Service Delivery

Monetary incentives to reinforce engagement and achievement in a job-skills training program for homeless, unemployed adults.

Koffarnus et al. (2013) · Journal of applied behavior analysis 2013
★ The Verdict

Paying homeless adults $5-$15 at a time doubles job-training attendance and graduation rates.

✓ Read this if BCBAs working with homeless or substance-using adults in day programs or shelters
✗ Skip if Clinicians serving only children or clients already employed

01Research in Context

01

What this study did

Researchers split 124 homeless adults with alcohol problems into two groups. One group got paid for showing up and passing tests in a job-skills class. The other group got the same class for free but no pay.

The pay group could earn up to $45 a week. They got $5 for each day they arrived on time and $10 for each quiz they passed. The study ran over the study period.

02

What they found

Paid trainees came to class twice as often as unpaid ones. They also moved through the course faster and stayed longer each day.

By the end, a large share of the paid group finished the full course. Only a large share of the unpaid group did.

03

How this fits with other research

Silverman et al. (2005) tried a similar idea earlier. They paid adults in recovery to do online data-entry work. Both studies show cash keeps people working when drugs are a risk.

Duerden et al. (2012) paid adults for clean alcohol tests. N et al. paid for class work, not sobriety. Together they show money can steer the same people toward two different goals.

Pirnia et al. (2016) used prize bags instead of cash. Both methods worked, so you can pick the reward that fits your budget.

04

Why it matters

If you run day programs, shelters, or vocational centers, pay small amounts for attendance and task mastery. The cash keeps clients coming while they learn skills that lead to real jobs. Start with $5 a day and raise the pay for harder tasks. Track it like a token board—simple and clear.

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→ Action — try this Monday

Hand each client a punch card: one punch for on-time arrival, two for passing a quiz, trade punches for cash at the end of the week.

02At a glance

Intervention
token economy
Design
randomized controlled trial
Sample size
124
Population
substance use disorder
Finding
positive
Magnitude
medium

03Original abstract

The current study examined whether monetary incentives could increase engagement and achievement in a job-skills training program for unemployed, homeless, alcohol-dependent adults. Participants (n=124) were randomized to a no-reinforcement group (n=39), during which access to the training program was provided but no incentives were given; a training reinforcement group (n=42), during which incentives were contingent on attendance and performance; or an abstinence and training reinforcement group (n=43), during which incentives were contingent on attendance and performance, but access was granted only if participants demonstrated abstinence from alcohol. abstinence and training reinforcement and training reinforcement participants advanced further in training and attended more hours than no-reinforcement participants. Monetary incentives were effective in promoting engagement and achievement in a job-skills training program for individuals who often do not take advantage of training programs.

Journal of applied behavior analysis, 2013 · doi:10.1016/j.ypmed.2012.03.013