============================================================================= Run Date: NOV 20, 2003 Designation: YS*5.01*70 Package : YS - MENTAL HEALTH Priority: Mandatory Version : 5.01 SEQ #67 Status: Released Compliance Date: DEC 21, 2003 ============================================================================= Associated patches: (v)YS*5.01*37 <<= must be installed BEFORE `YS*5.01*70' (v)YS*5.01*76 <<= must be installed BEFORE `YS*5.01*70' Subject: FY 03 MAINTENANCE Category: - Informational Description: ============ This patch addresses the following issues in the Mental Health software. 1. Patients who take the BECK SCALE FOR SUICIDAL IDEATION (BSI) test on the Mental Health Assistant are presented with questions that do not make sense when compared to their previous answers. For example, the patient says that he/she is not suicidal but the test asks him/her detailed questions about the last attempt and possible future attempts at suicide. The skip logic for the BSI was not included in MHA. The skip logic for the BSI using the List Manager software worked properly. This has been corrected in MHA 1.0.2.10. CLE-0303-41699 2. New scales have been added to the Minnesota Multiphasic Personality Inventory-2 (MMPI2). The new scales are the Restructured Clinical (RC) Scales for the MMPI2. The RC scales are based on recent factor analyses of the existing Clinical Scales, and are intended to be used as aids in the interpretation of the Clinical Scale profile. The names of the 9 RC scales are as follows (note that there is no RC5 scale): RCd: Demoralization RC1: Somatic Complaints RC2: Low Positive Emotions RC3: Cynicism RC4: Antisocial Behavior RC6: Ideas of Persecution RC7: Dysfunctional Negative Emotions RC8: Aberrant Experiences RC9: Hypomanic Activation Note: The set of MMPI2 scales that are scored and the order in which they are presented has been changed to be consistent with the recommendations of the test authors and publisher. The PTSD-Schlenger scale is no longer scored. 3. Three new psychological tests have been added to the MH INSTRUMENT (#601) file. The new depression measures include the 20-item version Center for Epidemiologic Studies Depression Scale (CESD), the Center For Epidemiological Studies Depression Scale 5 Items (CESD5) and the Prime-MD Patient Health Questionnaire (PHQ9). The PHQ9 is based on the 9 DSM-IV criteria for Major Depressive Episode, and test results include both the number of criteria met as well as indication of whether the criteria for MDE are met. All can now be administered using the Mental Health Assistant. 4. The Alcohol Use Disorders Identification Test Condensed (AUDC) has been revised to meet the new Alcohol Screening Performance Measure issued by the Office of Quality and Performance. 5. The Alcohol Use Disorders Identification Test Condensed Revised (AUDCR) has been made non-operational by setting the value to "N" in the MH INSTRUMENT file (#601) OPERATIONAL field (#32). 6. An entry to the COPYRIGHT HOLDER file (#601.3) has been made for the new psychological test PHQ9. 7. The instrument Revised NEO Personality Inventory (NEOPI) in the MH MULTIPLE SCORING file (#601.6), which allows the user to score multiple instruments, has been edited to correctly return scale scores to be displayed on the Test Results in the Mental Health Assistant (MHA). Also corrected within the NEOPI is item #86 which read "When I'm under a great deal of stress, sometimes I fell like I'm going to pieces.". Item #86 now reads as "When I'm under a great deal of stress, sometimes I feel like I'm going to pieces." 8. When running option List Test and Interviews [YSMLST] from programmer prompt...%DSM-E-ENDOFILE, end of file encountered. This error has been corrected. EKH-0698-41771 9. The instrument Millon Clinical Multiaxial Inventory-III (MCMI3) in the MH INSTRUMENT file (#601) ITEM NUMBER field (#1) entry #41 which read "I've done a number of stupid things on impulse that needed up causing me great trouble.". Item Number #41 now reads as "I've done a number of stupid things on impulse that ended up causing me great trouble." CTX-1003-71717 Also within the MCMI3 the TEST SCALE NUMBER field (#16) SCALE NAME sub-field (#.05) for entries 12, 14 and 15 which read: 6B Aggressive/Sadistic 8A Passive-Aggressive 8B Self-Defeating SCALE NAME entries 12, 14 and 15 now read as: 6B Sadistic 8A Negativistic 8B Masochistic NOIS call(s): CTX-1003-71717 CLE-0303-41699 ISM-0702-90939 EKH-0698-41771 Test Site(s): Battle Creek VAMC, MI Miami VAMC, FL Minneapolis VAMC, MN Portland VAMC, OR Spokane VAMC, WA VA Central Texas HCS VA Health Care Network Upstate New York VA N. Florida/S. Georgia Veterans HCS VA NORTHERN CALIFORNIA HCS ROUTINE SUMMARY: ================ The second line of the routine now looks like: ;;5.01;MENTAL HEALTH;**[patch list]**;Dec 30, 1994 Checksum Values Routine Name Before Patch After Patch Patch List ------------ ------------ ----------- ----------- YSPOS70 N/A 137198 70 YSPRE70 N/A 401194 70 YSLOCN 1357796 1317415 70 YSMTI3 7694272 7918553 53,71,76,70 YTALUSEC 2558679 3281368 54,70 YTCESD N/A 2054143 70 YTLCTD 2849688 2159359 70 YTMMPI2B 17200069 18391657 10,31,76,70 YTPHQ9 N/A 2995455 70 Sites should use CHECK^XTSUMBLD to verify checksums. SOFTWARE RETRIEVAL: =================== The following software and documentation files are exported as part of this patch: File Name Contents Retrieval Format --------- -------- ---------------- YS_501_70.KID YS*5.01*70 ASCII YS_501_70.ZIP Mental Health Assistant BINARY This file is the complete install for the Mental Health Assistant GUI version 1.0.2.10 client. - YS_MHA.EXE MHA2 Executable YS50170_Setup_125.EXE Mental Health Assistant BINARY This file is the complete install for the Mental Health Assistant GUI version 1.0.2.10 client. - YS_MHA.exe MHA2 Executable - YS_MHA_SD.exe Secure Desktop Executable - YS_MHA_KH.DLL Keyboard Hook DLL used by Secure Desktop - YS_MHA.Hlp Online Help file - YS_MHA.GID Online Help configuration file The software files are available on the following OI Field Offices' ANONYMOUS.SOFTWARE directories. All sites are encouraged to use their FTP capability to obtain these files. Use the FTP address "download.vista.med.va.gov" (without the quotes) to connect to the first available FTP server where the files are located. OI FIELD OFFICE FTP ADDRESS DIRECTORY =============== =========== ========= ALBANY ftp.fo-albany.med.va.gov [ANONYMOUS.SOFTWARE] HINES ftp.fo-hines.med.va.gov [ANONYMOUS.SOFTWARE] SALT LAKE ftp.fo-slc.med.va.gov [ANONYMOUS.SOFTWARE] Installation Instructions: ========================== 1. Use the 'LOAD A DISTRIBUTION' option on the Installation menu of the KIDS menu. The Host File name is YS_501_70.KID. Answer YES to the question: "Want to Continue with Load? YES//" 2. The patch has now been loaded into a Transport global on your system. You now need to install the Transport global. On the KIDS menu, under the 'Installation' menu, use the following options: Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Backup a Transport Global 3. Users may remain on the system, but installation should be done at off peak hours. 4. Installation will take less than five minutes. 5. From the 'Installation Menu' of the KIDS menu, run the option 'Install Package(s)' Select the package 'YS*5.01*70' and proceed with install. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install//', respond NO. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond NO 7. Routines YSPRE70 and YSPOS70 are deleted after the installation has successfully completed. Routine Information: ==================== Routine Name: - YTLCTD Routine Checksum: Routine Name: - YSLOCN Routine Checksum: Routine Name: - YTPHQ9 Routine Checksum: Routine Name: - YTCESD Routine Checksum: Routine Name: - YTALUSEC Routine Checksum: Routine Name: - YTMMPI2B Routine Checksum: Routine Name: - YSMTI3 Routine Checksum: ============================================================================= User Information: Entered By : DEVLIN,MARK J Date Entered : MAR 12, 2001 Completed By: DI BENEDETTO,PETER Date Completed: NOV 19, 2003 Released By : LECLAIR,RAY Date Released : NOV 20, 2003 ============================================================================= Packman Mail Message: ===================== No routines included