Length of stay

The majority of people admitted to Cornerstone House have had long term inpatient stays in both NHS and private facilities or have had recurrent long admissions to acute units with limited periods of community living.

The average Length of stay for patients with personality disorder is one year three months. The average duration of hospital placement prior to admission is three years, six months. All have been discharged to either independent or supported living (as of October 2016). The average Length of stay for patients with complex treatment resistant psychosis is one year, 10 months (high dependency rehabilitation). The range of previous hospital placement duration prior to admission is between three to 17 years. All have been discharged to either independent or supported living. 

Outcomes are continuously monitored

The service uses the Anna Freud Centre’s web based Patient Owned Data (POD) system which has validated outcome measures that are completed by staff and patients at set intervals. We are in the process of reviewing our outcome measures to ensure that they are "fit for purpose". This will be agreed and implemented by the end of summer 2017.

The following scales may be used for personality disorder:

EQ5D 5L

A standardised instrument for use as a measure of health outcome.

GAD7

Standard IAPT measure for anxiety

OAS

The OAS is a therapist report measure of functioning that can demonstrate changes in behaviours demonstrated by people with PD.

PHQ9

Standard IAPT measure for depression

SAPAS:

A screening tool to detect the presence of a personality disorder.

WAI-SR

Measures the working alliance between the therapist and the patient.

WSAS

The WSAS is a simple, reliable and valid measure of impaired functioning; the majority of questions are suitable as a measure of social functioning.

WEMWBS

This is 7 point measure  that assesses  positive mental wellbeing

 

The following measures may be used for longstanding psychosis:

EQ5D 5L

A standardised instrument for use as a measure of health outcome.

WSAS

The WSAS is a simple, reliable and valid measure of impaired functioning; the majority of questions are suitable as a measure of social functioning.

WEMWBS

This is 7 point measure  that assesses  positive mental wellbeing

CANSAS

Measures proportion of met to unmet needs across 22 domains allowing a comparison of performance with time

SFQ

A measure of social functioning

PSYRATS

Measures the intensity and frequency of delusions and hallucinations

Recovery Star

Used as a care planning tool rather than an outcome measure