A client-run computer system for psychiatric ward management

T.James Matthews , Jeffrey I Werden , Claudia J Koblenz-Sulcov
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引用次数: 1

Abstract

A principal impediment to the use of the token economy as a ward management system is the demand it imposes on staff time for the keeping of behavioral assessment records. A pilot project was undertaken in which microcomputers were operated by ward clients to record and analyze token economy data. Special programming techniques accommodated to the clients' cognitive limitations and allowed clients to enter the raw data into the computer accurately and efficiently.

Computerized data analysis can provide both general summaries of the token economy performance and specific records of token distributions to individual clients by individual staff for particular target behavior. The system has successfully supported five token economies over a five-year period and has been expanded to provide analysis of related ward management data such as behavior assessment scales, incident reports, and seclusion orders.

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一个客户运行的精神科病房管理计算机系统
使用代币经济作为病房管理系统的一个主要障碍是,它要求工作人员花费时间来保存行为评估记录。进行了一个试点项目,其中由ward客户操作微型计算机来记录和分析代币经济数据。特殊的编程技术适应了客户的认知限制,使客户能够准确有效地将原始数据输入计算机。计算机化数据分析既可以提供代币经济表现的一般摘要,也可以提供个别员工针对特定目标行为向个人客户分发代币的具体记录。该系统在五年内成功支持了五个代币经济体,并已扩展到提供相关病房管理数据的分析,如行为评估量表、事件报告和隔离令。
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