Improving Therapist and Patient Performance in Chronic Psychiatric Group Homes Through Goal-Setting, Feedback, and Positive Reinforcement

Abstract

Organizational Behavior Management (OBM) has improved staff performance in mental hospitals and homes for the mentally retarded. In the present study, OBM techniques of goal-setting, feedback, and positive reinforcement were used to improve staff behavior and patient outcomes in four private adult group homes for chronic mental patients. Four therapists and 37 patients served as subjects. After a 10 or 20 week multiple baseline, the therapists received training in setting measurable goals, providing verbal and graphic feedback, and praising patients. In addition, therapists received written and verbal feedback, praise and contingent monetary reinforcement. Results revealed large increases in the number of goals addressed weekly and in the quality of treatment plan reviews during treatment. There was a significant increase in patient goal progress and patient activity level, and a significant decrease in therapists' time to submit applicable paperwork during treatment. These results suggest that OBM techniques can improve therapist performance and patient outcomes in group homes for chronic mental patients.