The token economy for children with intellectual disability and/or autism: a review.
Token economies remain a solid choice for kids with ID or autism if you build in thinning and staff training.
01Research in Context
What this study did
Matson et al. (2009) read every token-economy paper they could find on kids with intellectual disability or autism. They did not run new kids; they simply told the story of what had been tried.
The review is narrative, not statistical. It maps where token boards, point cards, and penny boards had been used with this group up to 2009.
What they found
The authors say the method still shows promise. They do not give numbers, but they urge clinicians to keep token economies in the toolbox.
In short: the idea is alive and worth using for children with ID or autism.
How this fits with other research
Kaiser et al. (2022) later pooled 24 elementary studies and found large gains, giving hard numbers to the hope Matson et al. (2009) voiced.
Alba et al. (1972) and Weitz (1982) had already warned that gains vanish when tokens stop. Regnier et al. (2022) now show how to prevent that: thin the schedule and add social praise or self-monitoring before you fade.
Gutierrez et al. (2020) go one step further. They prove you can train new staff to run a token economy with just a manual, no live coaching. This fills a gap the 2009 review left open.
Why it matters
Token economies are old, but they still work. Use them with kids who have ID or autism, but do not stop at the board. Plan thinning, add praise, and teach staff with a clear manual. These simple moves turn a classic tool into a lasting one.
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02At a glance
03Original abstract
One of the most important technologies of behavior modifiers and applied behavior analysts over the last 40 years has been the token economy. These procedures are useful in that they help provide a structured therapeutic environment, and mimic other naturally occurring reinforcement systems such as the use of money. Token economies, at least from a research standpoint, appeared to have crested in popularity during the 1980's. However, for children with intellectual disability (ID) and/or autism, such methods continue to hold considerable therapeutic promise. An overview of past developments, current status, and potential future trends and applications with respect to this special population are discussed.
Research in developmental disabilities, 2009 · doi:10.1016/j.ridd.2008.04.001