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The CLINICAL INDEX OF STRESS is "normed," not "standardized." It is meant to glean as much clinical information as possible, not exclude it. It can be used for patients at any level of care and of any mental OR chronological age: infants, children, adolescents, adults, and geriatrics. Takes about 20 - 30 minutes to administer.

It uses physical symptoms, life events, or endorsable behaviors to infer psychological states.

It allows for entry of a clinical summary and check off of symptoms:

1. May be administered by a clinician as an interview
2. It may be given on a computer to the patient AND/OR informant
3. It may be used to review a clinical record.
4. It allows a clinician to quantify a psychiatric record in terms of severity of illness.

The CLINICAL INDEX OF STRESS automatically provides the following:

 1. A comparative statement of the Total Score for norms (N=1,096) based on level of care

 2. Graphically depicts T-scores and elevations on 8 indexes:

      Somatic, Anxiety, Aggression, Depression,Impulse, Paranoia, Escape, and Abuse

 3. Lists selected physical ailments/history endorsed

 4. Flags critical items

 5. Includes its own suicidal constellation which is based on scores two standard deviations above the means on the following indexes:

      Aggression, Depression, and Escape 

 6. Suggests diagnostic implications for selected lab data; the "Biochemical Index" points to areas of diagnosis:

      behavioral dyscontrol, depression/agitated states, and thought/dementia/substance-induced disorders

 7. Sorts through preselected symptoms for DSM-IV-TR™ diagnoses with DSM-IV-TR™ codes

 8. Identifies selected indications for use of psychotropic medications

 9. Lists selected nonambulatory care indicators endorsed

10. Plots an automatically generated GAF (AutoGenerated GAF) by Level of Care (Urban v. Rural settings)

11. Plots an automatically generated "Burnout Index" based on selected prolonged stress SxS and

      elevations at least 1 s.d. above the mean on the Anxiety and Depression subscales

The heuristic aspects of the CLINICAL INDEX OF STRESS are broad (see Biochemical Index example below). It lends itself to basic and applied clinical research. Though it has its own suicidal constellation (early validation has been established; continued validation is ongoing), efforts are underway to develop a homicidal constellation.

Homicidal Constellation Research

We are currently going back through all our records (N>2000) and we have considerably more instances of homicidal thoughts/acts. Due to time constraints and routine endeavors, it is a slow process. We invite qualified others to assist us by investing their resources in the further development of this Homicidal Constellation. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

NOTICE!

You can mix and match the components listed below for $299.95 per component--MTP and Update are one component; Psychology, Social Work, and Psychiatry Progress Notes are one component; remainder of Progress Notes are a 2nd component; everything else is one component each--e.g., MSE)

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MODIFICATIONS / CUSTOMIZATION

We personalize the software before we ship it. If you have a logo that you would like imported into the program, we do that. We will make a reasonable degree of modifications in the hope of getting you up and running to your satisfaction. We do this at no additional cost to you. For example, some want the current date to come up on forms automatically. Others do not. If you tell us in advance, we can attempt to tailor the software to your needs before it is shipped.

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Automated Mental Status Exam ($299.95 if purchased separately)

Generates a Report Summary!

Sample MSE Report in paragraph format

Sample MSE Report in full page format

You must MAIL or FAX a copy of your current health service provider license first to purchase this item. We will e-mail your approval to purchase and direct you to the webpage where you can use Paypal.

The Automated Mental Status Exam provides Multiselect list boxes that allow for single or multiple descriptors of appearance, movements, affect, mood, speech, sensorium, thoughts (clinician estimate of intellect, perception, form, contents), memory, insight and judgment. You can add your own descriptors to the lists provided and modify the sentences generated at will.

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Life Functioning Assessment* ($299.95 if purchased separately)

Generates a Report Summary which can be attached to the Master Treatment plan to address Care Management.

The Life Functioning Assessment provides drop-down boxes and checkboxes to choose participation or nonparticipation in societal institutions (Government, Family, Religion, Education, Economics, Language, Arts, Recreation, and Healthcare). Its summary report flags for care managers specific needs/deficits to be addressed.

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Automated GAF or "AutoGAF"--[$299.95 if purchased separately (see American Psychiatric Association licensing and royalty fees below)]

The Automated GAF provides checkboxes executed by the clinician next to the descriptors of functioning for each level on the DSM-IV-TR™ Axis V--it then calculates a GAF and graphs it by level of care, urban vs. rural settings; it will also plot repeated measures on the Automated GAF form itself and on a separate serial chart (for a single admission or across all admissions). The example above is across all admissions. You can request that it not include the level of care indicator.

You must MAIL or FAX a copy of your current health service provider licensure first to purchase this item.

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Automated Master Treatment Plan--($299.95 if purchased separately--includes MTP Update)

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Automated Progress Notes (by Discipline)

($299.95 if purchased separately--Psychology, Social Work, and Psychiatry Progress Notes are bundled together for $299.95; the remainder of the Progress Notes can be purchased together as one component--$299.95)
By using Automated Progress Notes, you structure the process of writing progress notes so that the clinician stays focused on the presenting complaints, problem statements, treatment objectives, and goals identified on your Master Treatment Plan.

You must MAIL or FAX a copy of your current health service provider licensure first to purchase this item.

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Note: Any of the products listed above that generate a Report Summary may utilize the "Publish in Microsoft® Word" function to turn the Report into a Microsoft® Word document. This means that what was the Report text can then be Copied and Pasted into other Microsoft® Word documents and Edited at will (if you have Microsoft® Word installed on your machine). ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Prescription Pad

($299.95 if purchased separately)

The above is the data entry form. The prescription form output is below:


The Prescription Pad has three variations. The first is like the above. It allows for up to 5 prescriptions at a time. The second has a Tab format with up to 5 possible entries for each of 4 Tabs. This means it will allow up to 20 prescriptions (1 - 20) on the same Prescription sheet. The third is a list for entry of up to 20 prescribed medicines (1 - 20) at one time. It is like the second, but without the Tabs.


Built into the prescription pad are check boxes for No Substitutions, Confirmation buttons for each entry, and check boxes and text boxes for standard prohibitions (e.g., do not operate machinery). On the 1 - 20 Prescription pads, there is a count as to number of prescriptions versus number of confirmations.

Note: The Prescriptions listed above are for illustration purposes only. Some of the dosages, refill amounts, etc. are intentionally nebulous. It is incumbent on the prescriber to get things right. The program cannot do this for you. It will not tell you contraindications, interactions, side effects, dosages, routes of administration, etc.

If you are not a licensed physician and your state allows you to prescribe under your licensure (e.g., Nurse Practitioner, Prescribing Psychologist), you must provide proof of same to purchase this product. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Manual for the CLINICAL INDEX OF STRESS SYSTEM*

($54.95 if purchased separately)

The CLINICAL INDEX OF STRESS Manual consists of 100+ pages explaining the rationale of the Clinical Index of Stress System, its development over 16 years, normative data, and instructions for use

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Selected Psychotropics and Related Medications by Category

Click this text to inspect the Medication Listing

We live in an information age. The Medication Listing is meant to be an aid for individuals as well as clinicians. Although it is a standalone product, it is not meant to be used in isolation. It is a point of reference for one to further explore through discussions with their Physician and personal research. There is nothing on the Medication Listing that an individual could not obtain by going to a public/university library. This author, Vance Stewart, Ph.D., is a clinical psychologist. Clinical psychologists are not medical doctors. Always consult a physician regarding medications. The Medication Listing is not meant for prescriptive purposes. These statements are meant to serve as a form of legal protection against misuse. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

System Requirements

A PC with Microsoft® Office 2003 or Office 2007 installed and functional is sufficient.

For the Technically minded: PC (at least a Pentium III, Celeron, or comparable), Microsoft® Windows XP (with Service Pack 2); Microsoft® Windows Office 2007, Microsoft® Access 2003 or Microsoft® Access 97 (you must have Microsoft® Access, a component of Microsoft® Office, to run our software), 12 MB memory to run program, 121 MB of hard disk space, CD ROM drive, VGA or higher resolution monitor, & a pointing device (e.g., mouse).

System Requirements specifically for Microsoft® Windows Vista:

For Microsoft® Windows Vista users, recommended requirements include 1 GHz 32-bit (x86) or 64-bit (x64) processor, 1 GB of system memory, 40 GB hard drive with at least 15 GB of available space, Support for DirectX® 9 graphics with WDDM driver, 128 MB of graphics memory (minimum), Pixel Shader 2.0 in hardware, 32 bits per pixel, DVD-ROM drive, Audio output, and Internet Access. Not all of the recommendatons (e.g., graphics capabilities) are necessary to run our products.

Microsoft® Office 2007 requires a 500 MHz or faster processor, 256+ MB RAM, 2 GB of available hard-disk space, CD-ROM or DVD drive, 1024 x 768 or higher-resolution monitor, Microsoft® Windows XP with Service Pack (SP) 2 or later, or Microsoft® Windows Server 2003 with SP1 or later operating system. Please see specific Microsoft® products for additional requirements/recommendations. We are all on new turf here.
Note: As Microsoft® Windows Vista / Office 2007 are brand new, if there are bugs in Microsoft® Windows Vista / Microsoft® Office 2007, there will be bugs in our products. Microsoft® however, has a reliable history of identifying and providing patches, fixes, and Service Packs based on users' experiences and their own internal processes. These efforts by Microsoft® should remedy any problems you might have. You are also entitled to one free hour of telephone support from FCBHC when you purchase our total package products (in minimum increments of 15 minutes) and one instance of support (up to 15 minutes free) when you purchase selected products.

Note: We have not tested this software under Microsoft® Windows Me/Millinneum Edition. Our experience with Microsoft® Access 2000 has been unsatisfactory. If you try it under other software, e.g., Microsoft® Office 2000 or earlier, it may want to convert the Demonstration or Full Program database. You can try the options it gives you and ignore any error messages.

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Acknowledgements

"Pentinum" and "Celeron" are registered trademark of the Intel Corporation.
Windows 95, Windows 98, Windows Me/Millinneum Edition, Windows XP, Windows Vista and Microsoft® Access (a component of Microsoft® Office) are registered trademarks of the Microsoft® Corporation.
The text of the Global Assessment of Functioning (GAF) Scale used in the Automated GAF ("AutoGAF") and the AutoGenerated GAF and the MultiAxial Diagnoses used throughout the Clinical Index System are reprinted with permission from the

Diagnostic and Statistical Manual of Mental Disorders, Text Revised Edition, Copyright 2000 American Psychiatric Association. All rights reserved.

We have licensing and royalty agreements with the American Psychiatric Association (APA) and American Psychiatric Publishing, Inc. (APPI), and use Microsoft Corporation products with recognition.

Under our licensing and royalty agreement with the APA and APPI, we submit a fee for each copy of our product sold, and pay a nominal per annum royalty fee for each end-user of the product. This cost is billed to the purchaser of the software yearly based on the number of authorized clinicians using the software.

DSM and DSM-IV-TR are registered trademarks of the American Psychiatric Association, and are used with permission herein. These agreements are not to be construed as sponsorship, endorsement or approval of our products by the APA or APPI. The product is not affiliated with, connected, or associated with the APA or APPI.

Full Continuum's software serves as a clinical aid. Full Continuum is not, by extension, assessing, planning the care, treating, prescribing, or diagnosing your patients. Diagnosis and treatment of individuals lies within the purvue of licensed clinicians and their clients. The licensed purchaser must maintain HIPAA compliance, assure confidentiality, and test security.

PayPal is a secured method of making VISA, MASTERCARD, DISCOVER, AMERICAN EXPRESS and e-check transactions; Paypal and Google.com are restricted or are registered trademarks.

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©1995-2008 Vance Stewart, Ph.D. (Clinical Psychologist)

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Webpage contents last modified on September 22, 2008.