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Research has shown that both the frequency and topography of staff behavior can be modified, but most staff management studies have involved only small numbers of staff, for limited periods of time, in restricted settings. The present study examined the application of behavioral management strategies to a large mental health system. Treatment activites provided by staff of 12 residential units and four support services in a state hospital were monitored during an initial baseline period. Then three feedback interventions were provided and the effects measured on subsequent treatment activity. The results indicated that during the 57 weeks of the study all three feedback interventions increased the treatment activities of staff. A functional analysis of the effects of feedback concluded that performance feedback exerted multiple control, both antecedent and consequent stimulus effects, in the modification of staff treatment behaviors. The results supported the generalization of feedback as a straightforward and inexpensive method of behavior change in complex settings.
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