Nashotah Program Treatment Outcomes

Nashotah Program 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.

In our residential Nashotah program, individuals receiving treatment are asked to routinely complete several 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. Using two accepted instruments for measuring emotional regulation and quality of life, Rogers obtained self-reported outcomes from patients treated between 2016 and 2017 for 125 patients in the Nashotah program.

  • Difficulties in Emotional Regulation Scale (DERS)-Strategies. The DERS is a valid, widely used scale which measures emotional regulation deficits. The scale is composed by six subscales; clarity, nonacceptance, awareness, goals, impulsivity, strategies. One aspect of the assessment measures the patients’ belief that the strategies and skills they learn in treatment will help them cope with harmful behavior. The lower the score indicates more confidence in these treatment acquired skills. The graph below reflects the change in the DERS strategy assessment from admission to discharge.
  • Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) measures the overall enjoyment and satisfaction an individual experiences across a number of life domains such as family relationships, work, and hobbies, etc. Emotional dysregulation often decrease a person’s overall quality of life. Our goal is to improve the quality of life for those we treat. A higher score at discharge indicates a higher quality of life.

Results

From August of 2015 until March of 2018, 147 adolescents admitted to our residential services completed measures at both admission and discharge. The mean age was 16 years (SD=1.1).

  • At time of residential admission, individuals reported more severe emotional dysregulation, as measured by the DERS (m= 113.8, SD=15.3); at time of discharge, individuals reported reduction in their emotional dysregulation (m= 89.7, SD=14.8). 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=41.6, SD=8.64), and discharged with a fair to good quality of life (m=53.1, SD=9.85). This is significant at the p<.001.

Difficulties in Emotional Regulation Scale
Pediatric Quality of Life Enjoyment and Satisfaction Scale

References:

  1. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54

  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.

Jenna's Story

“It felt like I was with a group of girls who were the same as me with similar emotions.”

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