Use of MMPI short forms with psychiatric patients.
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Biomedical subjects
Publications and source records attributed to D W Cho.
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Multivariate-equation predictions of length of hospital stay and probability of unauthorized absence were compared with similar predictions made by clincians and actual outcome for 167 patients drawn from a random sample of admissions during a two-month period at five state hospitals. The computer proved to be about as accurate as clinicians in predicting length of stay. Neither computer nor clinician was able to usefully predict unauthorized absence because of its infrquent occurrance. Use and improvement of such actuarial predictions within the Missouri automated data base were discussed.
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This paper presents the detailed logic and flow of a computerized actuarial report system based on the patient's demographic and clinical information routinely collected in a state mental health information system. Probability statements regarding the patient's diagnostic classifications, likelihood of harm to self and others, probable psychotropic drug prescription, likelihood of unauthorized absence, and prediction of length of stay are presented in the report. The multivariate linear discriminant function and linear regression are used in the calculation of the posterior probabilities and the predicted value of length of stay.
The Comprehensive Substance Abuse Treatment and Rehabilitation (CSTAR) program is described, and a study of its services is presented. The CSTAR program is a community program with wrap-around services and intensive case management. Eleven domains typically affected by substance abuse were measured, plus satisfaction with treatment services. A retrospective study of 280 clients at 10 facilities was done, and results analyzed separately by General Programs. Women with Children programs, and Adolescent programs. A small sample of clients who were early in their treatment was re-interviewed 90 days later. Data were also examined according to length of stay in the program. Results were consistently positive, and increased with length of time in the program.
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