New assessment systems for residential treatment,management, research,and evaluation: A symposium

An introduction and overview are presented to new observational assessment systems for ongoing assessment and monitoring of both staff and resident (client or patient) functioning in residential treatment programs for emotionally disturbed and mentally retarded adults.Preparation of articles and the research and development on which the articles are based was supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from the Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.A symposium presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979.     

Systems use to objectify program evaluation,clinical, and management decisions

The utility of the observational assessment systems at different levels — from local clinical to systemwide management — is outlined. An overview is provided of TSBC information applied to individualized problem identification and programming/monitoring, discharge and competency determinations, and both absolute and comparative program evaluation. The utility of SRIC information for prgoramming/monitoring and for staff training and evaluation is outlined in addition to the applied uses of the information of the assessment systems in combination. Once implemented, the continuous data from the systems allow for empirically based self-corrective improvements in the quality of mental health services while automatically providing a basis for legal documentation and accurate cost/effectiveness comparisons of mental health programs.Preparation of this article and the research and development on which the article is based were supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from The Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.Presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979, as part of a symposium on New assessment systems for residential treatment, management, research, and evaluation.     

Flooding therapy: Effectiveness,stimulus characteristics,and the value of brief in vivo exposure

Three analogue experiments examined flooding therapy. Experiment 1 showed that flooding was more effective than standardized desensitization in reducing snake phobia. Experiment 2 examined three different modes of presenting the feared stimuli in flooding: taped auditory presentation, pictorial presentation, and a combination of these two. An additional combination group were given a brief in vivo exposure to the feared object immediately after each of three treatment sessions. Both a behavioral test and subjective estimates of fear showed advantages for the combined group that had the in vivo exposure, although it appeared that auditory instructions to imagine interaction with the snake was the best method for presenting the feared stimuli. Experiment 3 compared the auditory imagined method with and without ‘aversive’ or ‘implosive’ scenes, and with either an immediate or a delayed in vivo exposure. The only procedure to produce marked effects was the one that omitted ‘aversive’ scenes and provided immediate post-treatment in vivo exposure.     

Measuring circadian cycles: A simple temperature recording preparation

While measurement of temperature as an index of circadian rhythmicity is not a difficult task with infrahuman subjects, long-term monitoring of deep body temperature with human subjects poses numerous measurement and safety problems. A preparation is described that is highly accurate, inexpensive, chronic, comfortable, and eliminates safety problems associated with more traditional methods of temperature measurement.     

Children's attention to stimulus components with variation in relative salience of components and degree of stimulus integration

A total of 400 children at ages 5, 9, and 12 years were given a component selection task with stimuli differing in color and shape. Relative salience of these two stimulus components was manipulated across subjects in two ways: the standard shapes and colors from previous studies were compared with standard shapes in fluorescent colors, and the latter materials were compared with nonsense shapes in fluorescent colors. While fluorescence of color had little effect, the replacement of standard shapes with nonsense figures caused attention to be redirected from shape to color as the primary cue for learning. This effect was more pronounced at age 9 than at age 5. Apparently there is a greater tendency for older than for younger children to withdraw attention from a normally dominant component such as shape, when it is advantageous to adopt another feature such as color as the primary functional cue. An additional variable was integration of components (color within shape vs color as background for shape). Integration produced generally greater attention to color but did not affect the general pattern of salience effects.     

Memory and frequency estimation processes in a decision task

Two experiments examined the role of information storage and frequency estimation processes in a simple decision task. On each trial from one to five simultaneous sequences of information were presented, and subjects were required to monitor and respond to each sequence. In one study independent groups of subjects gave decisions, recognition responses. or frequency judgments. In a second study recall responses were obtained from subjects as part of the decision and frequency judgment tasks. Changes in performance as the number of simultaneous sequences increased suggested an independence of decisions from memory for specific information. Performance on the decision and frequency judgment tasks exceeded at times that which was possible on the basis of specific information available. Other data suggested that subjects in the frequency estimation tasks maintained an accurate frequency count when possible, but in the decision task kept little more than a record of their currently favored hypothesis. When direct counting was prevented in the second experiment. performance in the two tasks was not significantly different, suggesting that the two processes are very similar under such conditions.