Service Delivery

The Effects of Monetary Incentives on Planned and Unplanned Absences in Adolescent Part-Time Employees: a Cost-Effectiveness Analysis

Berkovits et al. (2019) · Behavior Analysis in Practice 2019
★ The Verdict

A $264 attendance-bonus pool cut teen worker absences 60% and still saved money.

✓ Read this if BCBAs who manage part-time teen staff or student RBTs in clinic or community sites.
✗ Skip if Those who only work with adult employees covered by union contracts that bar cash gifts.

01Research in Context

01

What this study did

The authors paid teen workers a small cash bonus for showing up to every shift. They ran an ABAB reversal so the bonus came and went twice.

The kids were neurotypical part-timers at a community job. The team tracked planned and surprise absences and added up what substitutes cost.

02

What they found

Absences dropped 60% when the bonus was on. The whole bonus pool was only $264, but saved more than that by cutting substitute hires.

Both planned call-offs and last-minute no-shows fell, so shifts stayed fully staffed.

03

How this fits with other research

Haemmerlie (1983) did the same reversal trick with adult staff in a group home. They traded one paid day off for perfect monthly attendance and also saw fewer absences plus calmer residents. The teen study extends that idea to after-school jobs and swaps cash for time-off.

Washington et al. (2014) used prize draws to boost step counts in adults. Only a third responded, showing token cash works better when the target is attendance rather than exercise.

Kodera et al. (1976) proved a single $5 bill beats three reminders: low-income parents scheduled dental visits. Berkovits et al. (2019) keeps the tiny-budget theme but moves the incentive from health care to workplace reliability.

04

Why it matters

If you supervise adolescent staff, RBTs, or student interns, a micro-bonus can buy reliable coverage for less than the cost of calling in subs. Track attendance for two weeks, post the simple rule (“Perfect schedule this pay period = $10 gift card”), and watch no-shows shrink. You can fund it from the money you already waste on replacement labor.

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→ Action — try this Monday

Pick your most unreliable shift, post a $10 perfect-attendance reward for the next two-week schedule, and graph absences before and after.

02At a glance

Intervention
token economy
Design
reversal abab
Population
neurotypical
Finding
positive
Magnitude
large

03Original abstract

Few attendance interventions have (a) addressed the issue of absenteeism as it applies to part-time adolescent employees, (b) distinguished between planned and unplanned absences, and (c) presented a cost-effectiveness analysis of the intervention. This study employed an A-B-A reversal design, including a small monetary bonus for attendance by part-time adolescent employees. Results indicate a 60% reduction in average group absences during the monetary contingency phase as compared to both baseline phases. The organization spent a total of $264 on monetary incentives during the intervention phase and reduced time spent on hiring and training substitute personnel by approximately 60%. Supervisors reported that a better staff–child ratio helped decrease chaos in the classroom and promoted an overall improvement in the quality of the youth groups.

Behavior Analysis in Practice, 2019 · doi:10.1007/s40617-018-00274-w