Summit Eating Disorders and Outreach Program Outcome Study

I am please to share with you the results of Summit Eating Disorders and Outreach Program’s outcome study and patient satisfaction survey. Each patient that enters our Partial Hospitalization or Intensive Outpatient Program is tracked with respect to eating disorder symptoms. In addition, we survey patients with respect to their experiences at Summit.

We believe the first step in the treatment process is to stop the progression of the disorder and address initiating and sustaining biological factors. Initial therapeutic interventions target the eating disorder behavior. This is accomplished by utilizing a combination of support, supervision, and accountability through active involvement of the patient’s family and support system.

Once control of the eating disorder has been established, treatment focuses on the underlying psychological and social issues that may be contributing to the disorder. These issues may include:

• Depression
• Anxiety
• Negative self-concept
• Interpersonal struggles
• Difficulties expressing emotions

Our goals for our patients include abstinence from their eating disorder behaviors and identification and treatment of comorbid disorders that may be contributing to the maintenance of the disorders. Prior to advancing from our Partial Hospitalization Program we expect patients suffering from anorexia to reach an ideal body weight of 88% and to demonstrate an ability to manage most of their own meals. For patients suffering from Bulimia who are participating in our Partial Hospitalization Program, we expect them to abstain from compensatory behavior for at least a week and demonstrate an ability to abstain from eating disorder behaviors with minimal supervision.

The majority of patients who complete the Partial Hospitalization program transfer to our Intensive Outpatient Program. The treatment goals for this population include weight restoration to 95% of ideal body weight and abstinence of eating disorder behavior for at least 2 weeks. These goals are established to minimize the chance of relapse and the need for a higher level of care.

Results Outcome Study

The following results reflect patients who participated and completed treatment in our Intensive Outpatient Program and/or Day Treatment Program. Eighty percent of patients successfully complete the programs and only 3% of patients are referred to a higher level of care.

Intensive Outpatient Program
Patients suffering from Anorexia Nervosa
	Admission	Discharge
Ideal Body Weight %	82.15%	92.13%*	N= 39
Average length of stay 37 days
Patients suffering from Bulimia Nervosa
	Admission	Discharge
Bingeing	9.5	.58*	N= 39
Purging	11.52	.35	N= 67
Average length of stay 34 days

Day Treatment Program
Patients suffering from Anorexia Nervosa
	Admission	Discharge
Ideal Body Weight %	79.81%	89.20%*	N= 64
Average length of stay 34 days
Patients suffering from Bulimia Nervosa
	Admission	Discharge
Bingeing	16.04	1.00*	N= 48
Purging	16.18	1.12*	N= 48
Average length of stay 25.7 days
* Statistically significant results

These results demonstrate the efficacy of the programs in that patients who successfully complete our Intensive Outpatient or Day Treatment Programs engage in their eating disorder behavior significantly less at discharge which satisfies the initial goal of treatment.

Results Patient Satisfaction Survey

1 Strongly Disagree to 5 Strongly Agree

	IOP	PHP		IOP	PHP
My to Summit was handled initial call promptly.	4.3	4.4	My first group session was comfortable and welcoming.	4.4	4.4
I was treated professionally and respectfully at my intake appointment	4.7	4.8	The Process Groups has been helpful in gaining insight	4.4	4.3
If referred from IOP to DT, I understood clearly from my Individual therapist why I was being referred.		4.5	The LFT groups has been helpful in gaining insight	4	4.2
The Intake process was organized and efficient	4.3	4.4	The Mindfulness and or Mindful Living Groups has been helpful in gaining insight	4.5	3.9
The intake person oriented me to the designated treatment program I was referred to.	4.3	4.8	The Pillars of Recovery Groups has been helpful in gaining insight	4.1	4.2
I was treated professionally by the reception staff.	4.8	4.8	The DBT Group has been helpful in gaining insight	4.4	2.9
Overall I am satisfied with the services I have received	4.4	4.5	The Activity (Yoga/Pilates) Group have been beneficial and enjoyable	4.3	4
My Initial appointment with the Director of Admissions(DT) or Individual Therapist (IOP) was organized and informative	4.4	4.7	The Health Group (DT) has been informative		4.2
My initial appointment with the Registered Nurse was organized and informative (DT Only)		4.8	The Meal Outing Group (DT) has been helpful in gaining insight into myself		4.8
My initial appointment with the Registered Dietician was organized and informative	4.7	4.8	The FSG is educational and supportive for my support people	4.3	4.5
My initial appointment with the Financial and Human Resources Coordinator was organized and informative (DT Only)		4.9	The Multi Family Groups are supportive and educational for my support people.	4.2	4.3
My individual sessions with my therapist were useful in my learning new coping strategies and gaining insight	4.4	4.3	The Clinicians running the groups are well prepared and informative	4.3	4.6
My individual sessions with my therapist typically started on time and lasted the allotted 45 minutes	4.4	4.4	The material presented in the groups was useful and practical in my recovery	4.3	4.4
My family/couple sessions were useful and have benefited us	4.2	4.1	The clinicians running the groups typically start the groups on time	4.1	4.3

The program goal for patient satisfaction is to maintain a score above 4.25. The average for the above results is 4.38.

Thank you for the opportunity to work with your patients and we look forward to continuing our collaborative relationship.

Respectfully,
Tony Paulson, Ph.D.
Executive Director