Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-22T00:33:21.013Z Has data issue: false hasContentIssue false
  • English
  • Français

Innovations in the Utilization of Health Information Technology in Psychiatric Services

Published online by Cambridge University Press:  11 April 2011

Robert M. Plovnick
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

There is ever-increasing activity in applying information technology to various areas of healthcare, including mental health. Examples of innovations include applications in screening, treatment, clinical decision support, communication and coordination, telemedicine, Internet-based education and services, public health research, training and education, and bioinformatics. Issues and challenges include protection of privacy, managing narrative free text, assessing the reliability of information found online, and mitigating impact on clinical workflow. While many of the innovations described will not be fully realized until national information systems reach a larger scale, many are having a positive impact on mental healthcare today.

Type
Editorials
Information
Epidemiology and Psychiatric Sciences , Volume 18 , Issue 1 , March 2009 , pp. 5 - 11
Copyright
Copyright © Cambridge University Press 2009

References

Arnold, S.L. & Wieners, W.W. (2008). Electronic health records: a global perspective. Healthcare Information and Management Systems Society. Retrieved December 1, 2008, from http://www.himss.org/content/ files/200808_EHRGlobalPerspective_whitepaper.pdf.Google Scholar
Bergman, L.G. & Fors, U.G. (2008). Decision support in psychiatry-a comparison between the diagnostic outcomes using a computerized decision support system versus manual diagnosis. BMC Medical Informatics and Decision Making 8, 9.CrossRefGoogle Scholar
Bremner, J.D., Quinn, J., Quinn, W. & Veledar, E. (2006). Surfing the net for medical information about psychological trauma: an empirical study of the quality and accuracy of trauma-related websites. Medical Informatics and the Internet in Medicine 31, 227–236.CrossRefGoogle ScholarPubMed
Bundorf, M.K., Wagner, T.H., Singer, S.J. & Baker, L.C. (2006). Who searches the internet for health information? Health Services Research 41, 819–836.CrossRefGoogle ScholarPubMed
Campbell, E.M., Sittig, D.F., Ash, J.S., Guappone, K.P. & Dykstra, R.H. (2006). Types of unintended consequences related to computerized provider order entry. Journal of the American Medical Informatics Association 13, 547–556.CrossRefGoogle ScholarPubMed
Cannon, D.S. & Allen, S.N. (2000). A comparison of the effects of computer and manual reminders on compliance with a mental health clinical practice guideline. Journal of the American Medical Informatics Association 7, 196–203.CrossRefGoogle ScholarPubMed
Chan, C.H. & Robbins, L.I. (2006). E-Learning systems: promises and pitfalls. Academic Psychiatry 30, 491–497.CrossRefGoogle ScholarPubMed
Cleary, M., Walter, G. & Matheson, S. (2008). What is the role of e-technology in mental health services and psychiatric research? Journal of Psychosocial Nursing and Mental Health Services 46, 42–48.CrossRefGoogle ScholarPubMed
Cunningham, J.A., Humphreys, K., Kypri, K. & Van Mierlo, T. (2006). Formative evaluation and three-month follow-up of an online personalized assessment feedback intervention for problem drinkers. Journal of Medical Internet Research 8, e 5.CrossRefGoogle ScholarPubMed
Demiris, G. (2006). The diffusion of virtual communities in health care: concepts and challenges. Patient Education and Counseling 62, 178–188.CrossRefGoogle ScholarPubMed
Denekamp, Y. (2007). Clinical decision support systems for addressing information needs of physicians. Israel Medical Association Journal 9, 771–776.Google ScholarPubMed
Desroches, C.M., Campbell, E.G., Rao, S.R., Donelan, K., Ferris, T.G., Jha, A., Kausha, R., Levy, D.E., Rosenbaum, S., Shields, A.E. & Blumenthal, D. (2008). Electronic health records in ambulatory care: A national survey of physicians. New England Journal of Medicine 359, 50–60.CrossRefGoogle ScholarPubMed
Dorr, D., Bonner, L.M., Cohen, A.N., Shoai, R.S., Perrin, R., Chaney, E. & Young, A.S. (2007). Informatics systems to promote improved care for chronic illness: a literature review. Journal of the American Medical Informatics Association 14, 156–163.CrossRefGoogle ScholarPubMed
Emmelkamp, P.M. (2005). Technological innovations in clinical assessment and psychotherapy. Psychotherapy and Psychosomatics 74, 336–343.CrossRefGoogle ScholarPubMed
Farvolden, P., Mcbride, C., Bagby, R.M. & Ravitz, P. (2003). A Webbased screening instrument for depression and anxiety disorders in primary care. Journal of Medical Internet Research 5, e 23.CrossRefGoogle ScholarPubMed
Fava, G.A. & Guidi, J. (2007). Information overload, the patient and the clinician. Psychotherapy and Psychosomatics 76, 1–3.CrossRefGoogle ScholarPubMed
Fox, S. (2008). The engaged e-patient population. Pew Internet & American Life Project. Retrieved December 1, 2008, from, http://www.pewinternet.org/pdfs/PIP_Health_Aug08.pdf.Google Scholar
Frankel, R., Altschuler, A., George, S., Kinsman, J., Jimison, H., Robertson, N.R. & Hsu, J. (2005). Effects of exam-room computing on clinician-patient communication: a longitudinal qualitative study. Journal of General Internal Medicine 20, 677–682.CrossRefGoogle ScholarPubMed
Freedman, J. (2003). The role of information technology in evidenced-based practice. Psychiatric Clinics of North America 26, 833–850, vii-viii.CrossRefGoogle ScholarPubMed
Frey, J.J., 3rd (2007). A piece of my mind. At a loss for words. Journal of the American Medical Association 297, 1751–1752.CrossRefGoogle Scholar
Gill, J.M., Chen, Y.X. & Lieberman, M.I. (2008). Management of depression in ambulatory care for patients with medical co-morbidities: a study from a national Electronic Health Record (EHR) network. International Journal of Psychiatry in Medicine 38, 203–215.CrossRefGoogle ScholarPubMed
Gorini, A., Gaggioli, A., Vigna, C. & Riva, G. (2008). A second life for eHealth: prospects for the use of 3-D virtual worlds in clinical psychology. Journal of Medical Internet Research 10, e 21.CrossRefGoogle ScholarPubMed
Gringras, P., Santosh, P. & Baird, G. (2006). Development of an Internet-based real-time system for monitoring pharmacological interventions in children with neurodevelopmental and neuropsychiatric disorders. Child: Care, Health and Development 32, 591–600.CrossRefGoogle ScholarPubMed
Gulbinat, W., Amaddeo, F., Ito, H., Medina-Mora, E., Mubbashar, M., Ndetei, D. & Plovnick, R. (submitted for publication). Statistics and Information Systems.Google Scholar
Han, Y.Y., Carcillo, J.A., Venkataraman, S.T., Clark, R.S., Watson, R.S., Nguyen, T.C., Bayir, H. & Orr, R.A. (2005). Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 116, 1506–1512.CrossRefGoogle ScholarPubMed
Harrisinteractive, (2007). Many U.S. adults are satisfied with use of their personal health information. Harris Poll #27. Retrieved December 1, 2008, from, http://www.harrisinteractive.com/harris_poll/index.asp? PID=743.Google Scholar
Hilty, D.M., Marks, S.L., Urness, D., Yellowlees, P.M. & Nesbitt, T.S. (2004). Clinical and educational telepsychiatry applications: a review. Canadian Journal of Psychiatry 49, 12–23.CrossRefGoogle ScholarPubMed
Hirschtick, R.E. (2006). A piece of my mind. Copy-and-paste. Journal of the American Medical Association 295, 2335–2336.CrossRefGoogle ScholarPubMed
Hoffmann, W.A. (2006). Telematic technologies in mental health caring: a web-based psychoeducational program for adolescent suicide survivors. Issues in Mental Health Nursing 27, 461–474.CrossRefGoogle ScholarPubMed
Kaufman, K.R. & Hyler, S.E. (2005). Problems with the electronic medical record in clinical psychiatry: a hidden cost. Journal of Psychiatric Practice 11, 200–204.CrossRefGoogle ScholarPubMed
Keenan, C.R., Nguyen, H.H. & Srinivasan, M. (2006). Electronic medical records and their impact on resident and medical student education. Academic Psychiatry 30, 522–527.CrossRefGoogle ScholarPubMed
Kelsoe, J.R. (2004). Genomics and the Human Genome Project: implications Cations for psychiatry. International Review of Psychiatry 16, 294–300.CrossRefGoogle Scholar
Kilbourne, A.M., Mcginnis, G.F., Belnap, B.H., Klinkman, M. & Thomas, M. (2006). The role of clinical information technology in depression care management. Administration and Policy in Mental Health 33, 54–64.CrossRefGoogle ScholarPubMed
Kirkcaldy, R.D. & Tynes, L.L. (2006). Depression screening in a VA primary care clinic. Psychiatric Services 57, 1694–1696.CrossRefGoogle Scholar
Klein, E.W., Hunt, J.S. & Leblanc, B.H. (2006). Depression screening interfaced with an electronic health record: a feasibility study in a primary care clinic using optical mark reader technology. Primary Care Companion to the Journal of Clinical Psychiatry 8, 324–328.Google Scholar
Lagu, T., Kaufman, E.J., Asch, D.A. & Armstrong, K. (2008). Content of weblogs written by health professionals. Journal of General Internal Medicine 23, 1642–1646.CrossRefGoogle ScholarPubMed
Lai, T.Y., Larson, E.L., Rockoff, M.L. & Bakken, S. (2008). User acceptance of HIV TIDES-Tailored Interventions for Management of Depressive Symptoms in persons living with HIV/AIDS. Journal of the American Medical Informatics Association 15, 217–226.CrossRefGoogle ScholarPubMed
Lim, R.F., Hsiung, B.C. & Hales, D.J. (2006). Lifelong learning: skills and online resources. Academic Psychiatry 30, 540–547.CrossRefGoogle ScholarPubMed
Linder, J.A., Ma, J., Bates, D.W., Middleton, B. & Stafford, R.S. (2007). Electronic health record use and the quality of ambulatory care in the United States. Archives of Internal Medicine 167, 1400–1405.CrossRefGoogle ScholarPubMed
Linke, S., Murray, E., Butler, C. & Wallace, P. (2007). Internet-based interactive health intervention for the promotion of sensible drinking: patterns of use and potential impact on members of the general public. Journal of Medical Internet Research 9, e 10.CrossRefGoogle ScholarPubMed
Long, A.J., Chang, P., Li, Y.C. & Chiu, W.T. (2008). The use of a CPOE log for the analysis of physicians’ behavior when responding to drug-duplication reminders. International Journal of Medical Informatics 77, 499–506.CrossRefGoogle ScholarPubMed
Lovis, C., Spahni, S., Cassoni, N. & Geissbuhler, A. (2007). Comprehensive management of the access to the electronic patient record: towards trans-institutional networks. International Journal of Medical Informatics 76, 466–470.CrossRefGoogle Scholar
Mandl, K.D., Szolovits, P. & Kohane, I.S. (2001). Public standards and patients’ control: how to keep electronic medical records accessible but private. British Medical Journal 322, 283–287.CrossRefGoogle ScholarPubMed
Marchibroda, J.M. (2008). The impact of health information technology on collaborative chronic care management. Journal of Managed Care Pharmacy 14, S3–11.Google ScholarPubMed
Marschollek, M. & Demirbilek, E. (2006). Providing longitudinal health care information with the new German Health Card: A pilot system to track patient pathways. Computer Methods and Programs in Biomedicine 81, 266–271.CrossRefGoogle Scholar
Mcgrath, J.M., Arar, N.H. & Pugh, J.A. (2007). The influence of electronic medical record usage on nonverbal communication in the medical interview. Health Informatics Journal 13, 105–118.CrossRefGoogle ScholarPubMed
Meingast, M., Roosta, T. & Sastry, S. (2006). Security and privacy issues with health care information technology. Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society 1, 5453–5458.CrossRefGoogle Scholar
Modai, I., Ritsner, M., Silver, H. & Kurs, R. (2002). A computerized patient information system in a psychiatric hospital. Psychiatric Services 53, 476–478.CrossRefGoogle ScholarPubMed
Molnar, M.J. & Bencsik, P. (2006). Establishing a neurological-psychiatric biobank: banking, informatics, ethics. Cellular Immunology 244, 101–104.CrossRefGoogle ScholarPubMed
Monahan, G. & Colthurst, T. (2001). Internet-based information on alcohol, tobacco, and other drugs: issues of ethics, quality, and accountability. Substance Use and Misuse 36, 2171–2180.CrossRefGoogle ScholarPubMed
Neufeld, J.D., Yellowlees, P.M., Hilty, D.M., Cobb, H. & Bourgeois, J.A. (2007). The e-Mental Health Consultation Service: providing enhanced primary-care mental health services through telemedicine. Psychosomatics 48, 135–141.CrossRefGoogle ScholarPubMed
Oberleitner, R., Laxminarayan, S., Suri, J., Harrington, J. & Bradstreet, J. (2004). The potential of a store and forward tele-behavioral platform for effective treatment and research of autism. Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society 5, 3294–3296.CrossRefGoogle Scholar
Ornstein, C. (2008). UCLA workers snooped in Spears’ medical records. Los Angeles Times. 15 March 2008.Google Scholar
Owen, R.R., Thrush, C.R., Cannon, D., Sloan, K.L., Curran, G., Hudson, T., Austen, M. & Ritchie, M. (2004). Use of electronic medical record data for quality improvement in schizophrenia treatment. Journal of the American Medical Informatics Association 11, 351–357.CrossRefGoogle ScholarPubMed
Penn, D.L., Simpson, L., Edie, G., Leggett, S., Wood, L., Hawgood, J., Krysinska, K., Yellowlees, P. & De Leo, D. (2005). Development of ACROSSnet: an online support system for rural and remote community suicide prevention workers in Queensland, Australia. Health Informatics Journal 11, 275–293.CrossRefGoogle Scholar
Powell, J., Fitton, R. & Fitton, C. (2006). Sharing electronic health records: the patient view. Informatics in Primary Care 14, 55–57.Google ScholarPubMed
Preskorn, S.H. (2006). Pharmacogenomics, informatics, and individual drug therapy in psychiatry: past, present and future. Journal of Psychopharmacology 20, 85–94.CrossRefGoogle ScholarPubMed
Pritts, J. & Connor, K. (2007). The implementation of e-consent mechanims in three countries: Canada, England, and the Netherlands. United States Department of Health and Human Services. Retrieved December 1, 2008, from, http://ihcrp.georgetown.edu/pdfs/prittse-consent.pdf.Google Scholar
Rothstein, M.A. & Talbott, M.K. (2006). Compelled disclosure of health information: protecting against the greatest potential threat to privacy. Journal of the American Medical Association 295, 2882–2885.CrossRefGoogle ScholarPubMed
Shandley, K., Austin, D.W., Klein, B., Pier, C., Schattner, P., Pierce, D. & Wade, V. (2008). Therapist-assisted, Internet-based treatment for panic disorder: can general practitioners achieve comparable patient outcomes to psychologists? Journal of Medical Internet Research 10, e 14.CrossRefGoogle ScholarPubMed
Stewart, R.F., Buchanan, H.S., Bailey, B., Schuyler, M. & Kroth, P.J. (2005). Effect of electronic charting on the patient-psychiatrist relationship. AMIA Annual Symposium Proceedings, 1122.Google Scholar
Suzuki, T., Murase, S., Tanaka, T. & Okazawa, T. (2007). New approach for the early detection of dementia by recording in-house activities. Telemedicine Journal and E-Health 13, 41–44.CrossRefGoogle ScholarPubMed
Thielke, S., Hammond, K. & Helbig, S. (2007). Copying and pasting of examinations within the electronic medical record. International Journal of Medical Informatics 76, Suppl 1, S122–128.CrossRefGoogle ScholarPubMed
Timpka, T., Bang, M., Delbanco, T. & Walker, J. (2007). Information infrastructure for inter-organizational mental health services: an actor network theory analysis of psychiatric rehabilitation. Journal of Biomedical Informatics 40, 429–437.CrossRefGoogle ScholarPubMed
Tsai, J. & Bond, G. (2008). A comparison of electronic records to paper records in mental health centers. International Journal for Quality in Health Care 20, 136–143.CrossRefGoogle ScholarPubMed
Turchin, A., Kolatkar, N.S., Pendergrass, M.L. & Kohane, I.S. (2007). Computational analysis of non-adherence and non-attendance using the text of narrative physician notes in the electronic medical record. Medical Informatics and the Internet in Medicine 32, 93–102.CrossRefGoogle Scholar
Weiner, M. & Biondich, P. (2006). The influence of information technology on patient-physician relationships. Journal of General Internal Medicine 21 Suppl 1, S35–39.CrossRefGoogle ScholarPubMed
Wernick, A.S. (2006). Data theft and state law. Journal of AHIMA 77, 40–44; quiz 47–48.Google ScholarPubMed
Winter, A., Funkat, G., Haebe, A., Mauz-Koerholz, C., Pommerening, K., Smers, S. & Stausberg, J. (2007). Integrated information systems for translational medicine. Methods of Information in Medicine 46, 601–607.Google ScholarPubMed
Yellowlees, P.M. & Cook, J.N. (2006). Education about hallucinations using an internet virtual reality system: a qualitative survey. Academic Psychiatry 30, 534–539.CrossRefGoogle ScholarPubMed
Yellowlees, P., Burke, M.M., Marks, S.L., Hilty, D.M. & Shore, J.H. (2008). Emergency telepsychiatry. Journal of Telemedicine and Telecare 14, 277–281.CrossRefGoogle ScholarPubMed
Young, A.S., Mintz, J., Cohen, A.N. & Chinman, M.J. (2004). A network- based system to improve care for schizophrenia: the Medical Informatics Network Tool (MINT). Journal of the American Medical Informatics Association 11, 358–367.CrossRefGoogle ScholarPubMed
Young, A.S., Chaney, E., Shoai, R., Bonner, L., Cohen, A.N., Doebbeling, B., Dorr, D., Goldstein, M.K., Kerr, E., Nichol, P. & Perrin, R. (2007). Information technology to support improved care for chronic illness. Journal of General Internal Medicine 22, Suppl 3, 425–430.CrossRefGoogle ScholarPubMed