“All we have to do is get serious about keeping score.”
– Philip Tetlock and Dan Gardner, Superforecasting.
CCA is the only clinic in the country that we are aware of that tracks and publicly reports their outcomes for accountability and transparency. The figure on the left below shows that children whose primary issue was posttraumatic stress disorder (PTSD) who were treated in our clinic for at least 3 months decreased their PTSD severity by an average of 50%. Symptoms were measured with the standardized Child PTSD Checklist (CPC; Scheeringa, 2010). CCA actually treated 93 youth for PTSD but many of them improved and ended treatment before the 3-month mark where we measure their outcomes.
The figure on the right below shows similar data for children for whom depression was their main problem. Depression severity was measured with the Centers for Epidemiological Studies Depression scale (CES-D). CCA treated 44 youth with depression.
Evaluation by MD $250
Evaluation by LCSW $150
Psychotherapy 1 hour $100
Medication management $150
CCA treated 144 children and teens for anxiety disorders. The figure below shows that their symptoms reduced 20% on average, however this success rate was brought down by a proportion of patients who show minimal improvement. Actually, nearly half of the group improved by more than 40%, and one in six patients improved by more than 60%. Because functional impairment sometimes improves even when it does not appear that symptoms improve, we started using a new measure that tracks functional impairment as opposed to symptoms (n=6), and so far we are seeing impairment reductions of 56%!