Computerized Behavioral Assessment and the Problem-Oriented Record

Concerns about the quality of present mental health services have precipitated increasing utilization of problem-oriented recordkeeping procedures. The conversion of traditional record-keeping procedures to the problemoriented format has been hindered by definitional difficulties in problem formulation (Fowler & Longabaugh, 1975; McLean & Miles, 1974). These difficulties in problem formulation can be traced to the incompatibility between a diagnostic model of assessment and the objective of the problemoriented record (POR). A comprehensive behavioral-assessment approach to problem formulation represents an alternative that is compatible with problem-oriented procedures. In this paper we shall consider the theoretical and practical differences between the diagnostic and behavioral models of assessment and present a comprehensive behavioral-assessment model that we have found useful in the

[1]  W. Roth,et al.  An on-line computer system for initial psychiatric inventory. , 1969, The American journal of psychiatry.

[2]  P. Mclean,et al.  Evaluation and the problem-oriented record in psychiatry. , 1974, Archives of general psychiatry.

[3]  D. Gustafson,et al.  A computer interview for suicide-risk prediction. , 1973, The American journal of psychiatry.

[4]  Mental health: systems and non-systems. , 1973 .

[5]  P. Meehl.  The cognitive activity of the clinician. , 1960 .

[6]  J. Greist,et al.  Computers and psychiatry. Promises to keep. , 1975, Archives of general psychiatry.

[7]  M. Goldfried,et al.  Traditional versus behavioral personality assessment: a comparison of methodological and theoretical assumptions. , 1972, Psychological bulletin.

[8]  A. Bandura.  Principles of behavior modification , 1969 .

[9]  Problem formulation: the problem-oriented record. , 1973, The American journal of psychiatry.

[10]  J. Grossman,et al.  Evaluation of computer-acquired patient histories. , 1971, JAMA.

[11]  D. Bannister,et al.  Diagnosis-Treatment Relationships in Psychiatry: A Statistical Analysis , 1964, British Journal of Psychiatry.

[12]  W. Slack,et al.  A computer-based medical-history system. , 1966, The New England journal of medicine.

[13]  T. S. McPartland,et al.  Social and Clinical Outcomes of Psychiatric Treatment , 1966 .

[14]  A. Beck,et al.  The psychiatric nomenclature. Reasons for diagnostic disagreement. , 1962, Archives of general psychiatry.

[15]  P. Ash.  The reliability of psychiatric diagnoses. , 1949, Journal of abnormal psychology.

[16]  M. Goldfried,et al.  Role of Assessment in Behavior Modification , 1968, Psychological reports.

[17]  H. O. Schmidt,et al.  The reliability of psychiatric diagnosis; a new look. , 1956, Journal of abnormal psychology.

[18]  T. L. King,et al.  Automated history taking in child psychiatry. , 1972, The American journal of psychiatry.

[19]  The problem-oriented record. Problem definition. , 1975, Archives of general psychiatry.