# Technology Disruption. Skills upgrading. What is truly therapeutic? https://docs.google.com/document/d/1HrOaFqIpFM8JFITR4SMVC7qvuxw0jyBxw7M1vqLOcMw/edit# Related to [[HOPES Project Index]] I came back from a meeting today. In the discussion, they were talking about recruiting someone new (with new mindset) to be Care Coordinator, to monitor the patients via Clinical Dashboard, and this person will call the patients when alerted by the system. They will assess patients' needs and perhaps refer them to other service providers; whether it's a doctor, a therapist or anyone else. This is an example of how technology disrupt the way work is being done. Suppose the current human case managers's job is to 1. Checking in on patient by asking about mood, symptoms, functioning 2. Reminding patients about upcoming appointment 3. Helping patient to reschedule appointments What other tasks that the human case manager can be replaced by technology? And what skills are currently still not replaceable? Low to high level skills. Maybe can rank them. And if technology can take over more lower level skills, that, theoretically, frees up more resources for the human to perform higher level jobs. Will that also give more meaning to human Clinicians (instead of doing tasks that are quite dull?) That is why human got to keep upgrading their skills, so that they remain relavent. That's the EPIP vision, about developing Deeper Capabilities. ## What are the most therapeutic factors? Looking at it from a "Humanist" eye: I mean, what is it that human clinicians do that are the most therapeutic to the patients. Is it the "human touch"? But what is it exactly? Blended approach will depend on that; it's the human connections.. not just being monitored by a souless AI, or a SMS that remind them of upcoming appointment, but knowing that they have been attended to.. they have been connected, "held", acknowledged, validated. Those are higher level skills that i guess, AI can not replace, at least not yet. So, perhaps, we will still need more therapists, but fewer case managers? Or we can only take over few tasks that are currently done by human. I need to find out what does CMU CM actually does. ---- Low level Tasks 1. Reminding appointment 2. Medication Ordering and Delivering 3. Appointment scheduling 4. Checking in on mood, symptoms, and functioning. 5. Filling up survey forms 6. Entering Clinical Notes. 7. Referral Process High Level Tasks 1. Building rapport 2. Crisis management 3. Negotiation / Finding Solutions 4. Individual Therapy 5. Family Therapy 6. Mental State Assessment 7. Coordinating with different stakeholders. 8. Formulation of the case ![[Screenshot 2022-08-11 at 7.50.19 PM.png]] --- Can Machine Learning scan through electronic notes, and generate formulations? Can it look through patterns, based on symptoms, diagnosis, durations of illness, age, etc.. and generate list of potential "problems"? [[C20200327 Why do we formulate cases]] and then suggest potential interventions ideas? Just like how machine can learn from previous scans and learn to detect tumor? Communication pattern of Schizophrenia patients? [[🏠 030 Language and Psychology]][[🏠 030 Language and Psychology]] --- Can HOPE also be a Task Management system for case managers? Case manager input tasks needed to be carried out for the patient, and assigned responsibility to personnel, with calendaring reminders. https://docs.google.com/document/d/1HrOaFqIpFM8JFITR4SMVC7qvuxw0jyBxw7M1vqLOcMw/edit#