similar programmes in chronic wards of mental hospitals. It is concluded from our experience that behaviour therapy approaches introduced at ward level have considerable potential in the organization of rehabilitation programmes for long-stay population in psychiatric hospitals, and in making better use of nursing skills than traditional methods of care.

Submitted on November 23, 1973




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[Abstract]


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Copyright © 1975 The Royal College of Psychiatrists.