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Practical uses of technology can contribute to a higher level of cost-effectiveness in clinical practice. To be specific, computer-assisted adjuncts to assessment, therapy, and documentation can save valuable clinician time. However, there must be an awareness within the field of the available resources and the possible areas for development. This article explores the ways in which computer software is affecting clinical practice.

Following an injury to her hand in an elevator door, an 11-year-old girl refused to ride in elevators. This was frequently a significant problem for her mother because elevator use was often necessary for both mother and daughter. Based on the child's choice of coping strategies, four self-calming statements were developed. A behavioral hierarchy was designed for in vivo exposure. Using the individualized coping strategies and exposure therapy, the child resumed elevator use without detectable fear. Heart rate and subjective self-reported fear ratings were monitored during treatment. By one year later no reocurrence was reported. [ABSTRACT FROM PUBLISHER]