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Innerview can address some of the challenges of integrating mental health and primary care by accurately and reliably collecting mental health evidence and activities directly from patients, and then organizing and automating that evidence and activity into reports for providers and care teams that support diagnosis, treatment planning and monitoring of the mental health issues within a practice population.
To deliver integrated quality care, innovative strategies are needed to efficiently collect, understand, monitor and manage mental health evidence and its contribution to the primary care office visit. Computer applications can provide solutions to providers by helping their processes to be feasible, manageable, and sustainable. We hypothesize that by both providing patients the opportunity to reflect on their physical, emotional and behavioral symptoms and functioning, and giving providers accurate, reliable, current, symptom-based mental health evidence in an accessible organized format prior to the face-to-face visit, Innerview will enhance diagnostic and treatment processes from both a patient- and population-based perspective, as well as enhance communication between patient and provider.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Innerview MHCDS | Innerview, Mental Health Clinical Decision Support tool |
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| Measure | Description | Time Frame |
|---|---|---|
| Accuracy of the Narrative Module | Out of 139 subjects using Innerview for the first time, how many subjects approved their initial version of their narrative versus chose to start over? | Immediate |
| Reliability of the Narrative Module | What is the consistency of the diagnostic criteria generated by two administrations, 1 to 2 days apart? | 24-48 hours |
| Standard Error of Measure for the Individualized Rating Scale (Rating Module) | What is the standard error of measurement (SEM) for test/retest symptom ratings on a 0 - 10 point scale | approximate 5 minutes between ratings |
| Measure | Description | Time Frame |
|---|---|---|
| Provider Survey (Question 1) | The information provided by Innerview is valuable in understanding and treating my patients. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 2) |
| Measure | Description | Time Frame |
|---|---|---|
| Completion Times | On average, the number of minutes taken to complete both the narrative and rating modules? | Study Duration |
Inclusion Criteria:
In order to be eligible to participate in this study, a subject must meet all of the following criteria:
Exclusion Criteria:
Patients are excluded from study participation if they meet any of the following criteria:
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Innerview will be given universally / as indicated to 150 non-randomly selected subjects aged 18 and over seeking primary care in selected primary care study sites.
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| Name | Affiliation | Role |
|---|---|---|
| Sloan Manning, MD | Novant Healthcare | Principal Investigator |
| Sherry Falsetti, PhD | University of Illinois at Chicago | Principal Investigator |
| Donald Nease, MD | University of Colorado, Denver | Principal Investigator |
| Peter J Knoblich, MD | Peter J. Knoblich MD | Principal Investigator |
| William Ervin, MD | Intermed, PA | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peter J. Knoblich MD | Roseville | California | 95661 | United States | ||
| University of Colorado |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 9218985 | Background | Katon W, Von Korff M, Lin E, Unutzer J, Simon G, Walker E, Ludman E, Bush T. Population-based care of depression: effective disease management strategies to decrease prevalence. Gen Hosp Psychiatry. 1997 May;19(3):169-78. doi: 10.1016/s0163-8343(97)00016-9. | |
| 16816223 | Background | Wang PS, Demler O, Olfson M, Pincus HA, Wells KB, Kessler RC. Changing profiles of service sectors used for mental health care in the United States. Am J Psychiatry. 2006 Jul;163(7):1187-98. doi: 10.1176/ajp.2006.163.7.1187. |
| Label | URL |
|---|---|
| Mental Health: A Report of the Surgeon General | View source |
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This study is comprised of a series of 3 study sessions spanning a maximum participation period of 30-45 days. All subjects are intended to complete Study Session 1 and 2, spanning a duration of 24-48 hours. Those subjects who endorsed enough diagnostic symptoms to generate an Individualized Rating Scale will participate through Study Session 3.
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| ID | Title | Description |
|---|---|---|
| FG000 | Innerview MHCDS | Innerview, Mental Health Clinical Decision Support tool |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Innerview MHCDS | Innerview, Mental Health Clinical Decision Support tool |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Accuracy of the Narrative Module | Out of 139 subjects using Innerview for the first time, how many subjects approved their initial version of their narrative versus chose to start over? | Posted | Number | participants | Immediate |
|
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Study duration
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Innerview MHCDS | Innerview, Mental Health Clinical Decision Support tool |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Paul E Williams, Sr. Research Director | NCS Pearson | 952-681-4553 | paul.e.williams@pearson.com |
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| ID | Term |
|---|---|
| D000092862 | Psychological Well-Being |
| D019964 | Mood Disorders |
| D001008 | Anxiety Disorders |
| D000437 | Alcoholism |
| D016728 | Self-Injurious Behavior |
| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
| D001523 | Mental Disorders |
| D019973 | Alcohol-Related Disorders |
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The information provided by Innerview was consistent with my previous observations of my patients. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree |
| Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 3) | The information provided by Innerview was well organized in the reports. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 4) | The information provided by Innerview was well communicated in the reports. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 5) | In my opinion, the Innerview narrative process will help prepare patients for treatment. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 6) | Innerview will help me better identify patients who suffer from a mental health concern. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 7) | Innerview will function well within my current work flow Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 8) | My patients reacted positively to Innerview. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 9) | In my opinion, incorporating Innerview into my practice would require an acceptable amount of time and effort from myself and staff Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 10) | The benefits of Innerview will outweigh the effort to implement and operate it. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Administered Innerview session on at least 15 subjects |
| Provider Survey (Question 11) | On average, how much extra time do you estimate that you spent with your patients evaluating and discussing the information collected through Innerview? | Administered Innerview session on at least 15 subjects |
| Subject Survey (Question 1) | I am satisfied with how I was able to tell my story. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 2) | Compared to other health care questionnaires I have taken, I would rate this system highly. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 3) | The program was easy to use. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 4) | This tool will contribute positively to my health care. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 5) | The program included all of the symptoms I wanted to share with my doctor. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 6) | I was able to select words and phrases that I normally use to talk about my symptoms. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 7) | Q7. I would encourage other doctors to use this system. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 8) | Telling my story helped me prepare for treatment. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 9) | The demonstration showed me how to use the system. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Subject Survey (Question 10) | It took an acceptable amount of time to tell my story. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Immediate |
| Denver |
| Colorado |
| 80045 |
| United States |
| University of Illinois | Rockford | Illinois | 61108 | United States |
| Intermed, PA | Portland | Maine | 04101 | United States |
| Novant Healthcare | Winston-Salem | North Carolina | 27103 | United States |
| Prevalence of serious mental illness among U.S. adults by age, sex, and race | View source |
| participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | participants |
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| Region of Enrollment | Number | participants |
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| Those with and w/o mental health concerns as identified by each investigator | Number | participants |
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| Primary | Reliability of the Narrative Module | What is the consistency of the diagnostic criteria generated by two administrations, 1 to 2 days apart? | Posted | Mean | Standard Deviation | percentage of agreement | 24-48 hours |
|
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| Primary | Standard Error of Measure for the Individualized Rating Scale (Rating Module) | What is the standard error of measurement (SEM) for test/retest symptom ratings on a 0 - 10 point scale | Posted | Number | units on a scale | approximate 5 minutes between ratings |
|
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| Secondary | Provider Survey (Question 1) | The information provided by Innerview is valuable in understanding and treating my patients. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 2) | The information provided by Innerview was consistent with my previous observations of my patients. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 3) | The information provided by Innerview was well organized in the reports. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 4) | The information provided by Innerview was well communicated in the reports. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 5) | In my opinion, the Innerview narrative process will help prepare patients for treatment. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 6) | Innerview will help me better identify patients who suffer from a mental health concern. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 7) | Innerview will function well within my current work flow Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects, one investigator did not respond to this item. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 8) | My patients reacted positively to Innerview. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 9) | In my opinion, incorporating Innerview into my practice would require an acceptable amount of time and effort from myself and staff Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 10) | The benefits of Innerview will outweigh the effort to implement and operate it. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | units on a scale | Administered Innerview session on at least 15 subjects |
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| Secondary | Provider Survey (Question 11) | On average, how much extra time do you estimate that you spent with your patients evaluating and discussing the information collected through Innerview? | This is an investigator survey meant to measure the usefullness, feasibility and acceptability of the tool. Therefore, this question was not asked of the subjects but of their providers. There were a total of 6 providers/investigators that enrolled 15 or more subjects. | Posted | Mean | Full Range | minutes | Administered Innerview session on at least 15 subjects |
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| Secondary | Subject Survey (Question 1) | I am satisfied with how I was able to tell my story. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 2) | Compared to other health care questionnaires I have taken, I would rate this system highly. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 3) | The program was easy to use. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 4) | This tool will contribute positively to my health care. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 5) | The program included all of the symptoms I wanted to share with my doctor. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 6) | I was able to select words and phrases that I normally use to talk about my symptoms. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 7) | Q7. I would encourage other doctors to use this system. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 8) | Telling my story helped me prepare for treatment. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 9) | The demonstration showed me how to use the system. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Secondary | Subject Survey (Question 10) | It took an acceptable amount of time to tell my story. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree | Posted | Mean | Standard Deviation | units on a scale | Immediate |
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| Other Pre-specified | Completion Times | On average, the number of minutes taken to complete both the narrative and rating modules? | Posted | Median | Inter-Quartile Range | minutes | Study Duration |
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| Post-Hoc | Mental Health Prevalence Rates Comparison | What is the percentage of subjects where the provider was unaware of any mental health concerns yet Innerview identified them as having hit a rule out or diagnostic consideration for a mental health disorder vs the US 12 Month Prevalence Rate? US 12 Month Prevalence Rate = 26.2% (http://www.ncbi.nlm.nih.gov/pubmed/15939839) | 104 subjects had no known mental health concerns | Posted | Number | percentage of subjects | Study Duration |
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| 0 |
| 139 |
| 0 |
| 139 |
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| D019966 |
| Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001526 | Behavioral Symptoms |