Partial hospitalization OCD and anxiety outcomes for children and teens

Child and Adolescent 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.

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

Across the Rogers system in multiple Child and Adolescent OCD partial hospitalization programs, we see a consistent level of improvement at all of our sites. From February of 2016 until March of 2018, 432 children and adolescents admitted to our partial hospitalization services, completed measures at both admission and discharge. 58% were female and the mean age was 13.96 years (SD=2.57). The average number of treatment days in partial hospitalization is 21 days.

  • At time of admission to the partial hospitalization programs individuals report moderate OCD, as measured by the CYBOCS (m= 16.84, SD=10.24); at time of discharge individuals report mild levels of OCD (m= 10.97, SD=8.74). 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 fair quality of life (m=45.67, SD=9.70), and discharged with a fair to good quality of life (m=53.35, SD=10.35). This is significant at the p<.001.

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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