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Administration and Policy in Mental Health and Mental Health Services Research

Erschienen in:

01.07.2007 | Original Paper

The Feasibility of Computerized Patient Self-assessment at Mental Health Clinics

verfasst von: Matthew Chinman, Joseph Hassell, Jennifer Magnabosco, Nancy Nowlin-Finch, Susan Marusak, Alexander S. Young

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2007

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Abstract

Objectives

Improving the quality of care for severe mental illness (SMI) has been difficult because patients’ clinical information is not readily available. Audio computer-assisted self-interviewing (ACASI) supports data collection by asking patients waiting for appointments clinical questions visually and aurally. It has improved outcomes for many disorders. While reliable and accurate for SMI in research settings, this study assesses questions about ACASI’s feasibility in usual care.

Design

Patient and provider surveys and provider focus groups after 12 months of ACASI implementation.

Setting

Two outpatient mental health clinics in Los Angeles, one run by the Department of Veterans Affairs and the other by Los Angeles County Department of Mental Health.

Participants

266 patients with SMI and 14 psychiatrists.

Intervention

Patients completed an ACASI survey on symptoms, drug use, medication adherence and side-effects by internet using a touch-screen monitor. A 1-page report summarizing each patient’s results was printed and given to providers by patients during appointments.

Main Outcome Measure

Feedback surveys (patients and psychiatrists) and focus groups and interviews (psychiatrists) assessed usability, usefulness, effects on treatment, and barriers to sustaining ACASI.

Results

Patients believed the PAS was enjoyable, easy to learn and use, and that it improved communication with their psychiatrists. Providers believed the PAS was easy to use, had a small impact on care, could be improved by being more detailed and comprehensive, and requires outside support to continue its use.

Conclusions

ACASI was easy to use and enhanced communication. Systems like this can be a valuable part of quality improvement projects.

All patient responses were on the following scale: 1 = strongly disagree, 5 = neither agree nor disagree, 9 = strongly agree

1 = very easy, 2 = easy, 3 = kind of difficult, 4 = difficult, 5 = very difficult

1=not useful, 5=somewhat useful, 9=very useful

1 = strongly disagree, 5 = neither agree nor disagree, 9 = strongly agree

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Titel: The Feasibility of Computerized Patient Self-assessment at Mental Health Clinics
verfasst von: Matthew Chinman
Joseph Hassell
Jennifer Magnabosco
Nancy Nowlin-Finch
Susan Marusak
Alexander S. Young
Publikationsdatum: 01.07.2007
Verlag: Kluwer Academic Publishers-Plenum Publishers
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2007
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-007-0120-4

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The Feasibility of Computerized Patient Self-assessment at Mental Health Clinics