Interventional relevance and retrofit programming: Concepts for the improvement of clinician acceptance of computer-generated assessment reports

A brief historical review of research on the use of computers in mental health service delivery is presented. The computer-assisted psychiatric assessment project (PAU) at the Salt Lake City VA Hospital is briefly described in the perspective of previous research. It is noted that the initial design for the PAU was deficient in the development of a computer generated reporting scheme which is totally acceptable to clinicians. Two conceptual innovations, interventionally relevant reporting and retrofit programming, are introduced. These are described as providing solutions to the problem of obtaining clinician acceptance of computer-generated assessment reports. Pilot research on the use of these concepts is presented.     

Development of an on-line management information system for community mental health centers

An on-line computerized management information system has been developed at the Salt Lake City VA Hospital and is currently being implemented at Salt Lake Community Mental Health Center. An introduction to this system, including systems design and procedures for development, are presented. The advantages of on-line technology as compared to batch processing technology are also discussed.     

Performance in concurrent interval schedules

Four pigeons were trained under concurrent variable-interval variable-interval and fixed-interval variable-interval schedules in a two-key situation. Both response allocation and time allocation to the two schedules were measured when various reinforcement rates were arranged on each key. All animals showed an approximately constant proportional preference for the variable-interval schedule over the fixed-interval schedule. These results support Schneider's (1969) analysis of fixed-interval schedule performance.     

Associative interaction: joint control of key pecking by stimulus-reinforcer and response-reinforcer relationships

The joint control of rate of key pecking in pigeons by stimulus-reinforcer and response-reinforcer relationships was studied in the context of a two-component multiple schedule of reinforcement. Food presentation was always associated with one component and extinction with the other. The stimulus-reinforcer relationship was manipulated by varying the relative durations of the two components. In the food-presentation component, a fixed rate of reinforcement, independent of rate of responding, was generated by a schedule referred to as “T*”. One aspect of the response-reinforcer relationship, contiguity, was manipulated by varying the percentage of delayed reinforcers. With the multiple T* extinction schedule, stimulus-reinforcer and response-reinforcer relationships could be varied independently of one another. Rate of key pecking was sensitive to manipulations of both relationships. However, significant differential effects due to either the stimulus-reinforcer or response-reinforcer relationship were obtained only when the other relationship was weak: stimulus-reinforcer and response-reinforcer relationships interacted in the joint control of responding.     

The systematic use of positive and negative consequences in managing classroom encopresis

An 11-year-old male with a history of chronic encopresis was successfully treated by his teachers. Through the contingent application of a combination of positive (i.e., social reinforcers, token reinforcers, activity reinforcers) and negative consequences (i.e., required to wash himself and denied access to activity reinforcers), the subject's soiling behavior was reduced from an 80% daily occurrence level during Baseline to just two occasions during the final five-month treatment phase. A six-month follow-up conducted during the next school year revealed no incidences of soiling. The investigation utilized and ABACD type behavior modification design.     

A model of memory in concept learning

A concept learning model was developed and tested in two conjunctive attribute identification tasks. The model includes assumptions about the focus of attention, decision making, and memory for stimulus information and prior decisions. Predictions are made about how S changes his hypothesis following an error. Procedures in both tasks allowed inference of the subject's current hypothesis. The hypothesis selections and error statistics were in the majority of cases accurately predicted by the model. Deviations from predictions on hypothesis sampling occurred for naive Ss but not for trained Ss who were required to state a hypothesis on each trial.