The use of a token-economy system to condition ward-wide behaviours in psychiatric in-patients, is gaining acceptance as a definite therapeutic modality (Franks, 1969).
Following the setting-up of the token economy programme (T.E.P.) in St. Brendan's Hospital, Dublin in 1968 (Fingleton and Mccutchan, 1969) and completion of the first series of studies (Fernandez, 1972, a) this author was awarded a Travelling Fellowship by the World Health Organization, Geneva; which enabled him to visit a number of T.E. Programmes in the United States. Following the above visit, a Final Report was submitted to the funding agency (Fernandez, 1972, c). This paper will concern itself with a summary of all observations made in the above Report, and where relevant, these observations have been up-dated in the light of recent research developments and with other informal observations not mentioned in the Final Report.
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