T.James Matthews , Jeffrey I Werden , Claudia J Koblenz-Sulcov
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A client-run computer system for psychiatric ward management
A principal impediment to the use of the token economy as a ward management system is the demand it imposes on staff time for the keeping of behavioral assessment records. A pilot project was undertaken in which microcomputers were operated by ward clients to record and analyze token economy data. Special programming techniques accommodated to the clients' cognitive limitations and allowed clients to enter the raw data into the computer accurately and efficiently.
Computerized data analysis can provide both general summaries of the token economy performance and specific records of token distributions to individual clients by individual staff for particular target behavior. The system has successfully supported five token economies over a five-year period and has been expanded to provide analysis of related ward management data such as behavior assessment scales, incident reports, and seclusion orders.
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