Residential OCD and anxiety treatment outcomes for children and teens

Adolescent OCD and Anxiety Residential 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.

Children and adolescents receiving treatment for OCD are assessed using two measures. These measures are utilized to quantify program efficacy and outcomes.  

  • Children’s Yale-Brown Obsessive Compulsive Scale (CYBOCS) – This 10-item measure rates the severity and type of symptoms. It measures both obsessions and compulsions and is used to monitor symptom improvement during treatment.
  • Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) – A 15-item self-report measure designed to measure the degree of enjoyment and satisfaction experienced by child and adolescent patients in various areas of daily functioning. Higher scores indicate great enjoyment and satisfaction.

Results

From February of 2015 until March of 2018, 206 adolescents admitted to our residential services completed measures at both admission and discharge. 46% were female and the mean age was 16 years (SD=1.1).

  • At time of residential admission, individuals report moderate OCD, as measured by the CYBOCS (m= 20.56, SD=9.46); at time of discharge individuals report mild levels of OCD (m= 10.75, SD=6.91). 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=45.19, SD=9.84), and discharged with a fair to good quality of life (m=56.31, SD=8.22). This is significant at the p<.001.

  • Many of our patients participate in our long term follow-up and are contacted one year post discharge by phone and email. Twelve months post discharge, the CYBOCS scores maintain at the mild level with patients reporting (m=12.18, SD=12.28) and a fair to good quality of life (m=56.45, SD= 14.22). The slight regressions are not statistically significant at follow-up.

Child Yale-Brown Obsessive Compulsive Scale
Pediatric Quality of Life Enjoyment and Satisfaction Scale

References:

  1. Scahill, L., Riddle, M.A., McSwiggin-Hardin, M., Ort, S.I., King, R.A., Goodman, W.K., Cicchetti, D. & Leckman, J.F. (1997). Children's Yale-Brown Obsessive Compulsive Scale: reliability and validity. J Am Acad Child Adolesc Psychiatry, 36(6):844-852.

  2. Endicott J, Nee J, Yang R, et al. Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q): reliability and validity. J Am Acad Child Adolesc Psychiatry2006;45:401–7.

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