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TITLE: Criteria for an AI to write psychotherapy chart notes (or medical chart notes)

Note: Reposting to get it out to a few additional groups.

I am informed that a new product called #Mentalyc has entered the market. It's mission is to write psychotherapy notes for clinicians AND to gather a non-identifiable dataset for research into clinical best practices.

I have no firm opinion yet on Mentalyc, but it's expensive ($39-$69 per month per clinician) and I'd personally need to know a lot more about what's in that dataset and who is benefiting from it.

**So I'm asking the community for thoughts on what acceptable ethical and practical criteria would be for an AI to write psychotherapy notes or medical notes.**

Here are MY thoughts so far:

1) REQUIRED: The AI either:
1a) Invents NOTHING and takes 100% of the information in the note from the clinician, or

1b) Prompts the clinician for additional symptoms often present in the condition before writing the note, or

1c) Presents a very clear information page before writing that lets the clinician approve, delete, or modify anything the AI got creative with and was not told explicitly to include. (So, for example, in an experiment with Bard a clinician found that Bard added sleep problems as an invented symptom to a SOAP note for a person with depression and anxiety. This is a non-bizarre symptom addition that makes lots of sense, is very likely, but would have to be approved as valid for the person in question.)

2) OPTIONAL: The AI is on MY computer and NOT reporting anything back to the Internet. This will not be on everyone's list, but I've seen too many #BAA subcontractors playing loose with the definition of #HIPAA (medical privacy) and there is more money to be made in data sales than clinician subscriptions to an AI.

3) OPTIONAL: Inexpensive (There are several free AI tools emerging.)

4) OPTIONAL: Open Source

5) Inputting data to the AI to write the note is less work than just writing the note personally. (Maybe a complex tablet-based clickable form? But then, a pretty high percentage of a note can be in a clickable form format anyway.)

6) The AI does NOT record the entire session and then write a note based upon what was said. (It might accept dictation of note directions sort of like doctors dictate notes to transcribers today.)

I think I may be envisioning a checkbox and drop-down menu form along with a space for a clinician to write a few keywords and phrases, then the AI (on my laptop) takes this and writes a note -- possibly just a paragraph to go along with the already existing form in the official note. I think. It's early days in my thinking.

--
Michael Reeder, LCPC

@psychology
@socialpsych
@socialwork
@psychiatry
#Bias #Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #bard #security #dataanalytics #artificialintelligence #CopyAI #Simplified #Writesonic #Rytr #Writecream #CreaitorAI #Quillbot #Grammarly #SmartCopy #TextBlaze #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research #SOAP #EHR ##mentalhealth #technology #psychiatry #healthcare #medical #doctor

TITLE: Criteria for an AI to write psychotherapy chart notes (or medical chart notes)

I am informed that a new product called #Mentalyc has entered the market. It's mission is to write psychotherapy notes for clinicians AND to gather a non-identifiable dataset for research into clinical best practices.

I have no firm opinion yet on Mentalyc, but it's expensive ($39-$69 per month per clinician) and I'd personally need to know a lot more about what's in that dataset and who is benefiting from it.

**So I'm asking the community for thoughts on what acceptable ethical and practical criteria would be for an AI to write psychotherapy notes or medical notes.**

Here are MY thoughts so far:

1) REQUIRED: The AI either:
1a) Invents NOTHING and takes 100% of the information in the note from the clinician, or

1b) Prompts the clinician for additional symptoms often present in the condition before writing the note, or

1c) Presents a very clear information page before writing that lets the clinician approve, delete, or modify anything the AI got creative with and was not told explicitly to include. (So, for example, in an experiment with Bard a clinician found that Bard added sleep problems as an invented symptom to a SOAP note for a person with depression and anxiety. This is a non-bizarre symptom addition that makes lots of sense, is very likely, but would have to be approved as valid for the person in question.)

2) OPTIONAL: The AI is on MY computer and NOT reporting anything back to the Internet. This will not be on everyone's list, but I've seen too many #BAA subcontractors playing loose with the definition of #HIPAA (medical privacy) and there is more money to be made in data sales than clinician subscriptions to an AI.

3) OPTIONAL: Inexpensive (There are several free AI tools emerging.)

4) OPTIONAL: Open Source

5) Inputting data to the AI to write the note is less work than just writing the note personally. (Maybe a complex tablet-based clickable form? But then, a pretty high percentage of a note can be in a clickable form format anyway.)

6) The AI does NOT record the entire session and then write a note based upon what was said. (It might accept dictation of note directions sort of like doctors dictate notes to transcribers today.)

I think I may be envisioning a checkbox and drop-down menu form along with a space for a clinician to write a few keywords and phrases, then the AI (on my laptop) takes this and writes a note -- possibly just a paragraph to go along with the already existing form in the official note. I think. It's early days in my thinking.

--
Michael Reeder, LCPC

#Bias #Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #bard #security #dataanalytics #artificialintelligence #CopyAI #Simplified #Writesonic #Rytr #Writecream #CreaitorAI #Quillbot #Grammarly #SmartCopy #TextBlaze #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research @psychotherapist @psychotherapists @psychology.a.gup.pe @socialpsych.a.gup.pe @socialwork.a.gup.pe @psychiatry.a.gup.pe #SOAP #EHR ##mentalhealth #technology #psychiatry #healthcare #medical #doctor

TITLE: Criteria for an AI to write psychotherapy chart notes (or medical chart notes)

I am informed that a new product called #Mentalyc has entered the market. It's mission is to write psychotherapy notes for clinicians AND to gather a non-identifiable dataset for research into clinical best practices.

I have no firm opinion yet on Mentalyc, but it's expensive ($39-$69 per month per clinician) and I'd personally need to know a lot more about what's in that dataset and who is benefiting from it.

**So I'm asking the community for thoughts on what acceptable ethical and practical criteria would be for an AI to write psychotherapy notes or medical notes.**

Here are MY thoughts so far:

1) REQUIRED: The AI either:
1a) Invents NOTHING and takes 100% of the information in the note from the clinician, or

1b) Prompts the clinician for additional symptoms often present in the condition before writing the note, or

1c) Presents a very clear information page before writing that lets the clinician approve, delete, or modify anything the AI got creative with and was not told explicitly to include. (So, for example, in an experiment with Bard a clinician found that Bard added sleep problems as an invented symptom to a SOAP note for a person with depression and anxiety. This is a non-bizarre symptom addition that makes lots of sense, is very likely, but would have to be approved as valid for the person in question.)

2) OPTIONAL: The AI is on MY computer and NOT reporting anything back to the Internet. This will not be on everyone's list, but I've seen too many #BAA subcontractors playing loose with the definition of #HIPAA (medical privacy) and there is more money to be made in data sales than clinician subscriptions to an AI.

3) OPTIONAL: Inexpensive (There are several free AI tools emerging.)

4) OPTIONAL: Open Source

5) Inputting data to the AI to write the note is less work than just writing the note personally. (Maybe a complex tablet-based clickable form? But then, a pretty high percentage of a note can be in a clickable form format anyway.)

6) The AI does NOT record the entire session and then write a note based upon what was said. (It might accept dictation of note directions sort of like doctors dictate notes to transcribers today.)

I think I may be envisioning a checkbox and drop-down menu form along with a space for a clinician to write a few keywords and phrases, then the AI (on my laptop) takes this and writes a note -- possibly just a paragraph to go along with the already existing form in the official note. I think. It's early days in my thinking.

--
Michael Reeder, LCPC

#Bias #Ethics #EthicalAI #AI #CollaborativeHumanAISystems #HumanAwareAI #chatbotgpt #bard #security #dataanalytics #artificialintelligence #CopyAI #Simplified #Writesonic #Rytr #Writecream #CreaitorAI #Quillbot #Grammarly #SmartCopy #TextBlaze #HIPAA #privacy #psychology #counseling #socialwork #psychotherapy #research @psychotherapist.a.gup.pe @psychotherapists.a.gup.pe @psychology.a.gup.pe @socialpsych.a.gup.pe @socialwork.a.gup.pe @psychiatry.a.gup.pe #SOAP #EHR ##mentalhealth #technology #psychiatry #healthcare #medical #doctor

Mastodon – Simplified Federation add-on: https://addons.mozilla.org/en-US/firefox/addon/mastodon-simplified-federation/ #firefox #browser #mastodon #addon #simplified #federation

Barbara Blackburn fue la mecanógrafa más rápida del mundo. En 1985 el Guinness Book of World Records verificó que alcanzó una velocidad máxima de 212 palabras por minuto (ppm) y mantuvo una velocidad media de 150 ppm durante 50 minutos (37 500 pulsaciones a una media de 12,5 pulsaciones por segundo). En cpm (caracteres por minuto), son 750 teclas por minuto. Dicho récord fue obtenido utilizando un teclado Dvorak o (Dvorak Simplified Keyboard). Este teclado tiene vocales en un lado y consonantes en el otro, con las letras más utilizadas en la fila central. “Tiene mucho más sentido que el llamado teclado Qwerty estándar (llamado así por las primeras cinco letras en la fila superior)”, dijo Blackburn. De hecho, fue el teclado Qwerty lo que la arruinó en la clase de mecanografía de la escuela secundaria en Pleasant Hill, Missouri. “Escribir era la ruina de mi existencia”. Recordó cómo su calificación de mecanografía I-menos (I para Inferior) le impidió graduarse como la mejor de su clase. Así las cosas, se graduó tercera en una clase de 46 estudiantes. En 1938, como estudiante de primer año en la universidad de negocios, Blackburn puso sus manos por primera vez en un teclado Dvorak. Ella lo tomó como un pez en el agua. En solo unos años su velocidad llegó a 138 palabras por minuto. El teclado Dvorak fue lo que le dio la oportunidad. Cuando un representante de Royal Typewriter Co. llegó a su escuela de negocios en busca de alguien para capacitarse como demostrador del teclado Dvorak, decidió probarlo. En muy poco tiempo era tan buena mecanógrafa como contadora y taquígrafa. Había ganado concursos estatales cuando era estudiante de secundaria, pero la mujer que impartía los tres cursos en Pleasant Hill “se avergonzaba de admitir que yo estaba en su clase de mecanografía”, recordó Blackburn. Llevando su propia máquina de escribir Dvorak con ella dondequiera que trabajara después de graduarse de la universidad de negocios, los extraordinarios talentos de Blackburn le allanaron el camino. De 1939 a 1945 trabajó como secretaria legal, y cuando decidió que necesitaba un cambio de ritmo y dejó el bufete de abogados, “me fui con la reputación de ser la mejor secretaria legal de Kansas City”, recordó con orgullo. De repente, hubo una loca carrera de ejecutivos tratando de atraparla como su secretaria personal. Blackburn luego trabajó en una empresa de electrónica, primero como gerente de oficina y luego como ingeniero de ventas. Hizo demostraciones de mecanografía rápida en la Exposición Nacional Canadiense y la Conferencia Educativa Canadiense. Fue entonces cuando entró en el Libro Guinness de los Récords Mundiales, en el que figuraría durante una década como la mecanógrafa más rápida del mundo (la categoría ha sido eliminada desde entonces). Blackburn comenzó a trabajar en State Farm Insurance en Salem, donde estuvo empleada en el departamento de procesamiento de textos hasta que se jubiló en 2002. Su frecuencia de error era de dos décimas del uno por ciento y sigue siendo según el Libro de los Récords Guinness, la mecanógrafa más rápida del mundo. La Sra. Blackburn falleció en abril de 2008. #teclado #dvorak #keyboard #mecanografía #layout #distribución #simplificado #simplified #record #typing

@mwlucas I do it in pf

It is still an ugly, log parsing, denial of service inducing solution. but it keeps my logs clean. :)

#simplified version
table <blacklist> persist file "/etc/pf.blacklist.table"
table <whitelist> persist file "/etc/pf.whitelist.table"

block in on $outside_if from <blacklist>
pass in on $outside_if from <whilelist>
---
ssh log to pipe program
---
#pipe program
grep -o -E "invalid user [^ ]+ from [^ ]+" |
awk '{printf "%s\n", $5 }' |
xargs pfctl -t blacklist -T add