Service Delivery

Behavioral ecology of a staff incentive program. Effects on absenteeism and resident disruptive behavior.

Durand (1983) · Behavior modification 1983
★ The Verdict

A single supervisor-scheduled leave day each month cut staff absenteeism and resident problem behavior in an IDD facility.

✓ Read this if BCBAs managing residential or day-program staff for adults with IDD.
✗ Skip if Clinicians who only provide 1:1 in-home therapy with no hire/fire authority.

01Research in Context

01

What this study did

A residential facility gave staff a simple deal. Work every scheduled shift for a month and earn one extra day off chosen by the supervisor.

The team ran an ABAB reversal design. They turned the incentive on, off, on, off and watched both staff absences and resident disruptive behavior.

Participants were direct-care staff supporting adults with intellectual disability.

02

What they found

Unscheduled absences dropped when the leave day was offered and rose when it was removed.

Resident disruptive behavior moved the same way—fewer incidents when staff were present more often.

One year later the gains were still holding.

03

How this fits with other research

Berkovits et al. (2019) ran a near-copy test with teen fast-food crews. A small cash bonus also cut absences 60%, showing the idea works across ages and settings.

Raj et al. (2006) widened the lens in retail. Paid leave helped, but letting workers pick cheap perks like casual dress or flex hours helped even more.

Poon (2013) shows a different staff fix in the same IDD world. Behavioral skills training lowered injury rates, proving you can target staff behavior with or without tokens.

04

Why it matters

You can slash last-minute call-outs without spending cash. One supervisor-scheduled leave day per month is cheap, clear, and keeps shifts covered. Fewer absences also mean calmer residents and less overtime. Try pitching this low-cost incentive to your administrator—track attendance for one month and watch the numbers.

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→ Action — try this Monday

Post a calendar, count perfect-attendance months, and award the first leave day next month.

02At a glance

Intervention
token economy
Design
reversal abab
Population
intellectual disability
Finding
positive

03Original abstract

The results of an analysis of a staff incentive program designed to decrease absenteeism (unscheduled leave) are presented. The staff of a unit at an institution for the retarded who were not absent for an entire month (i.e., did not use unscheduled leave) could earn eight hours of supervisor-scheduled leave. Using an ABAB design over 16 months, the results indicated a decrease in staff absenteeism under the incentive program. Also observed was a significant positive correlation between absenteeism and resident disruptive behavior. Disruption by the residents decreased during the incentive program. These results were maintained at a one year follow-up.

Behavior modification, 1983 · doi:10.1177/01454455830072003