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83. Group Programming and Token Economy: Relationship with Behaviors in an Inpatient Facility
Group programming is a common, evidence-based treatment strategy within psychiatric inpatient populations. However, skill-acquisition and symptom improvement may depend on regular group attendance and active participation in groups. Token economies have been found to motivate and promote positive behavioral changes for psychiatric inpatients. The purpose of this study is to examine whether increased attendance, participation, and “buyout rate” (i.e., the rate at which a patient chooses spends tokens in order to skip group) in group programming within a token economy are associated with the number and severity of behavioral infractions, such as program refusal, property destruction, and aggressive behaviors. Data collected on an inpatient unit in a state psychiatric facility will be examined to determine whether group attendance and participation and “buyouts” predict the number and severity of behavioral infractions. Regression analyses will be conducted to test the hypothesis that higher rates of group attendance and participation and lower buyout rates will be associated with fewer and less severe behavior infractions. Results of this study will help to establish effectiveness of token economies on psychiatric inpatient behaviors management.