Outcomes
The pre-treatment and post-treatment outcomes for each case are outlined in Table 2. At post-treatment (after 18 sessions of CBT) Case 1 was ‘minimally improved’ based on the CGI, however the client had moved below a score of 4 on almost all of the room rating using both the client and clinician rated CIR, indicating the clutter no longer required clinical attention. The patient also showed moderate improvements in symptoms of generalized anxiety and on the GAF, but not depressive symptoms. At pre-treatment the patient was at risk of eviction, but at post-treatment the patient had not been evicted from the domicile. An audit of hospital admissions indicated readmission for HF/cardiovascular causes but not diabetes complications in Case 1.
Case 2 was rated as ‘much improved’ on the CGI post-treatment. On the CIR all rooms were rated below a 4 at post-treatment by both the client and the clinician indicating that the clutter was no longer at a clinical level. The patient also experienced significant reductions in symptoms of depression, moving from symptoms indicative of ‘moderately severe depression’ at baseline to ‘minimal depression’ at post-treatment [14]. A similar result was seen for symptoms of generalized anxiety, where the patient presented with ‘severe’ anxiety at pre-treatment and ‘minimal’ symptoms at post-treatment [19].
Case 3 declined CBT and did not complete post-assessment measures.