The Environmental Effects of Children’s Psychiatric Inpatient Hospitalization Stays


Background: Children have been shown to have a positive treatment effect from psychiatric inpatient stays. Objective: The purpose of this study was to determine why the treatment effect occurs. Hypothesis: The hypothesis was that if the children do demonstrate a change in behavior, the behavior will be in response to the inpatient environment and that after a two week period, no significant change would occur. Results: No significant difference from combined two week post admission scores to combined two week prior discharge scores was found (t(13) = .119, p.>.05). Conclusion: If change did occur, it occurred within the first two weeks as a response to a change in the environment. Before inpatient is considered, children should be referred to family therapists who focus on environmental changes that can be made in the home.

Keywords: children, inpatient, therapy, medication, primary care physician


Reorganizing a Failed Token Economy in a Group Therapy Setting: A Case Study


            This study reorganized a failed token economy in a group therapy setting.  The group therapy took place as part of a day treatment program.  The study changed the failed token economy by using the following methods: allowing the clients to choose the contingency and the behaviors that the contingencies are dependent upon, increasing the immediacy of the contingency, using tangible tokens, and decreasing the percentage of tokens needed to obtain a contingency.  Required redirections by therapist were measured pre and post intervention.  A significant decrease in redirections were found to occur.

            Keywords: token economy, group therapy, redirection, day treatment