The evolution of a token economy programme for female chronic schizophrenic patients
Article first published online: 22 DEC 2006
Journal of Advanced Nursing
Volume 4, Issue 3, pages 307–318, May 1979
How to Cite
Butler, R. J. (1979), The evolution of a token economy programme for female chronic schizophrenic patients. Journal of Advanced Nursing, 4: 307–318. doi: 10.1111/j.1365-2648.1979.tb03011.x
- Issue published online: 22 DEC 2006
- Article first published online: 22 DEC 2006
- Accepted for publication 10 October 1978
Token economy programmes are becoming an increasingly familiar sight in British psychiatric hospitals, yet many remain inflexible and prone to breakdown after a period in operation. This paper describes the evolution of a token economy for female chronic schizophrenic patients, where the nursing staff with minimal ‘psychological’ support and in dealing with a programme free of research constraints, aimed to increase the therapeutic potential of the system.
The major developments arose from the need: (i) to extinguish the emergence of undesirable behaviour; (2) to develop a more individualized approach to treating patients' problems; (3) to keep consistent adequate records; (4) to re-establish contact with the community and (5) to cater for patients' varied responses to treatment.