OBJECTIVE(S): To determine whether it is feasible to implement the PAS as part of routine care for severe, persistent mental illness at busy public mental health clinics. To evaluate the extent to which clinicians and patients find the PAS acceptable and useful, and to inform further development of this approach.

METHODS: Psychiatrists and patients were recruited from two large mental health clinics, one from the Los Angeles County Department of Mental Health and one from the VA Greater Los Angeles Healthcare System. Psychiatrists were drawn from all providers at the county clinic, and from one provider team at the VA clinic. To be eligible, patients had to have a primary psychiatric diagnosis and a psychiatrist who was participating in the project. Mixed qualitative and quantitative method are being used. Surveys, interviews and focus groups are being conducted with patients, clinicians, and managers to evaluate system usability, usefulness, and its effect on treatment provision and care organization.

FINDINGS / RESULTS: The PAS cost less than $2000 per kiosk, and was easily integrated into care processes. Thus far, 203 patients and 8 psychiatrists have been enrolled. Patients use the PAS before their regular treatment visits, a report is printed with their outcome assessment, and the patient brings this report to their psychiatrist.

STATUS: Data is collection is ongoing.

IMPACT: Pending

PUBLICATIONS: Chinman M, Young AS, Schell T, Hassell J, Mintz J. Computer-assisted self-assessment in persons with severe mental illness. J Clin Psychiatry. 2004;65(10):1343-1351.

Principal Investigator:
Alexander S. Young, MD, MSHS

Sponsored by:
National Institute of Mental Health
Department of Veterans Affairs: Quality Enhancement Research Initiative (QUERI)
VA Desert Pacific Mental Illness Research, Education and Clinical Center (MIRECC)