Traumatic Stress Service Information on Outcomes

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    Lancashire Traumatic Stress Service-Information on Outcomes

    If you are considering using our service then it seems reasonable to us that you might want to know something about how effective we are and how other patients have felt about using our service.

    Below we provide regularly updated information about clinical outcomes and patient experience.

    We collect information about symptoms and about patient experience at each appointment and so we always have information from a patient’s last visit to the service. This information is included in some of the tables below.

    GRAPH  1

    This graph provides information on the levels of symptoms at the time of the initial assessment and at the time of the completion of treatment.

    There are two graphs . The first – the one in red is a summary of the pre and post scores on the Clinician Administered PTSD Scale for DSM IV (CAPS for DSMIV).

    The graph shows that for those patients who do complete treatment, there is, on average, a clinically significant reduction in their levels of trauma symptoms.

    Since the introduction of DSM 5 the LTSS has switched to using the Clinician Administered PTSD Scale for DSM5 (CAPS for DSM5). The second graph – the one in blue is a summary of the pre and post scores on this new measure and continues to show that for those individuals who complete treatment, there is a clinically significant reduction in their levels of trauma symptoms.

    A comparison of average Pre and Post CAPS for DSM IV Scores for Completed Treatment Cases

    A comparison of average Pre and Post CAPS for DSM 5 Scores for Completed Treatment Cases from April 2015

    CAPS FOR DSM 5 CATEGORIES

    0-20     MILD

    20-40   MODERATE

    40-60   SEVERE

    60-80   EXTREME

    GRAPH 2

    This graph illustrates changes in symptoms of depression (BDI) and anxiety (BAI) for those patients who complete treatment.

    Again the graph shows that for those patients who do complete treatment, there is a significant reduction in levels of anxiety and depression.

    A comparison of average Pre and Post BDI and BAI scores for Completed Treatment Cases to May 2019

    GRAPH 3

    This graph shows changes in scores on the three assessments that all patients complete at every appointment they attend.  This means that the scores include those patients who completed treatment and those patients who, for whatever reason, dropped out before the completion of treatment.

    There are three separate assessments

    PHQ-9 -  This assessment helps to determine the level of severity of depression.

    GAD-7 -  This assessment helps to determine the level of anxious feelings.

    WSAS -  This assessment helps to determine changes in levels of social  inclusion, work, leisure and relationships.

    The scores on all three of these measures show that there are, on average, positive improvements in the areas we assess.    

    A comparison for average initial and final PHQ-9, GAD-7 and WSAS scores for all treatment cases to May 2019

     

    GRAPH 4

    This graph shows changes in scores on the three assessments that all patients complete at every appointment they attend.  This means that the scores include those patients who completed treatment..

    There are three separate assessments

    PHQ-9 -  This assessment helps to determine the level of severity of depression.

    GAD-7 -  This assessment helps to determine the level of anxious feelings.

    WSAS -  This assessment helps to determine changes in levels of social  inclusion, work, leisure and relationships.

    The scores on all three of these measures show that there are, on average, positive improvements in the areas we assess.

    A comparison for average initial and final PHQ-9, GAD-7 and WSAS scores for all completed treatment cases to May 2019


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