Decision Science in Rehabilitation

Planning Session – February 11, 2009

SOCRATES

January 28, 2009

The following topics have been identified in an effort to inform the scheduling and sequencing of seminar meeting for the 2009 spring semester.

Please review and comment, add topics, and/or modify as you see fit. We will review these further at our next meeting on January 4 th.

It is our intention to have two of the distant collaborators visit and make presentations during the semester. Given our current progress, it seems most appropriate to invite John Brekke, Ph.D. and Steven Silverstein, Ph.D. It is likely they will be able to visit in March and April. Dr. Brekke ’s analyses identify the latent dimensions of recovery , which has implications for how rehabilitation goals should be grouped together or separated. Dr. Silverstein’s work provide s a foundation for understanding how the course of recovery represents pathways and decision making situations, especially in the domains of assessment, treatment selection and planning.

Other topics include but are not limited to:

Overview of mental healthcare system

Organization
Hospitals
Community settings

Consumer Perspective

Centrality of consumer perspective

Pathways of change

Cognitive
Behavioral

Assessment Measures

Interpretation and use of results
Risk assessment
Development of instrument similar to the Staff Resident Interaction Chronograph (SRIC)
Development of instrument similar to the Time Sample Behavioral Checklist (TSBC)
Other measures

Databases

CTP
Madonna
CMHC
Other

Therapeutic jurisprudence

Judgment and decision making

Modeling techniques

Pattern recognition
Identify when key decisions are made
Determine which data best informs decisions
How to improve the decision processes
Visual/Auditory displays
Human identification of actionable patterns
Human-Machine interface technology

Nonspecific treatment effects

Therapeutic milieu

Changing relationships between treatment protocols as recovery proceeds

Discharge considerations

Where?
When ?
Economics /Politics of discharge

What common factors moderate outcome in both physical and psychiatric rehab?

Does cognitive recovery observed in high-intensity rehab environments continue after the person moves to more independent functioning and a lower- intensity rehab environment?

Distinct pathways of recovery by distinct subgroups of people?
Does recovery in one domain require recovery in other domains?
Does behavioral recovery first require symptomatic recovery?

How does recovery progress?

Stage-wise
Concomitantly across stages
What are they?