Reducing assaults on an acute psychiatric unit using a token economy: a 2‐year follow‐up

LePage, James P.; DelBen, Kevin; Pollard, Scott; McGhee, Melanie; VanHorn, Linda; Murphy, James M.; Lewis, P. J. E.; Aboraya, Ahmed; Mogge, Neil L.

doi:10.1002/bin.134

Cited by 27 publications

(9 citation statements)

References 23 publications

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“…It is also important, in order to guarantee the success of this type of intervention, to train and evaluate the staff, who have a decisive role in this kind of work (e.g., Coleman & Paul, 2001;Corrigan, Williams, McCracken, Kommana, Edwards, & Brunner, 1998;LePage, DelBen, Pollard, McGhee, VanHorn, Murphy, Lewis, Aboraya, & Mogge, 2003).…”

Section: Token Economy Programmentioning

confidence: 99%

Rehabilitation Programs for Elderly Women Inpatients with Schizophrenia

Coelho

Palha

Gonçalves

et al. 2008

Journal of Women & Aging

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This study aims to describe rehabilitation and resocialization methods we believe to be appropriate for application to female patients with schizophrenia, in a psychiatric unit with a predominantly older population. We briefly describe the unit and the interventions used as an example of the proposed rehabilitation and resocialization methods applied. The article provides an overview to guide accurate intervention, particularly in inpatient women, in different types of cognitive impairment under the broad category of schizophrenia. Our clinical approach includes a token economy approach, cognitive remediation therapy, and social skills training. The token economy intervention is particularly directed to patients that present with a high mental deterioration and/or debility. Cognitive remediation training is applicable to subjects with both cognitive and social dysfunction, but that do not possess signs of an organic cerebral illness or of substance abuse. Social skills training can be the third step to resocialization, training verbal and nonverbal communication competencies.

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Section: Token Economy Programmentioning

confidence: 99%

Rehabilitation Programs for Elderly Women Inpatients with Schizophrenia

Coelho

Palha

Gonçalves

et al. 2008

Journal of Women & Aging

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“…Token therapy, first proposed in 1968 by Ayllon and Azrin, is an effective way of achieving behavioral changes, helping subjects to acquire new skills, reduce undesired behaviors and increase treatment compliance (LePage et al, 2003). It is a modality of behavior therapy in which therapists encourage clients to perform behavior shaping in the form of tokens.…”

Section: Introductionmentioning

confidence: 99%

Significant Experiences of Token Therapy From the Perspective of Psychotic Patients

Lin

Chiou²,

Chou

et al. 2006

Journal of Nursing Research

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The purpose of this study was to explore the perceived the significant experiences of psychiatric patients related to token therapy. A qualitative in-depth interview was applied to collect individual opinions and perceptions. The 13 patients included in this study, all of whom had been diagnosed with mental disorders, received a six-month program of token therapy. Semi-structured interviews of approximately 40 minutes each were held with each participant and transcribed for further analysis in accordance with the principals of content analysis. The three significant domains of experience of participants receiving token therapy included: (1) acknowledgement of token therapy significance, (2) appreciation of each step in terms of personal achievement, and (3) reinforcement from personal changes and family support. Findings support the application of token therapy in psychiatric rehabilitation settings using the strategy of applying appropriate positive or negative logos to communicate reinforcement in an immediate manner that is further enhanced by the public tracking of accumulated patient scores on an evaluation board. In this manner, the therapeutic environment is imbued with a critical empowerment function. The effective application in the future of token therapy in mental health rehabilitation programs is recommended.

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“…Front-line nursing staff is the most likely victim of assault by an aggressive patient (Owens et al . 1998, LePage et al . 2003.…”

Section: Introductionmentioning

confidence: 99%

“…The professional literature presents numerous examples of non-restrictive behaviour plans that have effectively reduced aggression in adults with mental illness and intellectual disabilities (see LePage et al . 2003, Longo & Bisconer 2003, Giles et al .…”

Section: Introductionmentioning

confidence: 99%

Managing aggression in a psychiatric hospital using a behaviour plan: a case study

Bisconer¹,

Green²,

Mallon-Czajka

et al. 2006

Psychiatric Ment Health Nurs

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This paper focuses on the critical role of nursing in implementing a behaviour plan in a psychiatric hospital. The plan was implemented with a 40-year-old man with a long history of aggression towards others and self. The study used a single-subject research design with baseline and intervention phases (AB Design). Data were collected on (1) frequency of incidents of aggression towards others and self; (2) use of restrictive interventions to manage aggression (i.e. restraints, pro re nata medication, 1:1 special observation); and (3) frequency of staff injury. The data show a decrease in frequency of aggression towards others and self, a concurrent reduction in the use of restrictive interventions to manage aggression, and a decrease in incidents of staff injury. The behaviour plan helped staff maintain a safe and therapeutic milieu. The behaviour plan has given the patient an opportunity to learn positive replacement behaviours and skills, and the opportunity eventually to leave the hospital to live in a less restrictive community home.

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Reducing assaults on an acute psychiatric unit using a token economy: a 2‐year follow‐up

Cited by 27 publications

References 23 publications

Rehabilitation Programs for Elderly Women Inpatients with Schizophrenia

Rehabilitation Programs for Elderly Women Inpatients with Schizophrenia

Significant Experiences of Token Therapy From the Perspective of Psychotic Patients

Managing aggression in a psychiatric hospital using a behaviour plan: a case study

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