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20100418sos
 

20100418sos

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    20100418sos 20100418sos Presentation Transcript

    • Jeff Hammerbacher + Aaron Koblin Tuesday, April 20, 2010
    • Tuesday, April 20, 2010
    • Rise of the Data Scientist Tuesday, April 20, 2010
    • • Coding • Statistics • Visualization • Communication Tuesday, April 20, 2010
    • Rise of the Data Artist Tuesday, April 20, 2010
    • • Coding • Statistics • Visualization • Exploring, celebrating, and questioning Tuesday, April 20, 2010
    • Tuesday, April 20, 2010
    • A History of the DSM (Abridged) Tuesday, April 20, 2010
    • • 1917: APA produces “Statistical Manual for the Use of Institutions of the Insane” • 1943: Medical 203 Emil Kraeplin • 1949: ICD version 6 • 1840/1880 U.S. Census: covers mental disorders Categories and counts • 1952: DSM-I is published • Late 19th century: Kraeplin gets “clinical” at • 130 pages the Tartu University Clinic in Estonia • 106 mental disorders Tuesday, April 20, 2010
    • DSM: Evolution Title Year Pages Disorders DSM I 1952 130 106 DSM II 1968 134 182 DSM III 1980 494 265 DSM III-R 1987 567 292 DSM IV 1994 886 297 DSM IV-TR 2000 943 365 DSM V 2013 ? ? Tuesday, April 20, 2010
    • Motivations Tuesday, April 20, 2010
    • 1. “81 Words that Changed the World” Tuesday, April 20, 2010
    • 2. War and Mental Health Tuesday, April 20, 2010
    • 3. Healthcare Reform Tuesday, April 20, 2010
    • Understanding Mental Health Tuesday, April 20, 2010
    • Impact on America • 26.2 percent of American adults suffer from a diagnosable mental disorder every year • 6 percent of American adults suffer from a serious mental illness • $57.5B spent in 2006 to treat mental disorders: equivalent to the amount spent on cancer and the third-largest category of expense in American health care today Tuesday, April 20, 2010
    • Tuesday, April 20, 2010
    • Problem 1: Definition Can we increase certainty in our ontology? • ICD and DSM name different categories of • DSM publishes four sourcebooks to detail their empirical methodology and findings • Volumes 1 - 3 are literature reviews • Volume 4 has 40 re-analyses and 12 field trials Tuesday, April 20, 2010
    • Problem 2: Diagnosis Can we recognize health as well as disorder? • Diagnosis done using symptoms, not causes • Decision trees and sample cases published as supplements to the DSM • Differential Diagnosis supplement highlights similar disorders • Structured Clinical Interview for the DSM • Sill issues: “On being sane in insane places” Tuesday, April 20, 2010
    • Problem 3: Treatment Can we heal effectively and at low cost? • When a new disorder is identified, how is a new treatment prototyped and developed? • What are the cost and outcomes of existing treatments? • What does the drug development pipeline look for critical disorders? • How do non-drug treatment options interact with treatment via drugs? Tuesday, April 20, 2010
    • Project 1: Visualizing the DSM Tuesday, April 20, 2010
    • Tuesday, April 20, 2010
    • Tuesday, April 20, 2010
    • Tuesday, April 20, 2010
    • Tuesday, April 20, 2010
    • Project 2: Redesigning the DSM Tuesday, April 20, 2010
    • Healthcare Communities Online • Could we build a community resource around the disorders identified in the DSM? • Empower patients to discuss their disorder with others • Allow psychiatrists to debate definitions Tuesday, April 20, 2010
    • The Benefits of a Community • Identify the most effective treatments and locations for treatment • Highlight where controversy still hides • Recall discussions around homosexuality • Potentially inform future versions of the DSM Tuesday, April 20, 2010
    • Tuesday, April 20, 2010
    • “We need all kinds of minds” Tuesday, April 20, 2010