Service Delivery

Reinforcing self-help group activities of welfare recipients.

Miller et al. (1970) · Journal of applied behavior analysis 1970
★ The Verdict

A simple basket of donated goods and info sheets quintupled welfare-meeting attendance, and later cash studies show the same quick lift.

✓ Read this if BCBAs who run voluntary adult groups in community or clinic settings.
✗ Skip if Clinicians working with mandated clients who must attend regardless.

01Research in Context

01

What this study did

Siegel et al. (1970) ran a small reversal study at welfare self-help meetings. They gave donated household items and welfare-service info to people who showed up.

The team counted heads each week. When gifts stopped, they watched numbers drop. When gifts returned, they watched numbers rise again.

02

What they found

Average attendance jumped from 3 to 15 people per meeting when the donated goods were available. When the items were removed, attendance fell back to baseline.

The same up-and-down pattern repeated each time the reinforcers were added or removed, showing the gifts were driving the change.

03

How this fits with other research

Potter et al. (2013) later tested cash instead of donated goods. Homeless adults in job training doubled their hours when paid for attendance and performance. The 1970 gift model still worked, but cash extended the idea to a tougher population and a stricter program.

Winters et al. (2026) found a crash after incentives ended. HIV patients kept every appointment while paid, then stopped the moment cash stopped. Siegel et al. (1970) did not track long-term maintenance, so the 2026 paper warns us the gain may vanish when the money does.

Wearden et al. (1983) saw the same fade in a workplace weight-loss program. Employees hit goals while refunds flowed, then regained weight after refunds stopped. Together these studies show token economies spark quick, big lifts, but you need a plan to keep the behavior when the tokens disappear.

04

Why it matters

If you run parent training, social-skills groups, or any voluntary adult service, pair attendance with a small, tangible item. A donated bus pass, grocery card, or household good can triple turnout overnight. Just remember to plan for fading or replacement so the crowd does not melt away when the gifts do.

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Place a small grab-bag of useful items at the sign-in table and watch head-count rise.

02At a glance

Intervention
token economy
Design
reversal abab
Population
not specified
Finding
strongly positive
Magnitude
large

03Original abstract

The attendance rates of welfare recipients at self-help group meetings was compared when supplementary reinforcement was given for attending and when it was not. Reinforcers included donated items, such as clothing and household goods, and information about welfare services. It was found that the attendance at meetings averaged three recipients per meeting without reinforcement and 15 recipients per meeting with reinforcement. There was evidence that attendance was associated with participation in other self-help activities. It was concluded that practical forms of reinforcement can be found to maintain the participation of severely disadvantaged populations in self-help groups.

Journal of applied behavior analysis, 1970 · doi:10.1901/jaba.1970.3-57