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The FAST Information System is a comprehensive solution for managing criminal justice cases, incorporating standardized instruments like ASI and CID, allowing secure online access, multiple identities, elements for monitoring progress, and tailored input forms for providers.
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FAST Information System Farrokh Alemi, PhD
Design Basis • Interviews of interested parties • Administrative Office of U.S. Courts PACTS • Current system (MHIS CAP BMC) • Current forms • Standardized instruments for outcome evaluations • Addiction Severity Index, Composite International Diagnostic Interview, Texas Christian University Risk assessment, Treatment Fidelity Scale.
Minimum Data • Minimum data set necessary for tracking cases • “Not a medical record but a case tracking system.” • A previous system went unused. • Limited number of open ended commentary.
Flexible • Normalized database design • Data stored differently than input forms • Allows several inputs for same field (e.g. person’s address) • Data kept in one place even when it has multiple uses • Allows for easy searches and reports. For example, all clients cared for by a provider working at two treatment services can be found in one place • Only facts kept. Composites of facts calculated. • Codes entered as data • Allows easy change over time Current system was not in Normal form
Normalization • Counter-intuitive data structures • Leads to numerous tables • Basis of all modern database structures • Difficult to set up, easy to use & modify
Event Based • Does not include various client assessments • Includes milestones behind assessments • For example, treatment participation is included while client attitudes towards readiness for treatment not included. • Rates estimated from time to event • For example, frequency of drug use is estimated from time between reported use
Treatment participation Hospitalization Self report of relapse Drug test results Medication compliance Clinic visit and diagnoses Conflict & abuse within key relations Change in weapon permits Loss of children’s custody Employment Educational progress HIV/AIDS risks & test results Recidivism Homelessness Added Outcomes
Multiple Identity • Allowed a person to have multiple roles • An arrested defendant who becomes an outreach provider. • A FAST social worker who also works part time at a mental health clinic. • Allowed a client to have multiple names & aliases • Allowed images of clients and markers
Secure Online • Encrypted Personal Identifiers • Trail of tables visited or modified • No physical deletion. All entries kept.
Data Access • Faxed paper reports to central database • Current process • Web access • Allows tailored input forms for various providers • Email reminders • PDA access • Allows providers who do not have computers easy access • Data transfers • Between jail system & FAST information system • Between VA system & FAST information system
Details of Data Elements Provided in Attached Report
Actions Recommended • Walk through of one to five clients • Revisions in the data structures • Construction of input forms and output reports • Completion of system • Training