Behaviour Modification with Disturbed Adolescents: The Role of the Occupational Therapist

Abstract

This paper reports on the work of the occupational therapist in a token economy system. The unit described specializes in the treatment of behaviourally disordered adolescents who have a mild to moderate degree of mental impairment and who have presented intractable management problems elsewhere. The paper outlines the criteria for patient referral and describes the ward setting and the token economy system. Occupational therapy is examined under the headings of assessment, functional and educational skills, work and recreation, and specific treatment options are outlined. Occupational therapy is also discussed in relation to other treatments and disciplines, and particular attention is paid to the problems of resettlement.