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A low-cost, rapid delivery point system with "automatic" recording.

Token economies in environments ranging from "home" type settings (Phillips, 1968) to large wards (Ayllon and Azrin, 1968) have used a variety of procedures for dispensing tokens and points. Many such systems have relied on points and credits rather than physical tokens, perhaps because the dispensing of such tokens can become difficult and time consuming when room inspection or general ward cleanup occurs on a large hospital ward. In addition, the token's advantage of being usable in token-operated automatic dispensing machines (e.g., soft drink and cigarette dispensers) is of no consequence in low-budget systems such as state hospitals that cannot afford to introduce these devices. The use of a single, central record of behavior emitted by individuals on a ward (Colman and Boren, 1969) is only feasible when the size of the ward is small. A highly desirable feature of the Colman and Boren recording system, having a record of important patient behaviors and their rate of occurrence, is also in the system being suggested, except here, each patient's point book must be examined to determine behaviors emitted for that week. Similarly, the use of a points system that is maintained and recorded by patients (Phillips, 1968) is feasible where the patientcaretaker ratio is small enough to ensure that cheating does not occur. The paper money system (Logan, 1970), if it is to be useful as a recording system, requires several colors of paper money, each in several denominations. Having each aide carry enough of this paper money to reinforce the behavior of many patients seems quite demanding; to require the aide to write in the patient's name, aide's name, date, and task at each token administration seems prohibitive in terms of the aide's time. The results of this procedure might be to endanger the aide's cooperation with the token system. Further, due to the amount of time required to administer each token, the overall reinforcement frequency probably would be reduced, and many criterion behaviors go unreinforced. The present system was designed to allow a staff of five psychiatric aides to maintain a variety of behaviors in a ward of 50 to 60 juveniles. Specifically, this system requires each patient to carry an eight-page point book with him at all times. A page for a single day is reproduced in Figure 1 (actual size is 3 by 5 in.). The five psychiatric aides each carry two paper punches; one is a standard round hole punch (Gem; McGill Metal Products Co., Marengo, Ill.) and the other is a diamond-design punch (heart, spade, and club patterns are also available from the same manufacturer)1. The shaped holes resulting from the "design" punch are slightly smaller than the standard punch, and these smaller punches are used to give points. Within this system, all behaviors earn points that are punched at the appropriate column (determined by number of points earned) at the appropriate time in the patient's daily schedule. The exchange of these points for back-up reinforcers involves using the standard hole punch to "remove" the figured hole already punched. The example page reproduced in Figure 1 shows 30 points earned for room maintenance and 10 points earned for being on time to a 9:30 class; the 10 points have been spent so all that remains is the large round hole used to "remove" those points. Several disadvantages of the described system may limit its application: (1) there is no easy way to determine the rate of reinforcement used by each aide