Outcome

After discharge, we ask families to complete a few short surveys.

Family Satisfaction: Every three months our management group reviews survey results. We achieve, and strive to maintain 85% or better in every category.

Clinical Outcome for Neurobehavioral Services: After discharge, we ask families of children who were neurobehavioral patients to complete surveys. We strive to maintain a minimum outcome of no readmissions within one year of discharge for 85% or more of our discharged neurobehavioral patients.

Results compare outcome for patients who remained compliant with anticonvulsant medication one year post-discharge vs. those who were not compliant.

2003 to 2005*, outcome at one-year post-discharge:

Re-hospitalization: Compliant = 13% non compliant = 57%
Incarceration: Compliant = 0% non compliant = 43%
Decreased frequency of aggression: Compliant = 97% non compliant = 57%
Decreased severity of aggression: Compliant = 97% non compliant = 57%

2005 to 2006**, outcome at one-year post-discharge:

Decreased frequency of aggression: Compliant = 100% non compliant = 67%
Decreased severity of aggression: Compliant = 93% non compliant = 60%

* Wetherill, R., Kroll, G., Fisher, L., and Matthews, D. (2006). Youth with Impulsive Aggression: Anticonvulsant Medication Compliance and Outcome. Abstract of the Poster at the American Neuropsychiatric Association, La Jolla, CA, J. Neuropsychiatry Clin Neurosci 18: 252-255.

** Fisher, W., Kroll, G., Matthews, D., and Fisher, L. (2007). Youth with Impulsive Aggression: Anticonvulsant Compliance and Outcome for 2005-2006. Abstracts of the Poster at the American Neuropsychiatric Association, Tucson, AZ, J. Neuropsychiatry Clin Neurosci 19: 208.

Direct cause and effect of medication compliance and outcome:

No re-hospitalization 96 in 100 cases
No adjudication 997 in 1,000 cases
Decreased frequency of aggression 997 in 1,000 cases
Decreased severity of aggression 999 in 1,000 cases

Statistical probability was calculated by the University of Texas Department of Psychology. This provided an objective, unbiased analysis.

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