A simulation study of automated treatment planning in a state mental hospital revealed that automation, per se, was of little direct benefit to clinicians and had virtually no impact on the clinical process. However, supervisory and quality assurance staff found considerable utility in the ability to generate reports previously unavailable. The implications for planning automated clinical systems are discussed.The Information Sciences Division (ISD) of the Rockland Research Institute (RRI) has been involved in the development of clinical and management information systems applied to mental health since the 1 mid-1960's . One such clinical management system was the Behavioral Rehabilitation System (BRS), developed as a computer-assisted treatment system tor use in the care of the mentally retarded . As noted in an earlier report , this system, while technically superior, proved practically unfeasible when transplanted from a pilot study site to the less well staffed general wards of the hospital. As a result of this experience, a second study was undertaken to determine the feasibility and potential utility of an automated treatment planning system in a psychiatric hospital. The first phase of this study consisted of a current system assessment of the treatment planning process currently in place in three distinct units of this hospital: psychogeriatric, long term chronic and acute admissions.The present report describes phase two of this study in which an experimental simulation of automation of the treatment planning process was carried out in the three units noted above to determine its feasibility and utility and to delineate specific areas for further development. Basically, this study attempted to answer two specific questions: (1) if the medical'record were available in automated form such that a variety of reports could be generated, would hospital staff find this of value?; and (2) sonnel . The questionnaire was designed to elicit pre-existing attitudes toward: (a) computers serving as an aid to medical personnel in general; (b) the treatment planning process as it currently exists; (c) proposed automation of the treatment planning process.(b) Experimental Simulation of Automation: All study data were abstracted from the manual record by the study staff prior to automation including the face sheet, treatment plan, physical examination reports and all progress notes, doctors' orders and assessments for a three month period. Narrative computer files of these abstracted records were created using the IBM CMS-XEDIT text editing 5 system . From these files, client data sheets containing all abstracted information were produced for each patient using the Waterloo Script text formatting program. In addition, treatment plan and progress note information was coded into categories of target behaviors (what was being treated) and treatments using a dictionary of 83 behaviors and 68 treatments. The client data sheets were distributed to the clinical staff (unit chief, nursing supervisor, team leader, psychi...
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