At Collective Care Clinic we are dedicated to the highest quality of care. You and your family’s health are our top priority. Sharing our treatment outcomes with our perspective patients and their families provides a level of transparency that is consistent with our approach to treatment and our investment in our community. We are proud to display our program outcomes at the intensive outpatient level of care after a year of our program serving our community.
Yale Brown Obsessive Compulsive Scale (YBOCS)
The Yale Brown Obsessive Compulsive Scale or YBOCS is a 10-item scale that measures the severity and type of symptoms associated with obsessive compulsive disorder (OCD). This scale measures both of the functional components of OCD, namely obsessions and compulsions and is a good measure to compare pre- treatment versus post-treatment effect. The YBOCS is the industry standard for measuring improvement over the course of treatment.
Patients who admit to our intensive outpatient program (IOP) report severe symptoms when they enter (m=25.21, SD=6.21). At discharge from our IOP program, patients report symptoms falling into the mild range (m=15.68, SD=6.56). We used a paired sample t-test to calculate our differences and they fall at the p=<.001.
Scores on the YBOCS range from 0 to 40. The following illustrates the range of scores found on the YBOCS:
- 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-SF)
The Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF) is a 16-item measure that assesses an individual’s enjoyment and satisfaction in daily life. Patients who enter our intensive outpatient program (IOP) experience improvement in quality of life and satisfaction measured by the Q-LES-Q-SF. Patients who admit to our IOP program show a poor to fair quality of life (m=38.75, SD=9.23). At discharge our patients show fair to good quality of life (m=46.29, SD=11.76). We used a paired sample t-test to calculate our differences and they fall at the p=<.002.
There is not an industry standard for understanding and interpreting the quality of Q-LES-Q-SF; however, Rogers Memorial Hospital has published the following categories to better understand patient’s quality of life:
- 80 = Very Good
- 64 = Good
- 48 = Fair
- 32 = Poor
- 16 = Very Poor
Patient Health Questionnaire – 9 (PHQ-9)
The Patient Health Questionnaire-9 (PHQ-9) is a 9-item measure that assesses an individual’s depressive symptoms. Patients who enter our intensive outpatient program (IOP) experience improvement in depressive symptoms over the course of the program measured by the PHQ-9. Patients who admit to our IOP display moderately severe depressed symptoms (m=15.41, SD=5.65). At discharge patients fall in the mild range of depressive symptoms (m=8.62, SD=4.55). We used a paired sample t-test to calculate our differences and they fall at the p=<.001.
Scores on the PHQ-9 range from 0 to 27. The following illustrates the range of scores found on the PHQ-9:
- 1-4 = Minimal Depression
- 5-9 = Mild Depression
- 10-14 = Moderate Depression
- 15-19 = Moderately Severe Depression
- 20-27 = Severe Depression
Social Interaction Anxiety Scale (SIAS)
The Social Interaction Anxiety Scale (SIAS) is a 40-item measure that assesses an individual’s distress when meeting and talking with others. Patients who enter our intensive outpatient program (IOP) experience an improvement in social anxiety symptoms over the course of the program measured by the SIAS. Patients who admit to our IOP meet full criteria for traditional social anxiety disorder (where individuals tend to experience social fears across many different contexts) (m=47.85, SD=13.22). At discharge individuals showed moderate social fears (m=35.69, SD=14.07). We used a paired sample t-test to calculate our differences and they fall at the p=.002.
There is not an industry standard for understanding and interpreting the SIAS; however, individuals tend to meet full criteria for a social anxiety disorder at scores of 43 or higher and tend to fall into a less symptomatic range at scores of 34-42:
- 43+ = Social Anxiety Disorder
- 34-42 = Moderate Social Fears
- <33 = Subclinical
- Brown, E. J., Turovsky, J., Heimberg, R.G., Juster, H.R., al, et (1997). “Validation of the Social Interaction Anxiety Scale and the Social Phobia Scale across the anxiety disorder”. Psychological Assessment. 9 (1): 21–27.
- Endicott, J., Nee, J., Harrison, W., & Blumenthal, R. (1993). Quality of Life Enjoyment and Satisfaction Questionnaire: a new measure. Psychopharmacology bulletin.
- 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.
- Kroenke, K; Spitzer, R.L.; Williams, J.B.W. (2001). “The PHQ-9: Validity of a Brief Depression Severity Measure”. Journal of General Internal Medicine. 16 (9): 606–613.
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