title: Changing to problem-oriented methods. Implementation in psychiatric institutions.
abstract: The so-called problem-oriented methods for organizing and recording clinical information offer many potential benefits to users in psychiatric institutions. Beyond the mechanical aspects of implementation, incorporating a problem-oriented approach into the practices of clinical teams entails conceptual and practical readjustments of considerable magnitude. Based on an 18-month study of eight psychiatric teams with diverse characteristics, the paper discusses rationales and priorities, as well as administrative and educational considerations in the conversion process. Such a process must be studied and understood in setting objectives and channeling resources, if outcomes are to match the expectations.
mesh_terms: D006126:Group Processes; D006778:Hospitals, Psychiatric; D006801:Humans; D008499:Medical Records; D008501:Medical Records, Problem-Oriented; D010044:Outpatient Clinics, Hospital; D010348:Patient Care Team; D010564:Personnel, Hospital; D011613:Psychotherapy / Q000379:methods*