Program Directory
OCD AND ANXIETY
Eating Disorders
From August of 2014 until March of 2018, 759 adults admitted to our residential care completed measures at both admission and discharge. Of these patients 56% were female and the mean age was 26 years (SD=10.52).
Many of our patients participate in our long term follow-up. Patients are contacted 1-year post discharge through telephonic and electronic means. Twelve months post discharge, the QIDS scores maintains at the mild level with patients reporting (m=9.85, SD=6.36) and a fair quality of life (m=49.18, SD= 11.69).
The Quick Inventory of Depressive Symptomatology (QIDS) measures the overall severity of depression symptoms.
At time of admission to our residential care, individuals report severe depression, as measured by the QIDS (m= 16.28, SD=5.17), at time of discharge individuals report mild levels of depression (m= 9.29, SD=5.37). Utilizing paired sample t-tests, we find that these differences are statistically significant at the p< .001.
Scores range from 0-27. Higher scores indicate greater severity of depression symptoms.
Severity Range:
The Quality of Life Enjoyment and Satisfaction Questionnaire measures the overall enjoyment and satisfaction individuals experience across a number of life domains such as family relationships, work, hobbies, etc. Our goal is to improve the quality of life for those we treat.
Additionally, patients have statistical improvements in quality of life, measured by the Q-LES-Q-SF. Patients admitted with a poor to fair quality of life (m=42.74, SD=12.84), and discharged with a fair to good quality of life (m=62.82, SD=14.28) this is significant at the p<.001.
Though there is not an industry standard for interpreting score results, Rogers uses the following categories to evaluate our patients’ assessment of their quality of life:
References:
Rush, A. J., Trivedi, M. H., Ibrahim, H. M., Carmody, T. J., Arnow, B., Klein, D. N., ... & Thase, M. E. (2003). The 16-Item Quick Inventory of Depressive Symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): a psychometric evaluation in patients with chronic major depression. Biological psychiatry, 54(5), 573-583.
Endicott, J., Nee, J., Harrison, W., & Blumenthal, R. (1993). Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacology bulletin.
Across the system we see a consistent level of improvement at all of our sites. From August of 2014 until March of 2018, 997 adults admitted to our partial hospitalization care, completed measures at both admission and discharge. Of these patients, 67% were female and the mean age was 31.22 years (SD=12.9). The average number of treatment days in partial hospitalization care is 16 days.
At time of admission to our partial hospitalization care, individuals report severe depression, as measured by the QIDS (m= 15.00, SD=5.52); at time of discharge individuals report mild levels of depression (m= 10.54, SD=5.48). Utilizing paired sample t-tests, we find that these differences are statistically significant at the p< .001.
Measures the overall enjoyment and satisfaction individuals experience across a number of life domains such as family relationships, work, hobbies, etc. Our goal is to improve the quality of life for those we treat.
Additionally, patients have statistical improvements in quality of life, measured by the Q-LES-Q-SF. Patients admitted with a poor to fair quality of life (m=43.39, SD=13.89), and discharged with a fair to good quality of life (m=55.78, SD=14.91). This is significant at the p<.001.
From February of 2018 until Sept of 2018, 701 adults admitted to our inpatient care completed measures at both admission and discharge. 44% were female and the mean age was 34 years (SD=13.0).
At time of admission, individuals report severe depression, as measured by the QIDS (m= 16.93, SD=5.63); at time of discharge individuals report mild levels of depression (m=8.17, SD=5.27). Utilizing paired sample t-tests, we find that these differences are statistically significant at the p< .001.
From February of 2016 until March of 2018, 168 adolescents who were admitted to our adolescent residential care completed measures at both admission and discharge. Of these patients, 68% were female and the mean age was 16 years (SD=1.30).
At time of admission to our residential care, adolescents report moderate depression, as measured by the QIDS (m= 14.46, SD=5.52); at time of discharge individuals report mild levels of depression (m=7.37, SD=5.34). Utilizing paired sample t-tests, we find that these differences are statistically significant at the p< .001.
Additionally, patients have statistical improvements in quality of life, measured by the PQ-LES-Q-SF. Patients admitted with a poor to fair quality of life (m=40.42, SD=9.01), and discharged with a fair to good quality of life (m=51.50, SD=10.75) this is significant at the p<.001.
Across the Rogers system, we see a consistent level of improvement at all of our sites. From February of 2016 until March of 2018, 93 adolescents who were admitted to our partial hospitalization care completed measures at both admission and discharge. Of these patients 71% were female and the mean age was 15 years (SD=1.6). The average number of treatment days in partial hospitalization care is 13 days.
At time of admission to our partial hospitalization care, adolescents report moderate depression, as measured by the QIDS (m= 12.37, SD=5.64), at time of discharge individuals report mild levels of depression (m= 9.30, SD=4.57). Utilizing paired sample t-tests we find that these differences are statistically significant at the p< .001.
Additionally, patients have statistical improvements in quality of life, measured by the PQ-LES-Q-SF. Patients admitted with a poor to fair quality of life (m=43.80, SD=9.87), and discharged with a fair to good quality of life (m=46.50, SD=9.87) this is significant at the p<.001.
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Depression, bipolar disorder, and other mood disorders are very treatable. At Rogers, you can access a wide array of care that encompass mood disorders for children, teens, and adults.
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Rogers Behavioral Health has more than 20 years of commitment and investment in outcomes studies, with nearly 10,000 of our patients participating. Patients who agree to participate are asked at admission and discharge to complete a series of questionnaires; follow-up calls on progress are made periodically after discharge.
Study findings are used by our treatment teams to examine the effectiveness of our clinical program and to make improvements. The findings are also presented at national and international conferences and published in peer-reviewed medical literature.
Overall, our outcome data consistently have shown that our residential and partial hospitalization treatment centers offer effective treatment, and newer studies under way are demonstrating similar consistency in outcomes for our partial hospital level of outpatient care. In selected programs where we have reached out one year after they leave the program, past patients report that they’ve been able to maintain the gains they made during treatment. With the implementation of our Cerner electronic health record, we are gaining additional understanding of our clinical effectiveness across service lines, levels of care and throughout our system, including our regional network of outpatient centers. With this knowledge, we are gaining insights that contribute to real-time adjustments in care and help us confirm the impact of evidence-based care upon outcomes.
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