OCD AND ANXIETY
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 Posttraumatic Stress Disorder are routinely assessed to monitor treatment progress and program outcomes. Assessment tools are used to monitor the severity of Posttraumatic Stress Disorder symptoms as well as co-occurring disorders. The measures help us to create individualized treatment plans addressing each person’s unique concerns, assess progress in treatment, and evaluate the overall effectiveness of our programs.
PTSD Symptom Checklist (Civilian) 5.0 (PCLv)- This 20-item self-report measure is used to assess the symptoms of Posttraumatic Stress Disorder in civilians. The PCLv screens patients for PTSD and also assists in monitoring symptom change during and after treatment. The goal is to decrease the severity of symptoms for those we treat.
Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) – Posttraumatic Stress Disorder often decreases a person’s quality of life. This scale measures the overall enjoyment and satisfaction individuals experience across a number of life domains such as family relationships, work, and hobbies. Our goal is to improve the quality of life for those we treat.
From August 2016 until July 2018, 279 adults admitted to our partial hospitalization services completed measures at both admission and discharge. The mean age was 36 years (SD=12.4).
At time of admission, individuals reported more severe PTSD symptoms, as measured by the PCLv (m= 55.1 , SD=11.9); at time of discharge, individuals report reduction in their PTSD symptoms (m=41.5, SD=17.1). 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=42.6, SD=16.3), and discharged with a fair to good quality of life (m=51.9, SD=18.8). This is significant at the p<.001.
Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov.
Endicott, J., Nee, J., Harrison, W., & Blumenthal, R. (1993). Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacology bulletin.
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