Evaluated the application of Goal Attainment Scaling (GAS) to client case records as a measure of treatment effectiveness and examined its correspondence to other measures of outcome. Findings were that GAS scores converged significantly with therapist ratings of global improvement and GAS scores obtained from client reports at follow-up.…

A logically constructed format for the recording of the patient's personality profile is proposed. The term "personality" is used in a broad sense and refers to data that should be part of the patient's clinical record in any clinical situation and that describe the patient's general vulnerability. (Author/MLW)

This commentary reviews the history and ideology of nondisclosure, considers the realities of modern treatment and record-keeping, and describes the contemporary legal dilemma in this context. Model legislation is proposed to provide patients a property right of direct access to their records. (LBH)

Explores the history of the federal Adoption Incentive Program, the first federal child welfare outcome-based incentive program to rely solely on administrative data; discusses the program in the context of other federal child welfare incentive programs. Considers the use of data to project program utilization and costs, set baselines for the…

Describes a child welfare program that used outcome information to support a learning organization to achieve better outcomes for children and their families. Considers factors that facilitate the use of outcome data and which should be included in an outcome orientation to management practice. (JPB)

A learning-oriented thematic model of process recording is proposed in which the student's recording is based on internal and external learning themes, pre-selected by the student and the field education instructor. The themes, which serve as the organizing focus of the recording, parallel classroom curricula, agency service, and student learning…

This study assesses the extent of residential segregation among 15,246 people diagnosed with psychiatric disabilities and receiving Medicaid (MA) in Philadelphia, and an identically sized group of MA recipients serving as matched controls. Results indicate that overall levels of residential segregation among this group were modest at their most…

Background: The clinical and neuropathological features associated with dementia in Down's syndrome (DS) are not well established. Aims: To examine clinico-pathological correlations and the incidence of cognitive decline in a cohort of adults with DS. Method: A total of 92 hospitalized persons with DS were followed up from 1985 to December 2000.…

This monograph about accountability and communication in record keeping is intended for human services professionals. Eight terms are defined in an introductory glossary. The first section discusses the purpose of records. The next section discusses clarity in staff notes. Key points are offered for effective communication through staff notes. The…

This paper describes the implementation of a computer-based approach to scoring open-ended problem lists constructed to evaluate student and practitioner clinical judgment from real or simulated records. Based on 62 previously administered and scored problem lists, the program was written in BASIC for a Heathkit H11A computer (equivalent to DEC…

This technical report describes the computerized information management system used at the Community Care Organization for Dependent Adults (CCODA) of the On Lok Senior Health Services in San Francisco's Chinatown (California). A background perspective on information systems in business, government, hospitals, and local community service agencies…

Paper presented at the annual meeting of the American Orthopsychiatric Association (Chicago, 1968).