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Updated: May 27, 2026

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The problem-oriented approach in psychiatry.

¹Consultant Psychiatrist, Royal Park Psychiatric Hospital, Private Bay 3 P. O., Parkville. Vic. 3052, Australia.

Indian Journal of Psychiatry

|November 8, 2011

Summary

This summary is machine-generated.

The problem-oriented approach enhances psychiatric record-keeping by organizing patient issues. This method improves data retrieval and analysis for effective treatment planning and patient care.

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Area of Science:

Psychiatry
Medical Informatics
Health Information Management

Background:

The problem-oriented approach to medical record-keeping, developed by Lawrence Weed, offers a structured method for managing patient information.
Traditional record-keeping systems can hinder efficient data retrieval and analysis, impacting patient care.
Psychiatry, in particular, can benefit from a systematic approach to managing complex patient problems.

Purpose of the Study:

To introduce and explain Lawrence Weed's problem-oriented approach to psychiatric record-keeping.
To highlight the benefits of this system for organizing and analyzing patient data.
To discuss potential challenges and offer practical solutions for implementation.

Main Methods:

Implementing a problem list at the forefront of the patient record, categorizing psychiatric, social, and physical issues.
Cross-indexing all subsequent clinical data, including plans and progress notes, to the numbered problems.
Developing a plan for each problem, incorporating patient strengths, skills, and available resources (family, community).
Regularly updating progress notes, classifying them as subjective, objective, or treatment plan-related.

Main Results:

Enhanced patient record organization with a central problem list acting as a table of contents.
Improved data retrievability, facilitating thorough analysis, correlation, and synthesis for ongoing treatment.
Facilitation of a comprehensive treatment plan by systematically addressing each identified patient problem.
Identification of potential challenges associated with the system and a proposed practical recording method.

Conclusions:

The problem-oriented approach significantly enhances psychiatric practice through structured record-keeping.
This system promotes effective patient care by enabling efficient data management and analysis.
The approach supports a holistic view of the patient, integrating medical, social, and psychological factors for comprehensive treatment.