Optimizing Staff Performance in an Institutional Behavior Change System

Abstract

Program equipment changes (two levels), information feedback (three levels), and administrative policy changes (two levels) were serially introduced to reduce errors made by nonprofessional staff in a forensic psychiatry institution. Errors were reduced from an initial level of 62.2% to 6.2%. Due to the uncontrolled nature of the design, it was not possible to determine the independent contributions of the three variables. However, introduction of the program equipment changes resulted in the smallest error reductions. The introduction of information feedback produced the next largest error reductions. Errors were optimally reduced when the information feedback was presented to the line staff and first level supervisors but attenuated when presented to second level supervisors. The largest and most consistent error reductions occurred following the introduction of administrative policy changes.