Adolescent depression partial hospitalization outcomes

Adolescent Depression Partial Hospitalization Outcomes

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.

Adolescents participating in our FOCUS residential mood disorder program are asked to routinely complete two instruments that assess the severity of their symptoms as well as co-occurring problems. These measures help us create individualized treatment plans addressing each person’s unique concerns, assess each person’s progress in treatment, and evaluate the overall effectiveness of our programs.

  • Quick Inventory of Depressive Symptomatology (QIDS) – Measures the overall severity of depression symptoms
  • Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) – 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.

Results

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 services 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 is 13 days.

  • At time of admission to the partial programs, 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.

Quick Inventory of Depressive Symptomatology
Pediatric Quality of Life Enjoyment and Satisfaction Scale

References:

  1. 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 psychiatry54(5), 573-583.

  2. Endicott, J., Nee, J., Harrison, W., & Blumenthal, R. (1993). Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacology bulletin.

Dr. Peggy Scallon on the importance of structured step-down treatment

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