1 / 14

Brian Hansen, BS Tyler Pedersen, PhD Tom Golightly, PhD John Okishi, PhD

An Empirical Investigation of National Depression Screening Day: Are We Wasting Time and Money? Does it Even Work?. Brian Hansen, BS Tyler Pedersen, PhD Tom Golightly, PhD John Okishi, PhD Counseling and Career Center Brigham Young University April, 2011.

marva
Download Presentation

Brian Hansen, BS Tyler Pedersen, PhD Tom Golightly, PhD John Okishi, PhD

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. An Empirical Investigation of National Depression Screening Day: Are We Wasting Time and Money? Does it Even Work? Brian Hansen, BS Tyler Pedersen, PhD Tom Golightly, PhD John Okishi, PhD Counseling and Career Center Brigham Young University April, 2011

  2. National Depression Screening Day (NDSD): • Beginning in 1991, NDSD a major form of community mental health outreach • Conducted at more than 3,000 sites across the country each year • 625 colleges and universities participate • More than 85,000 individuals personally screened • At Brigham Young University: • 45 hours personal screening32 hours in housing24 hours handouts/booth___________________101 clinician hours this year

  3. Worth the Cost? • Little to no empirical data about effectiveness • Demands time from other services • Resistance from faculty • Accountability to administration • What value does outreach provide?

  4. NDSD at BYU Counseling Center: • BYU: 32,000 students • CCC: 26 tenure-track faculty, 20+trainees • Nearly every year for 10+ years • Advertised via student newspaper, flyers, housing units, courses, bribed with brownies • 150-200+ screenings completed by students • Personal meeting with licensed therapist/ graduate trainee • Screen for PTSD and GAD • Referred to counseling services if meet criteria

  5. Research Questions: • Does NDSD successfully identify students who are in need of counseling services? • Do referred students differ from “typical” outpatient students currently receiving therapy in terms of initial severity/other demographic information? • Do students who are referred come to treatment? • Do students who come to treatment benefit from services? Compared to “typical” individuals seeking treatment?

  6. Method: • Screen students for NDSD • Track all students referred from NDSD to the CCC for therapy • Assess initial levels of distress from NDSD referrals • Track psychotherapy outcome of NDSD referrals vs. ‘typical’ referrals/patients • 2005, 2007, 2008, 2009, 2010 • OQ-45 completed at intake, each session

  7. OQ-45 • Symptom Distress (SD): • Interpersonal Relations (IR): • Social Role (SR): • 45-item self-report outcome/tracking instrument designed for repeated measurement of client progress throughout the course of therapy • Higher scores indicate high levels of distress (highest possible score = 180) • “Normal stress” = Total score of 43.5 • “Recovery line” = Total score of 63.5

  8. Results: Approximately 20% of those screened are referred for follow-up. Approximately 7-10% become new clients of the CCC.

  9. Treatment Response: Intake total: (t = 4.471, p < .001) SD subscale: (t = 4.832, p < .001) SR subscale: (t = 4.217, p < .001)

  10. Change in Distress OQ-45 • NDSD clients benefit more from therapy

  11. Other Research Questions • Earlier results (2007) indicated NDSD participants more likely to be: male, international, married; use more sessions (2). • 2010 Analysis: • Slight difference in gender from typical TAU client • NDSD 45% male, 55% female • Total sample: 39% male, 61% female • No true difference in international status • NDSD: 11% international, Total sample: 10 % • Slight difference in number of sessions (3.1 vs. 3.8)

  12. Previous Summary (05-09):

  13. Discussion: • Clients who are screened at NDSD and then and attend follow-up therapy are more distressed than our typical clients. • NDSD clients experience more improvement than our typical client. • NDSD reaches at least some students who are significantly distressed and who benefit from our services.

  14. Thank You Brian Hansen ccc.byu.edu/cc brianpaulhansen@gmail.com (801) 310-2133

More Related