SZ management

• Strength of token economies is that there’s evidence to support their effectiveness to improve patients behaviour.Studies show that TE increase desirable behaviours in institutional setting.Researches found that TE led to significant improvement in patients with SZ. TMB TE can help patients manage their symptoms more effectively and improve their quality of life by encouraging adaptive behaviour. Therefore TE used as useful tool in management of SZ especially in institutions.
• major limitation is TE raise significant ethical concerns. FE patients with severe symptoms or cognitive impairment may find it difficult to comply with requirements of TE as a result may be denied access to basic needs or privileges such as living more comfortably which could be seen as violation of their rights. TMB system can be considered discriminatory as it punishes patients that are unable to engage probably causing frustration to patient.Therefore ethical concerns surrounding TE limit suitability and application in modern healthcare setting
• Limitation of TE effects may be short-term and do not necessary translate to real-word setting. FE improvement in behaviour may quickly disappear once patient is discharged from institution this is due to reinforcement system is no longer present outside the institution. TMB TE only offer temporary improvement rather than long-lasting behavioural changes, reducing effectiveness in management SZ.Therefore TE may not b sustainable treatment option for patients once they leave controlled environment.
• Strength of TE is that they can be effective if used along side other therapies.FE TE help improve engagement in therapy and make patients more receptive to other treatments such as CBT or antipsychotic medication. By reinforcing positive behaviour TE can support holistic approach to care. TMB a combined approach can lead to better outcome as patients receive both behavioural reinforcements and treatment for cognitive and biological symptoms.Therefore integrating TE with other therapies can enhance their effectiveness and provide more comprehensive care