Behavioral Engineering for Ward Personnel

J. S. BIRNBRAUER

doi:10.1037/009292

Task analysis and reinforcement strategies for the mentally disturbed: An interdisciplinary approach to behavioral engineering

PsycEXTRA Dataset ◽

10.1037/e573592012-008 ◽

1974 ◽

Author(s):

Leonard Silverstein

Keyword(s):

Task Analysis ◽

Interdisciplinary Approach ◽

Behavioral Engineering ◽

Reinforcement Strategies

Download Full-text

Behavioral engineering: postural control by a portable operant apparatus1

Journal of Applied Behavior Analysis ◽

10.1901/jaba.1968.1-99 ◽

1968 ◽

Vol 1 (2) ◽

pp. 99-108 ◽

Cited By ~ 29

Author(s):

N. Azrin ◽

H. Rubin ◽

F. O'Brien ◽

T. Ayllon ◽

D. Roll

Keyword(s):

Postural Control ◽

Behavioral Engineering

Download Full-text

Behavioral engineering: control of posture by informational feedback1

Journal of Applied Behavior Analysis ◽

10.1901/jaba.1970.3-235 ◽

1970 ◽

Vol 3 (4) ◽

pp. 235-240 ◽

Cited By ~ 17

Author(s):

F. O'Brien ◽

N. H. Azrin

Keyword(s):

Engineering Control ◽

Behavioral Engineering

Download Full-text

Psychopharmacological treatments strategies in consultation-liaison psychiatry: Clinical vignette and pros and cons

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.950 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S61-S61

Author(s):

G. Mattei ◽

N. Colombini ◽

S. Ferrari ◽

G.M. Galeazzi

Keyword(s):

Decision Making ◽

Clinical Decision Making ◽

Clinical Vignette ◽

Pharmacological Intervention ◽

Computer Assisted ◽

Liaison Psychiatry ◽

Pros And Cons ◽

Consultation Liaison Psychiatry ◽

Ward Personnel ◽

Computer Assisted Decision Making

IntroductionMultimorbidity and polipharmacotherapy are crucial features influencing the psychiatrist's prescription in the consultation-liaison psychiatry (CLP) setting.Aimsto provide an example of computer-assisted decision-making in psychotropic prescriptions and to provide hints for developing pharmacological treatment strategies in the CLP setting.MethodsCase report. A clinical vignette is presented, followed by a review of available online computer-assisted prescription software.ResultsA woman in her seventies was repeatedly referred for psychiatric consultation. Eleven different medications were administered daily, because of multimorbidity. A diagnosis of distymia was established, with comorbid mixed pain (partly fulfilling the criteria of somatic symptom disorder) and substance use disorder (opioids). After the first assessment, six follow-up visits were needed during hospitalization. Mirtazapine and benzodiazepines were introduced. Beside the pharmacological intervention, conflict mediation was performed in the relationship with the patient, her relatives, the ward personnel and the GP, to develop a long-term rehabilitation project. Pros and cons of online computer-assisted prescription software were discussed together with the ward personnel, as well.ConclusionsComputer-assisted decision-making in psychotropic prescription is becoming more common and feasible. The use of available software may contribute to safety, effectiveness and cost-effectiveness of clinical decision-making. Risks are also possible: depending for example from regional differences in prescription indications, different guidelines, pharmacogenomics, frequency with which databases are updated, sponsorships, possible conflicts of interest, and real clinical significance of highlighted interactions – all issues the clinician willing to benefit from this modern tools should pay attention to.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Download Full-text