![](\"http:\/\/1boringoldman.com\/images\/cme-1.gif\")
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I just watched a remarkable video. It’s a CME video posted today on psychiatrist.com<\/font><\/strong><\/u><\/a> forwarded by someone who knew I’d enjoy it – and I did. It’s really quite remarkable. Madhukar Trivedi combines TMAP<\/font><\/strong>, CompTMAP<\/font><\/strong>, IMPACT<\/font><\/strong>, and STAR*D<\/font><\/strong><\/a><\/u> into a presentation extolling the virtues of his version of measurement based care using his program. Watching it, one would never know that TMAP is defunct and headed for a jury trial for fraud; that his IMPACT study using his CompTMAP program was never actually completed; or that after hundreds of papers, STAR*D<\/font><\/strong><\/a><\/u> never got around to publishing its final advertised results. Yet there they are, slide after slide with all our old friends [TMAP, STAR*D, QIDS-SR] showing various results from here and there purported to demonstrate this wondrous system.<\/p>\n They’ve landed on a new version of spin to report these studies. CO-MED was a bust. Were two antidepressants better that one as they hoped? The answer, "No":<\/p>\n But in interviews after the fact, it was a positive "now we finally know" study. This current CME is the same thing. The abject failures of TMAP, CO-MED, STAR*D<\/font><\/strong><\/a><\/u><\/font><\/strong>, CompTMAP, IMPACT are the reason<\/em> we need algorithms and computers – because the results are so dismal. The very algorithms that have let us down are the reason we need them??<\/em> Here are the results from Trivedi’s only completed computerized algorithm study [algorithmic psychiatry – the fall…<\/a><\/strong>]:<\/p>\n I just watched a remarkable video. It’s a CME video posted today on psychiatrist.com forwarded by someone who knew I’d enjoy it – and I did. It’s really quite remarkable. Madhukar Trivedi combines TMAP, CompTMAP, IMPACT, and STAR*D into a presentation extolling the virtues of his version of measurement based care using his program. Watching […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-10406","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/10406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=10406"}],"version-history":[{"count":13,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/10406\/revisions"}],"predecessor-version":[{"id":10419,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/10406\/revisions\/10419"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=10406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=10406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=10406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![](\"http:\/\/1boringoldman.com\/images\/cme-2.gif\")
<\/p>\nI particularly liked the STAR*D<\/font><\/strong><\/a><\/u><\/font><\/strong> relapse rates slide which leaves out that they started with 4000 subjects and the ones that made it to Level 4 could meet for group therapy.<\/div>\n![](\"http:\/\/1boringoldman.com\/images\/co-med-3.gif\")
<\/p>\n![](\"http:\/\/1boringoldman.com\/images\/impacts.gif\")
<\/p>\nThe statistical analyses from this study that found p<0.001 are unintelligible, but the graph speaks enough by itself – clinically trivial even if they found a way to make it statistically significant. This graph didn’t make it to the CME presentation. But I’ve got to give Trivedi credit. He’s like the energizer bunny, he just keeps on going and saying the same things – no matter what the evidence says or how many times it says it…<\/div>\n","protected":false},"excerpt":{"rendered":"