Advertisement

Computer-Based Education for Patients and Professionals

  • Steven Locke
  • Marcia E. H. Rezza
Part of the Computers and Medicine book series (C+M)

Abstract

An important frontier for computer applications in mental health is the use of computers for the education of patients and professionals. Although computer-based training has been used extensively in industry, the introduction of computer-based technology to the field of mental health has been slow. Efforts to protect the core of humanistic values essential to mental health practice, coupled with technophobic avoidance, have delayed the acceptance of computers by mental health professionals as an important educational adjunct. The remarkable ability of the computer to manipulate information in novel ways can lead to increased understanding and new learning for both patients and caregivers. We are on the threshold of an explosion of creative applications of educational technologies. These advances will revolutionize how we learn and lead to greater patient empowerment and demystification of the process of treatment. In this chapter we will review the state of computer-based applications in mental health education and provide readers with an extensive list of electronic resources for professional and patient education.

Keywords

Mental Health Mental Health Professional Mailing List Internet Resource Mental Health Education 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

References

  1. Bareta, J., Larson, D., Lyons, J., & Zorc, J. (1990). A comparison of manual and MEDLARS reviews of the literature on consultation-liaison psychiatry. American Journal of Psychiatry, 147, 1040–1042.PubMedGoogle Scholar
  2. Biczyk do Amarai, M., Satomura, Y., Honda, M., & Sato, T. (1993). A design for decision making: Construction and connection of knowledge bases for a diagnostic system in medicine. Medical Informatics(London), 18, 307–320Google Scholar
  3. Bronzino, J., Morelli, R., & Goethe, J. (1989). OVERSEER: A prototype expert system for monitoring drug treatment in the psychiatric clinic. IEEE Transactions in Biomedical England, 36, 533–540.CrossRefGoogle Scholar
  4. Brown, R., Carter, W., & Gordon, M. (1987). Diagnosis of alcoholism in a simulated patient encounter by primary care physicians. Journal of Family Practice, 25, 259–264.PubMedGoogle Scholar
  5. Carroll, J., Greist, J., Jefferson, J., Baudhuin, M., Hartley, B., Erdman, H., & Ackerman, D. (1986). Lithium Information Center: One model of a computer-based psychiatric information service. Archives of General Psychiatry, 43, 483–485.PubMedGoogle Scholar
  6. Coler, M., & Vincent, K. (1987). Coded nursing diagnoses on Axes: A prioritized, computer-ready diagnostic system for psychiatric/mental health nurses. Archives of Psychiatric Nursing, 1, 125–131.PubMedGoogle Scholar
  7. Computer programs to support clinical decision making. (1987). Journal of the American Medical Association, 258, 2374–2376.CrossRefGoogle Scholar
  8. Copeland, J., Dewey, M., & Griffiths-Jones, H. (1986). A computerized psychiatric diagnostic system and case nomenclature for elderly subjects: GMS and AGECAT. Psychological Medicine, 16, 89–99.PubMedCrossRefGoogle Scholar
  9. Crosbie, J., & Kelly, G. (1993). A computer-based personalized system of instruction course in applied behavior analysis. Behavior Research Methods, Instruments & Computers, 25, 366–370.CrossRefGoogle Scholar
  10. Diserens, D., Schwartz, M.W., Guenin, M., & Taylor, L.A. (1986). Measuring the problem-solving ability of students and residents by microcomputer. Journal of Medical Education, 61, 461–466.PubMedGoogle Scholar
  11. Elwork, A., & Gutkin, T.B. (1985). The behavioral sciences in the computer age. Computers in Human Behavior, 1, 3–18.CrossRefGoogle Scholar
  12. Erdman, H. (1985). The impact of an explanation capability for a computer consultation system. Methods of Informatics in Medicine, 24, 181–191.Google Scholar
  13. Erdman, H. (1987a). A computer consultation program for primary care physicians. Impact of decisionmaking model and explanation capability. Medical Care, 25, S138–S147.CrossRefGoogle Scholar
  14. Erdman, H.P. (1987b). A computer consultation program for primary care physicians: Impact of decisionmaking model and explanation capability. Medical Care, 25, 138–147. CrossRefGoogle Scholar
  15. Erdman, H.P. (1988). Computer consultation in psychiatry. Psychiatric Annals, 18, 209–216.Google Scholar
  16. Erdman, H.P., Greist, J.H., Gustafson, D.H., Taves, J.E., et al. (1987). Suicide risk prediction by computer interview: A prospective study. Journal of Clinical Psychiatry, 48, 464–467.PubMedGoogle Scholar
  17. Erdman, H.P., Greist, J.H., Klein, M.H., & Jefferson, J.W. (1987). A review of computer diagnosis in psychiatry with special emphasis on DSM-III. Computers in Human Services, 2, 1–11.Google Scholar
  18. Erdman, H.P., Klein, M.H., & Greist, J.H. (1985). Direct patient computer interviewing. Journal of Consulting & Clinical Psychology, 53, 760–773.CrossRefGoogle Scholar
  19. Feinberg, M., & Lindsay, R. (1986). Expert systems in psychiatry. Psychopharmacology Bulletin, 22, 311–316.PubMedGoogle Scholar
  20. First, M. (1994). Computer-assisted assessment of DSM-III-R diagnoses. Psychiatric Annals, 24, 25–29.Google Scholar
  21. First, M., Opler, L., Hamilton, R., Linder, J., Linfield, L., Silver, J., Toshav, N., Kahn, D., Williams, J., & Spitzer, R. (1993). Evaluation in an inpatient setting of DTREE, a computer-assisted diagnostic assessment procedure. Comprehensive Psychiatry, 34, 171–175.PubMedCrossRefGoogle Scholar
  22. Fisher, L., Johnson, T., Porter, D., Bleich, H., & Slack, W. (1977). Collection of a clean voided urine speciment: A comparison among spoken, written, and computer-based instructions. American Journal of Public Health, 67, 640–644.PubMedCrossRefGoogle Scholar
  23. French, C, & Beaumont, J. (1987). The reaction of psychiatric patients to computerized assessment. British Journal of Clinical Psychology, 26(Pt. 4), 267–278.PubMedCrossRefGoogle Scholar
  24. Gelernter, D., & Gelernter, J. (1986). Expert systems and diagnostic monitors in psychiatry. Medical Informatics, 11, 23–28.PubMedCrossRefGoogle Scholar
  25. Gitlow, S., & Tanner, T . (1991). Psychopharmacology education software. The first of a series. Proceedings of the Annual Symposium on Computer Applications in Medical Care(pp. 945–946 )Google Scholar
  26. Greist, J.H. (1987). Aids to diagnostic decisionmaking. Medical Care, 25, 153–156.CrossRefGoogle Scholar
  27. Hardt, S., & MacFadden, D. (1987). Computer assisted psychiatric diagnosis: Experiments in software design. Computers in Biology and Medicine, 17, 229–237.PubMedCrossRefGoogle Scholar
  28. Hedlund, J.L., & Vieweg, B.W. (1987). Computer generated diagnosis. In Issues in Diagnostic Research(pp. x, 349 ). New York: Pergamon Press.Google Scholar
  29. Hedlund, J.L., Vieweg, B.W., & Cho, D.W. (1985). Mental health computing in the 1980s: II. Clinical applications. Computers in Human Services, 1, 1–31.Google Scholar
  30. Hedlund, J.L., Vieweg, B.W., & Cho, D.W. (1987). Computer consultation for emotional crises: An expert system for “non-experts.” Computers in Human Behavior, 3, 109–127.CrossRefGoogle Scholar
  31. Horowitz, G., Jackson, J., & Bleich, H. (1983). PaperChase. Self-service bibliographic retrieval. Journal of the American Medical Association, 250, 2494–2499.PubMedCrossRefGoogle Scholar
  32. Hrabal, A., & Ticha, M. (1991). Prospects of expert systems in psychiatrus diagnostics. Acta Universitatis Palackianae Olomucensis Facultatis Medicus, 129, 229–233.Google Scholar
  33. Hyler, S.E., & Bujold, A.E. (1994). Computers and psychiatric education: The “Taxi Driver” mental status examination. Psychiatric Annals, 24, 13–19.Google Scholar
  34. Inderbitzin, L., Tadros, A., & Swofford, C. (1993). EM-PSYCH: A training program scheduling database. Journal of Medical Systems, 17, 97–102.PubMedCrossRefGoogle Scholar
  35. Johri, S., & Guha, S. (1991) Set-covering diagnostic expert system for psychiatric disorders: The third world context. Computer Methods and Programs in Biomedicine, 34, 1–7.PubMedCrossRefGoogle Scholar
  36. Kohri, S. (1993). On a probabilistic set covering model for diagnosing psychiatric disorders. Journal of the Academy of Hospital Administration, 5, 13–17.PubMedGoogle Scholar
  37. Lacey, D. (1993). Nurses’ attitudes towards computerization: A review of the literature. Journal of Nursing Management, 1, 239–243.PubMedCrossRefGoogle Scholar
  38. Levitan, K.B., & Willis, E.A. (1985). Barriers to practitioners’ use of information technology utilization: A discussion and results of a study. Journal of Psychotherapy & the Family, 1, 21–35.Google Scholar
  39. Levitan, K.B., Willis, E.A., & Vogelgesang, J. (1985). Microcomputers and the individual practitioner: A review of the literature in psychology and psychiatry. Computers in Human Services, 1, 65–84.Google Scholar
  40. Lewis, G. (1992). Computerized assessments of psychiatric disorder using PROQSY: Discussion paper. Journal of the Royal Society of Medicine, 85; 403–406.PubMedGoogle Scholar
  41. Lewis, G., Pelosi, A., Glover, E., Wilkinson, G., Stansfeld, S., Williams, P., & Shepherd, M. (1988). The development of a computerized assessment for minor psychiatric disorder. Psychology Medicine, 18, 737–745.CrossRefGoogle Scholar
  42. Locke, S., Kowaloff, H., Hoff, R., Safran, C, Popovsky, M., Cotton, D., Finkelstein, D., Page, P., & Slack, W. (1992). Computer-based interview for screening blood donors for risk of HIV transmission. Journal American Medical Association, 268, 1301–1305.CrossRefGoogle Scholar
  43. Lundsgaarde, H.P. (1987). Evaluating medical expert systems. Social Science & Medicine, 24, 805–819.CrossRefGoogle Scholar
  44. Mackenzie, T., Popkin, M., & Callies, A. (1985). Pedagogic applications of a computerized data base. General Hospital Psychiatry, 7, 125–127.PubMedCrossRefGoogle Scholar
  45. Mathisen, K., Evans, F., & Meyers, K. (1987). Evaluation of a computerized version of the Diagnostic Interview Schedule. Hospital and Community Psychiatry, 38, 1311–1315.PubMedGoogle Scholar
  46. Maurer, K., Biehl, K., Kuhner, C, & Loffler, W. (1989). On the way to expert systems. Comparing DSM-III computer diagnoses with CATEGO (ICD) diagnoses in depressive and schizophrenic patients. European Archives of Psychiatry and Neurological Sciences, 239, 127–132.PubMedCrossRefGoogle Scholar
  47. Miller, M. (1994). A critical review of principles involved in quality mental health software available from computer bulletin board systems (BBSs). Psychiatric Annals, 24, 9–12.Google Scholar
  48. Miller, M. (1987). A program for evaluating depression. MD Computing, 4, 49–54, 63.PubMedGoogle Scholar
  49. Miller, R. (1987). Computer-based diagnostic decisionmaking. Medical Care, 25, S148–S152.PubMedCrossRefGoogle Scholar
  50. Molnar, G., & Feeney, M. (1985). Computer-assisted review of antipsychotics on acute care units. QRB Quality Review Bulletin, 11, 211–274.Google Scholar
  51. Morelli, R., Bronzino, J., & Goethe, J. (1987). Expert systems in psychiatry. A review. Journal Medical Systems, 11, 157–168.CrossRefGoogle Scholar
  52. Moreno, H, & Plant, R. (1993). A prototype decision support system for diferential diagnosis of psychotic, mood, and organic mental disorders. Medical Decision Making, 13, 43–48.PubMedCrossRefGoogle Scholar
  53. Morss, S., Lenert, L., & Faustman, W. (1993). The side effects of antipsychotic drugs and patients’quality of life: Patient education and preference assessment with computers and multimedia. Proceedings of the Annual Symposium on Computer Applications in Medical Care(pp. 17–21 ).Google Scholar
  54. Murphy, J.W., & Pardeck, J.T. (1988). Expert systems as an adjunct to clinical practice: A critique. Child Psychiatry Quarterly, 21, 137–147.Google Scholar
  55. Overby, M. (1987). Psyxpert: An expert system prototype for aiding psychiatrists in the diagnosis of psychotic disorders. Computers in Biology and Medicine, 17, 383–393.PubMedCrossRefGoogle Scholar
  56. Paperny, D., Aono, J., Lehman, R., Hammar, S., & Risser, J. (1990). Computer-assisted detection and intervention in adolescent high-risk health behaviors. Journal of Pediatrics, 116, 456–462.PubMedCrossRefGoogle Scholar
  57. Petty, L.C., Lynch, E.A., & Rosen, E.F. (1993). A ToolBook computer program to develop course objectives and assessment measures. Behavior Research Methods, Instruments & Computers, 25.Google Scholar
  58. Plugge, L., Verhey, F., & Jolles, J. (1990). A desktop expert system for the differential diagnosis of dementia. An evaluation study. International Journal of Technology Assessment in Health Care, 6, 147–156.PubMedCrossRefGoogle Scholar
  59. Politser, P., Gastfriend, D., Bakin, D., & Nguyen, L. (1987). An intelligent display system for psychiatric education in primary care. Medical Care, 25, S123–S137.CrossRefGoogle Scholar
  60. Powsner, S., & Byck, R. (1989). The “Electric Resident,” a computer system for training psychiatry residents. Academic Medicine, 64, 485.PubMedCrossRefGoogle Scholar
  61. Powsner, S., & Miller, P. (1992). Automated online transition from the medical record to the psychiatric literature. Methods of Inference in Medicine, 31, 169–174.Google Scholar
  62. Safran, C, Porter, D., Rury, C, Herrmann, F., Lightfoot, J., Underhill, L., Bleich, H., & Slack, W. (1990). ClinQuery: Searching a large clinical database. MD Computing, 7, 144–153.PubMedGoogle Scholar
  63. Safran, C, Slack, W., & Bleich, H. (1989). Role of computing in patient care in two hospitals. MD Computing, 6, 141–148.PubMedGoogle Scholar
  64. Schneider, D.J., Taylor, E.L., Prater, L.M., & Wright, M.P. (1991). Risk assessment for HIV infection: Validation study of computer-assisted preliminary screen. AIDS Education & Prevention, 3 Google Scholar
  65. Schwartz, M.D. (1986). Computers in psychiatric education. Psychiatric Annals, 18, 228–235.Google Scholar
  66. Servan-Schreiber, D. (1986). Artificial intelligence and psychiatry. Journal of Nervous and Mental Disorders, 174, 191–202.CrossRefGoogle Scholar
  67. Sherman, P.S. (1989). A micro-based decision support system for managing aggressive case managment programs for treatment resistant clients. Computers in Human Services, 4, 181–190.Google Scholar
  68. Slack, W. (1984). A history of computerized medical interviews. MD Computing, 1, 52–59, 68.PubMedGoogle Scholar
  69. Slack, W., & Slack, C. (1972). Patient-computer-dialogue. N England J Medicine, 286, 1304–1309.CrossRefGoogle Scholar
  70. Slack, W., Hicks, G., Reed, C, & Van Cura, L. (1966). A computer-based medical history system. N England J Medicine, 274, 194–198.CrossRefGoogle Scholar
  71. Slack, W., Safran, C, Kowaloff, H., Pearce, J., & Delbanco, T. (1995). A computer-administered health screening interview for hospital personnel. MD Computing, 12, 25–30.PubMedGoogle Scholar
  72. Stein, D. (1994). Expert systems for psychiatric pharmacotherapy. Psychiatric Annals, 24, 37–41.Google Scholar
  73. Stout, C.E. (1988). Personal computer software for teaching differential psychodiagnostics. Behavior Research Methods, Instruments, & Computers, 20, 106–107.CrossRefGoogle Scholar
  74. Strain, J.J., Fulop, G., Strain, J.J., Hammer, J.S., et al. (1986). An approach to psychiatric teaching: The evaluation of a computer enhanced teaching program. Journal of Psychiatric Education, 10, 178–186.Google Scholar
  75. Strain, J., Hammer, J., Lewin, C, Mayou, R., Huyse, F., Lyons, J., & Easton, M. (1990). The evolution of a literature search schema for consultation/liaison psychiatry: The database and its computerization. General Hospital Psychiatry, 12, 1–53.PubMedCrossRefGoogle Scholar
  76. Strain, J., Norvell, C, Strain, J., Mueenuddin, T., & Strain, J. (1985). A minicomputer approach to consultation-liaison data basing: Pedagog-Admin- CLINFO. General Hospital Psychiatry, 7, 113–118.PubMedCrossRefGoogle Scholar
  77. Werner, G. (1987). Methuselah—an expert system for diagnosis in geriatric psychiatry. Computers in Biomedical Research, 20, 477–488.CrossRefGoogle Scholar
  78. Wilkinson, G., & Markus, A. (1989a). PROQSY: A computerised technique for psychiatric case identification in general practice. British Journal Psychiatry, 154, 378–382.CrossRefGoogle Scholar
  79. Wilkinson, G., & Markus, A. (1989b). Validation of a computerised assessment (PROQSY) of minor psychological morbidity by relative operating characteristic analysis using a single GP’s assessments as criterion measures. Psychological Medicine, 19, 225–231.CrossRefGoogle Scholar

References

  1. SilverPlatter Information, Inc. (1994). SilverPlatter directory. Norwood, MA.Google Scholar
  2. Stewart, S.A. (Ed.). (1994). 1994 Interactive healthcare directory: Healthcare CD-ROM/CD-i directory. Alexandria, VA: Stewart Publishing, Inc.Google Scholar
  3. Stewart, S.A. (Ed.). (1994). 1994 Interactive healthcare directory: Healthcare CAI directory. Alexandria, VA: Stewart Publishing, Inc.Google Scholar
  4. Health Sciences Consortium. (1993–1995). Health sciences consortium catalogs (1993–94 medical, 1994–95 nursing, 1993 allied health, patient education, 1995 computer-based education).Google Scholar
  5. Malet, G., & Hancock, L. (1994). The medical list. Healthtel Corp. (From gopher://una.hh.lib.umich.edu).Google Scholar
  6. Alvoeiro, J. (1995). Subject specific resource list in psychology. Kent OH: Kent, State University Libraries. (From gopher://bubl.bath.ac.uk).Google Scholar
  7. Gregor, A. (1994). Rx for home: Personal health and fitness on CR-ROM. CR-ROM Today, December, 66–72.Google Scholar

Copyright information

© Springer-Verlag New York, Inc. 1996

Authors and Affiliations

  • Steven Locke
  • Marcia E. H. Rezza

There are no affiliations available

Personalised recommendations