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.
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).