Residential OCD and anxiety treatment outcomes for children and teens

OCD & Anxiety Proven Outcomes

OCD and Anxiety Care at Rogers

We know that as hard as it is to live with OCD and anxiety, sometimes it’s even harder to ask for help. When you or your child are ready, we’re here with the most comprehensive treatment offerings available for kids, teens, and adults. Learn more.


Adult residential outcomes

Results

From June of 2012 until March of 2018, 777 adults in our residential services completed measures at both admission and discharge. 49% were female and the mean age was 30 years (SD=12.07).

Many of our patients participate in our long term follow-up. Patients are contacted 12 months post discharge by phone and email. One year post discharge, the YBOCS scores maintain at the mild level with patients reporting (m=14.70, SD=8.25) and a fair to good quality of life (m=55.35, SD= 12.74).

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.

At time of admission to our residential care, individuals report severe OCD, as measured by the YBOCS (m= 25.23, SD=7.24); at time of discharge individuals report mild levels of OCD (m= 15.47, SD=7.52). Utilizing paired sample t-tests, we find that these differences are statistically significant at the p< .001.

Scores range from 0 (no symptoms) to 40 (extreme symptoms). Patients scoring in the mild or higher range are likely experiencing a significant negative impact on their quality of life.

Severity Range:

  • 0-7 = Subclinical
  • 8-15 = Mild
  • 16-23 = Moderate
  • 24-31 = Severe
  • 32-40 = Extreme

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.

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=40.62, SD=12.15), and discharged with a fair to good quality of life (m=61.71, SD=13.78). This is significant at the p<.001.  

Though there is not an industry standard for interpreting score results, Rogers uses the following categories to evaluate our patients’ assessment of their quality of life:

  • 80 - very good
  • 64 - good
  • 48 - fair
  • 32 - poor
  • 16 - very poor

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.

Adult partial hospitalization outcomes

Results

Across Rogers’ OCD partial hospitalization care 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 care, 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 care is 19 days.

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.

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. 

Scores range from 0 (no symptoms) to 40 (extreme symptoms). Patients scoring in the mild or higher range are likely experiencing a significant negative impact on their quality of life.

Severity Range:

  • 0-7 = Subclinical
  • 8-15 = Mild
  • 16-23 = Moderate
  • 24-31 = Severe
  • 32-40 = Extreme

 


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.

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.

Though there is not an industry standard for interpreting score results, Rogers uses the following categories to evaluate our patients’ assessment of their quality of life:

  • 80 - very good
  • 64 - good
  • 48 - fair
  • 32 - poor
  • 16 - very poor

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.


Adolescent residential outcomes

Results

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

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.

 

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.

At time of residential care 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.

Scores range from 0 (no symptoms) to 40 (extreme symptoms). Patients scoring in the mild or higher range are likely experiencing a significant negative impact on their quality of life.

Severity Range:

  • 0-7 = Subclinical
  • 8-15 = Mild
  • 16-23 = Moderate
  • 24-31 = Severe
  • 32-40 = Extreme

 


Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q)

This 15-item self-report measure is 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.

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.

Though there is not an industry standard for interpreting score results, Rogers uses the following categories to evaluate our patients’ assessment of their quality of life:

  • 80 - very good
  • 64 - good
  • 48 - fair
  • 32 - poor
  • 16 - very poor

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.

Child residential outcomes

Results

From September of 2015 until March of 2018, 90 children who were admitted to our residential care completed measures at both admission and discharge. 52% were female and the mean age was 12 years (SD=1.23).

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=7.7).

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.

At time of admission to the residential programs, children report moderate OCD, as measured by the CYBOCS (m= 18.40, SD=10.46); at time of discharge individuals report mild levels of OCD (m= 7.78, SD=7.22). Utilizing paired sample t-tests, we find that these differences are statistically significant at the p< .001. 

Scores range from 0 (no symptoms) to 40 (extreme symptoms). Patients scoring in the mild or higher range are likely experiencing a significant negative impact on their quality of life.

Severity Range:

  • 0-7 = Subclinical
  • 8-15 = Mild
  • 16-23 = Moderate
  • 24-31 = Severe
  • 32-40 = Extreme

 


Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q)

This 15-item self-report measure is 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.

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=46.42, SD=10.93), and discharged with a fair to good quality of life (m=58.70, SD=8.82). This is significant at the p<.001.

Though there is not an industry standard for interpreting score results, Rogers uses the following categories to evaluate our patients’ assessment of their quality of life:

  • 80 - very good
  • 64 - good
  • 48 - fair
  • 32 - poor
  • 16 - very poor

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.

Child and adolescent partial hospitalization outcomes

Results

Across the Rogers system in multiple Child and Adolescent OCD partial hospitalization care locations, 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 care, 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 care is 21 days.

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.

At time of admission to our partial hospitalization care 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. 

Scores range from 0 (no symptoms) to 40 (extreme symptoms). Patients scoring in the mild or higher range are likely experiencing a significant negative impact on their quality of life.

Severity Range:

  • 0-7 = Subclinical
  • 8-15 = Mild
  • 16-23 = Moderate
  • 24-31 = Severe
  • 32-40 = Extreme

 


Pediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q)

This 15-item self-report measure is 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.

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.

Though there is not an industry standard for interpreting score results, Rogers uses the following categories to evaluate our patients’ assessment of their quality of life:

  • 80 - very good
  • 64 - good
  • 48 - fair
  • 32 - poor
  • 16 - very poor

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.


OCD and Anxiety Success Stories

Katie's Story

Real people sharing what they have overcome and how Rogers helped through their process.

Katie wins her life back from OCD with ... Read More

Next Steps

Treatment for OCD and anxiety disorders

OCD and anxiety care

We know that as hard as it is to live with OCD and anxiety, sometimes it’s even harder to ask for help. When you or your child are ready, we’re here.

Care Info

Free screening

OCD and anxiety screening

A specialist will, at no charge, recommend the appropriate level of care over the phone.

Free Screening

OCD quiz

Wondering if you might have obsessive compulsive disorder?

Take a short quiz to learn more.

Take the Quiz

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.

Call 800-767-4411 or go to rogersbh.org to request a free screening.