Falling through the cracks in science and clinical service – A call to action for people with OCD

Dyason, Katelyn M.; Farrell, Lara J.; Manning, Elizabeth E.; Grisham, Jessica R.; Perkes, Iain

doi:10.1177/00048674221125595

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Given the rise of telehealth services in delivery of routine care, we would recommend clinician-facilitated telehealth delivery of CBT-ERP for children who cannot access local in-person CBT-ERP. Government funding of OCD-specific treatment services and models of care (at least in Australia, Dyason et al, 2022 ) are needed to support the wider implementation of high-quality care for children and families struggling with OCD. In sum, though significant progress has been made in the treatment of youth with OCD, we cannot rest upon our laurels as much remains to be accomplished.…”

Section: Evaluation and Implementation In Practice: Future Directionsmentioning

confidence: 99%

Closing the Gap for Children with OCD: A Staged-Care Model of Cognitive Behavioural Therapy with Exposure and Response Prevention

Farrell

Waters

Storch

et al. 2023

Clin Child Fam Psychol Rev

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Childhood obsessive–compulsive disorder (OCD) is among the most prevalent and disabling mental health conditions affecting children and adolescents. Although the distress and burden associated with childhood OCD are well documented and empirically supported treatments are available, there remains an unacceptable “treatment gap” and “quality gap” in the provision of services for youth suffering from OCD. The treatment gap represents the large number of children who never receive mental health services for OCD, while the quality gap refers to the children and young people who do access services, but do not receive evidence-based, cognitive behavioural therapy with exposure and response prevention (CBT-ERP). We propose a novel staged-care model of CBT-ERP that aims to improve the treatment access to high-quality CBT-ERP, as well as enhance the treatment outcomes for youth. In staged care, patients receive hierarchically arranged service packages that vary according to the intensity, duration, and mix of treatment options, with provision of care from prevention, early intervention, through to first and second-line treatments. Based on a comprehensive review of the literature on treatment outcomes and predictors of treatments response, we propose a preliminary staging algorithm to determine the level of clinical care, informed by three key determinants: severity of illness, comorbidity, and prior treatment history. The proposed clinical staging model for paediatric OCD prioritises high-quality care for children at all stages and levels of illness, utilising empirically supported CBT-ERP, across multiple modalities, combined with evidence-informed, clinical decision-making heuristics. While informed by evidence, the proposed staging model requires empirical validation before it is ready for prime time.

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Section: Evaluation and Implementation In Practice: Future Directionsmentioning

confidence: 99%

Closing the Gap for Children with OCD: A Staged-Care Model of Cognitive Behavioural Therapy with Exposure and Response Prevention

Farrell

Waters

Storch

et al. 2023

Clin Child Fam Psychol Rev

Self Cite

View full text Add to dashboard Cite

show abstract

“…To the Editor Dyason et al (2022) put the case for a comprehensive strategy to address the needs of people in Australia who live with obsessive-compulsive disorder (OCD). Here, we broaden that argument to include Aotearoa New Zealand.…”

mentioning

confidence: 99%

Letter to the Editor regarding ‘Falling through the cracks in science and clinical service – A call to action for people with OCD’

Maw¹,

Bowden

2022

Aust N Z J Psychiatry

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Falling through the cracks in science and clinical service – A call to action for people with OCD

Cited by 2 publications

References 6 publications

Closing the Gap for Children with OCD: A Staged-Care Model of Cognitive Behavioural Therapy with Exposure and Response Prevention

Closing the Gap for Children with OCD: A Staged-Care Model of Cognitive Behavioural Therapy with Exposure and Response Prevention

Letter to the Editor regarding ‘Falling through the cracks in science and clinical service – A call to action for people with OCD’

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