While there are numerous reports of effective behavior change projects for institutionalized patients, few address the real goal for treatment, namely, discharge of the patient. The present paper describes a patient's token reinforcement system in which discharge itself was one of the purchasable reinforcers. Inclusion of discharge as a reinforcer requires those responsible for a patient objectively to define desired and undesired behaviors and then to convey this information to the patients. Advantages and limitations of this method are discussed.