Outpatient OCD and Anxiety Treament Outcomes for Adults

Adult OCD and Anxiety 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.

Individuals receiving treatment for OCD are routinely assessed to monitor treatment progress and program outcomes. Three tools are used to monitor various aspects of our programs:  

  • Yale Brown Obsessive Compulsive Scale (YBOCS) – 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.
  • Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) – This 16-item self-report measures the degree of enjoyment and satisfaction experienced in various areas of daily functioning. Composed of 14 general activity items and two additional items on medication satisfaction and overall life satisfaction item.

Results

Across Rogers’ OCD partial hospitalization programs across the country, we see a consistent level of improvement at all of our sites. From June of 2012 until March of 2018, 919 adults who were admitted to our partial hospitalization services, completed measures at both admission and discharge. 55% were female and the mean age was 30.12 years (SD=12.17). The average number of treatment days in partial hospitalization is 19 days.

  • At time of admission, individuals report moderate OCD, as measured by the YBOCS (m= 21.62, SD=8.22); at time of discharge individuals report mild levels of OCD (m= 14.08, SD=7.42). 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 Q-LES-Q-SF.  Patients admitted with a poor to fair quality of life (m=46.50, SD=14.05), and discharged with a fair to good quality of life (m=61.70, SD=14.88). This is significant at the p<.001.

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

References:

  1. Goodman, W.K; Price, L.H; Rasmussen, S.A; et al. (1989). "The Yale–Brown Obsessive–Compulsive Scale. I. Development, use, and reliability". Arch Gen Psychiatry. 46 (11): 1006–1011

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

Riley's Story

When Riley Tino is diagnosed with OCD, it not only affects him but his entire family. The story of the Tinos road to recovery and how mental illness ... Read More

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