Clinical Psychology Services

Mental Health Services Audit

 

We believe referral agencies and the general public have the right to know which pathologies are being treated at Family Challenge and how successful our treatment services are. The following Audit report features a complete diagnostic breakdown of Family Challenge's client demographics, pathology representation and therapeutic outcomes over the past calendar year.

 

Client Demographics

Family Challenge is a specialist psychology clinic offering assessment, early intervention and treatment services to children, adolescents, adults and their families. The breakdown of ages for Family Challenge clients seen in 2010 are as follows:

  • Child (i.e. 3-11 years)
  • Adolescent (i.e. 12-17 years)
  • 18-25 years
  • 26-35 years
  • 36-50 years
  • 51+ years

 

Presenting Conditions

Diagnostic / pathology breakdown according to client presentions in 2010:

 

 

Depression

  • Major Depressive Disorder
  • Bipolar Disorder
  • Suicidal Ideation

 

Anxiety

  • Generalised Anxiety Disorder
  • Panic Disorder
  • Separation Anxiety
  • Post-Traumatic Stress Disorder
  • Phobic Disorder
  • Obsessive Compulsive Disorder

 

Externalising Difficulties

  • Conduct Disorder
  • Oppositional Defiance Disorder
  • Anger

 

Eating Disorders

  • Anorexia
  • Bulimia
  • Obesity
  

Relational Difficulties

  • Marriage
  • Parental
  • Inter-family relations
  • Social

 

ADHD

 

Aspergers/Autism

 

Other

  • Substance Abuse
  • Personality Disorder
  • Adjustment Disorder
  • Bereavement Disorder
  • Sexual Disorders
  • Intellectual Impairment
  • Sleep problems
  • Addictions
  • Downs Syndrome
  • Encopresis
  • Self Harm

 

General Therapeutic Outcomes

For the purpose of this Audit Report, Clinical Outcomes are measured by the Outcome Rating Scale (Miller & Duncan, 2000) and the Child Outcome Rating Scale (Duncan, Miller, & Sparks, 2003). Life functioning is measured along internationally benchmarked visual analog scales; scores above 25 fall in the normal functioning range; scores below 25 fall in the clinical range.

  • Individually (personal well-being)
  • Interpersonally (family, close relationships)
  • Overall

 

In General:

1. Clients presented with mean ORS of 21.2 (within the clinical range)
2. Clients achieved ratings in the normal functioning range by session 2
3. Clients demonstrated a maintained improvement (average ORS 29.7) by session 6

 

Therapeutic Outcomes by Pathology

Depression

Including Major Depressive Disorder, Bipolar Disorder and Suicidal Ideation.

Note: Child = 3-11 years; Adolescent = 12-17 years.

 

Anxiety

Including Generalised Anxiety, Panic Disorder, Separation Anxiety, Post-Traumatic Stress Disorder, Phobic Disorder and Obsessive Compulsive Disorder.

Note: Child = 3-11 years; Adolescent = 12-17 years.

 

Externalising difficulties

Including anger problems, oppositional behaviour and conduct disorder.

Note: Child = 3-11 years; Adolescent = 12-17 years.

 

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