Number of Patients Austen Riggs Center Patient Demographics Patient Gender Patient Age at Admission 80 75 70 66 Male 37% 60 50 56 58 48 41 40 Female 63% 30 20 10 18 to 20 21 to 24 25 to 30 31 to 40 41 to 50 51+ Age Range The median length of stay for patients at Austen Riggs is approximately five (5) months. Admissions Data, January 2011-June 2015; N=347
Austen Riggs Center Patient Demographics, cont. State of Residence at Admission * 3% - Canada 21% 8% 3% 3% 7% 27% 16% 7% 1% States with the most referrals: New York Massachusetts California Texas Florida Maryland Pennsylvania Admissions Data, January 2011-June 2015; N=347 *3% unreported
Diagnosis at Admission Austen Riggs Center Patients Diagnostically Complex Patients with an Average of Six Diagnoses Posttramautic Stress Disorder (PTSD) 30% Psychotic Spectrum Disorder 15% Treatment-Resistant Mood Disorder 91% One or More Personality Disorder (most often borderline) 80% Substance Use Disorder 42% Eating Disorder 18% Early Abuse, Neglect, Deprivation or Loss 60% One or More Potentially Lethal Suicide Attempts 49% Three or More Hospitalizations 60% 0% 10% 30% 40% 50% 60% 70% 80% 90% Admissions Data, January 2011 June 2015; N=347 & Perry, et al., 2009; N=219
Brief Symptom Inventory (BSI; Derogatis & Melisaratos, 1983) Austen Riggs Center Patients, January 2011-December 2014 2.1 2.18 1.9 1.7 1.5 1.68 1.81 1.3 1.1 1.43 1.21 1.29 1.42 0.9 Depression Anxiety Obsessive-Compulsive Global Severity Index (Overall) 0.99 Admission Discharge The BSI is a self reporting symptom inventory designed to provide multidimensional symptom measurement and is administered at: (1) Clinical Entry (Admission) and (2) Discharge. On average, patients reported statistically significant improvement in Depression, Anxiety, Obsessive-Compulsive feelings and overall severity of symptoms. Patient satisfaction surveys, January 2011-December 2014; N=115, mean length of treatment = 206 days ~ 7 months
Riggs patients who had been to another psychiatric hospital or residential treatment center 70% How discharged patients viewed their experience at Riggs compared to other treatment programs 66% 60% No 34% 50% 40% Yes 66% 30% 23% 10% 9% 0% Not Much Different Somewhat Better Much Better Of the 66% of discharged patients who had been to another psychiatric hospital or residential treatment center, 89% defined Riggs treatment as Better. Patient satisfaction surveys, March 2011-March 2015; N=165
Quality of Riggs Experience as Reported by Discharged Patients 50% 45% 40% Treatment Needs Met as Reported by Discharged Patients 43% Excellent 38% Good 47% 35% 30% 25% 32% 15% 10% 5% 2% 3% Poor 1% Fair 4% Average 10% 0% Most Many Some Very Few None 84% of discharged patients rate their experience at Riggs as Good or Excellent. 75% of discharged patients believe Riggs met many or most of their treatment needs. Patient satisfaction surveys, March 2011-March 2015; N=165
60% 50% 40% 30% 10% 0% Rating of Treatment Outcome as Reported by Interdisciplinary Treatment Teams 14% 56% 22% Markedly Improved Improved Unchanged Worse 8% 70% of discharged patients were rated as Improved by their Interdisciplinary Treatment Team Rating of Treatment Goals as Reported by Interdisciplinary Treatment Teams 82% of Treatment Goals were rated as at least Partially Achieved by discharged patients Interdisciplinary Treatment Teams 80% 60% 40% 0% 16% 66% 18% Achieved Partially Achieved Not Achieved Interdisciplinary Treatment Team surveys, March 2011-September 2014; N=271
Element of Treatment Overall Helpful Elements of Treatment as Reported by Discharged Patients Individual Psychotherapy 92% Social Work / Case Management 85% Psychopharmacology 82% Nursing Staff 81% Family Work 73% Therapeutic Community Program 69% 0% 10% 30% 40% 50% 60% 70% 80% 90% 100% Patient satisfaction surveys, March 2011-March 2015; N=165
60% 50% Live Independently 51% Life for Patients After Discharge from Riggs 40% 30% Have Paid Employment 28% Continue Education 31% Volunteer 25% Participate in Another Treatment Program 34% 10% 0% Over half of our patients live independently after treatment. Patient satisfaction surveys, March 2011-March 2015; N=165
Family Satisfaction Families consistently rate their satisfaction with the quality of treatment at Riggs as a 4 on a scale of 5 (with 5 being the best). 1 2 3 4 5 In addition, families rated the following questions as a 4 on a scale of 5: Would you recommend our program to others? Did your family member get the kind of treatment you wanted for him or her? Have the services your family member received helped him or her to deal more effectively with his or her problems? Family satisfaction surveys, March 2011-December 2014, N=184