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  • Quality Care: Measuring and Reporting Behavioral Health Outcomes

  • Rhode Island Hospital offers comprehensive behavioral treatment programs for infant, early childhood, adolescent, adult and geriatric populations. In an effort to evaluate the effectiveness of these programs and to improve patient outcomes, the staff at Rhode Island Hospital is engaged in ongoing efforts to measure the quality of our services and to implement improvements when necessary.

    Staff psychologists and psychiatrists treating adults and children meets routinely as part of a Lifespan health systemcommittee to measure and study quantifiable information on treatment outcomes that have been collected system-wide. The committee is empowered to:

    • explore how many patients are and are not receiving evidenced-based care that results in better outcomes
    • discuss and recommend how clinicians can be more effective in their treatment methods
    • identify and overcome obstacles to treatment so that patients receive the best care available

    Behavioral Programs: Improved Outcomes

    Hasbro Children's Hospital's GI Feeding Program

    The GI Feeding Program at Rhode Island/Hasbro Children's Hospital is an integrated, multi-disciplinary clinic housed within the division of gastroenterology, nutrition and liver diseases.

    To assess outcomes of children enrolled in the GI Feeding program that experience a complex of medical developmental and behavior problems based on feeding disorders, the staff of pediatric gastroenterologists, psychologists, nutritionists, and other therapists tracks each child's growth and meal time behavior.

    Children are weighed and measured at all clinic visits. Parents are asked to complete a standard questionnaire, the Behavioral Pediatric Feeding Assessment Scale (BPFAS), regarding mealtime behavior, at baseline and quarterly. This scale is a valid and reliable measure that reflects the frequency of positive and negative child meal time behaviors and the parents' feelings and strategies for managing these problems.

    Last year, the staff of the GI Feeding Program examined 70 children who completed baseline feeding evaluations and treatment. Mealtime behavioral questionnaires were completed quarterly on a subset of 35 of those patients. Significant increases in height and weight were noted from pre-to post treatment. Additionally, significant decreases in mealtime behavior resulted.

    See full description of the program, including contact information.

    Rhode Island Gambling Treatment Program

    The Rhode Island Gambling Treatment Program, located at Rhode Island Hospital, offers professional services for problem gamblers. In order to measure a clinician-rated change in patients at the Gambling Treatment Program, a Clinical Global Index (CGI) was used in a recent study.  The result of this measuring tool proved that seventy-five percent (75%) of the patients enrolled in the program were judged to be much or very much improved compared to their baseline visit.

    See a full description of the program, including contact information.

    Bariatric Surgery Program

    The Bariatric Surgery Program works with all of the surgeons in the State of Rhode Island who perform gastric bypass (or bariatric surgery for weight loss to conduct the pre-surgical clearance evaluations. See a full description of this program

    The focus of the program is to address the psychological issues relating to the prevalence of obesity in the United States, where more than 200,000 individuals underwent bariatric surgery in 2007, a nearly 900% increase from a decade ago.

    Bariatric surgery is often the recommended intervention for those needing to lose a substantial amount of weight, as the results have proved favorable. Unfortunately, weight loss is neither universal nor guaranteed. Poor post-surgical outcomes have been associated with picking/nibbling, subjective or objective binge eating and emotional eating.

    In a recent study at Lifespan's hospitals, including Rhode Island Hospital, patients participated in 5 of 6 therapy sessions before being cleared for bariatric surgery. Patients reported the weekly frequency of picking/nibbling, binge eating (objective or subjective), and emotional eating at the time of each individual or group therapy appointment.

    Outcomes for patients participating in these therapy sessions proved that emotional, binge and nibbling/picking eating decreased. Therapy sessions are an integral part of the program. Get additional details, including contact information.