Lindner Center of HOPE Patient Improvement Outcomes
As the field of medicine continues to place a greater importance on measuring outcomes, Lindner Center of HOPE recognized the need to measure and evaluate how effectively staff, programs and services deliver the mission. After evaluating scales upon which to measure outcomes, the Clinical Global Impressions (CGI) Scale was selected to measure illness severity based on clinician-rating of the patient using all available information and their clinical experience. The CGI is a global assessment of symptoms, behavior and impact of illness on function. The CGI is one of the best global measures of psychiatric illness severity in psychiatry.
The CGI-S scores range from 1 (normal, not at all ill) through to 7 (among the most severely ill).
1 = Normal, not at all ill
2 = Borderline mentally ill
3 = Mildly ill
4 = Moderately ill
5 = Markedly ill
6 = Severely mentally ill
7 = Among the most extremely ill patients
Usage of the Scale
The CGI-S (severity) is used at admission and discharge for both adult inpatient units, Sibcy House short-term residential unit and Adult Partial Hospitalization Program. The Mean of the CGI-S scores at admission and discharge are assessed as well as the mean of the change between scores from admission to discharge.
Interpretation of Results
Decrease in one point or more is considered clinically significant and meaningful improvement. These results align with positive patient satisfaction scores. The graphs represent all patients who received both a CGI score at admission and at discharge. The numbers above the bars represent the average score for those patients.