Adults admitted to our day treatment or intensive outpatient treatment programs therapy complete process and outcomes measures throughout their treatment stay. The average number of treatment days in intensive outpatient care is 20 days. *Note that the treatment changes indicated below are our average change obtained. Treatment results vary by individual based on a variety of factors. Neither Better Living, nor any other evidence-based provider, can guarantee specific treatment outcomes.*
Change in OCD Symptoms
We use the Yale-Brown Obsessive-compulsive Scale (Y-BOCS) a 10-item measure to asses severity obsessive-compulsive. It distress, impairment, and time spent engaged in both obsessions and compulsions. It is one measure we use to monitor symptom improvement during treatment. Scores on the YBOCS range from 0 (no Symptoms) to 40 (Extreme Symptoms). Ranges of severity are: 0-7 Subclinical range, 8-15 Mild, 16-23 Moderate, 24-31 Severe, and 32-40 Extreme.
Our average client stay in higher level treatment is approximately 20 treatment days. We pride ourselves on discharging our clients back to their referral sources as quickly as possible. As soon as clients demonstrate enough change and ability to continue to make progress at the outpatient level – they are discharged back to referral sources.
Intolerance of Uncertainty
The IUS (Buhr & Dugas, 2002) is a 27-item measure of “intolerance of uncertainty”. The tendency to find uncertainty stressful and respond towards uncertainty with inaction or avoidance has been indicated as having a strong role in the etiology and maintenance of worry and disorders with high rumination. Items are rated 1 (Not at All Characteristic of Me) to 5 (Entirely Characteristic of Me). Scores on the IUS range from 27 to 135, with higher scores indicating more difficulty in the presence of uncertainty.
Believability of Anxious Thoughts (BAFT)
The BAFT (Herzberg et al., 2012) is a 23-item measure of the client’s tendency to believe anxious thoughts. Items range from 1 (Not Believable at All) to 7 (Completely Believable). Higher scores indicate a tendency to see anxious thoughts as believable and threatening. Herberg et al. (2012) indicate that clinically anxious samples typically score higher (M = 85.65, SD = 18.19) than in nonclinical samples (M = 50.10, SD = 16.88) and scores are responsive to treatment change.
Increases in Valued Action
The VLQ (Kitchens, Sandoz, Wilson, 2010) is a two-part 20 item measure of valued living over the past week. Items are rated across values domains with ratings of importance and action. Higher action scores indicate greater valued living. Items range from 1 behaving (Not at All Consistent with my Values) to 10 behaving (Completely Consistent with my Values). Time period is over the past week.
Behavioral Activation
The BADS-SF (Busch et al., 2008) is a brief measure of behavioral activation. Higher total scores indicate increased activation/reduced avoidance behaviors. Items are scored from 0 to 6, with higher scores indicating more engagement in activating activities. For complete scoring, see Busch et al. (2008).
Better Living Center for Behavioral Health has been awarded Behavioral Health Program Accreditation from The Joint Commission
(Dallas, Texas, Sept 2023) – Better Living Center for Behavioral Health has earned The Joint Commission’s Gold Seal of Approval® for Better Living Center for Behavioral Health Accreditation by demonstrating continuous compliance with its performance standards. The Gold Seal is a symbol of quality that reflects a healthcare organization’s commitment to providing safe and quality patient care.
Better Living Center for Behavioral Health underwent a rigorous, unannounced onsite review on September 14th & 15, 2023. During the visit, a team of Joint Commission reviewers evaluated compliance with behavioral health standards spanning several areas including clinical care and documentation, environment of care, infection prevention and control, leadership, medication management, and rights and responsibilities of the individual).
The Joint Commission’s standards are developed in consultation with healthcare experts and providers, measurement experts and patients. They are informed by scientific literature and expert consensus to help healthcare organizations measure, assess and improve performance. The surveyors also conducted onsite observations and interviews.
“As a healthcare accreditor, The Joint Commission works with healthcare organizations across care settings to inspire safer and higher quality of care that is more equitable and compassionate,” says Ken Grubbs, DNP, MBA, RN, executive vice president of Accreditation and Certification Operations and chief nursing officer, The Joint Commission. “Through collaborating on innovative solutions and evidence-based resources and tools, The Joint Commission helps drive improvement while maintaining accountability through our leading survey methods and standards. We commend Better Living Center for Behavioral Health for its commitment to advance safety, quality, equity and compassion for all patients.”
“We are honored to receive the accreditation of the Joint Commission. It is our mission to provide the best care to our clients and this honor demonstrates our efforts towards those ends.” Dr. Coreil, PhD, LP, LPC, Clinical Director and Dr. Dean McKay, ABPP, Chief Clinical Science Officer.
For more information, please visit The Joint Commission website.
