Upon admission, each patient receives a diagnostic assessment and completes an array of objective measures. These assessments are administered by our OCDI Office of Clinical Assessment and Research. We use the information to establish a treatment plan that incorporates the best therapies and strategies for addressing the patient’s symptoms, meeting challenges, and setting goals.
By establishing a critical baseline of symptoms, we can also track progress throughout the duration of treatment and even after patients have returned home. OCD takes many forms. Consistent reevaluation allows us to monitor our patients’ gains.
With permission from the patient, we make use of the data we collect clinically to answer important questions about OCD and how to best treat it. Having a team devoted entirely to clinical assessment and research is invaluable, as it helps us better serve our patients and continually improve our program while we search for new and innovative ways to treat OCD.
Residents and partial hospital (day program) patients follow the same structured schedule, a combination of group, family, and individual therapy targeted at reducing the severity of the patient’s symptoms and providing the individual with tools to prevent relapse. The schedule is designed to engage patients in their treatment. Each day is carefully planned with ample time for self-focus and group work and to maintain the important balance between work and leisure.
Each patient works with a behavioral therapist (a licensed psychologist or social worker) several times a week. The therapist develops a plan that serves as a guideline for staff to ensure quality and consistency in treatment. The plan identifies obsessions, compulsions, and avoidance behaviors, provides a menu of exposures for staff to implement, and recommends special instructions for each patient.
Patients meet with a psychiatrist weekly, or more frequently if required, for medication management. The nursing and counseling staff are also certified in medication administration.
In general, group therapy focuses on helping patients become more open and willing to participate in treatment. Groups also include topics like decreasing behavioral symptoms; increasing normalized family, work, and social functioning; and improving access to education and support.
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Through group therapy we teach skills in areas where people with OCD typically have deficits, including becoming more fully engaged in treatment by learning mindfulness, scheduling, social skills, and goal setting. There are also a wide assortment of groups pertaining to specific symptoms that allow patients to learn key interventions for their individual diagnoses.
The specifics of the day’s schedule vary from day to day so that on a weekly basis group therapy covers a wide range of topics including mindfulness, motivation, cognitive behavior therapy, expressive therapies, and more. We also incorporate both didactic and skills-based groups, as well as activity therapies.
Research shows that expressive therapies such as music and art improve clinical and behavioral outcomes, reduce stress and anxiety, and give patients a better sense of well-being. We offer a holistic balance of yoga and mindfulness as well as music and art therapy classes, run by a team of expressive therapists who specialize in mental health care.
As a component of treatment, we take our residents on community outings, such as outdoor recreation, movie theaters, shopping, and museums to practice newly acquired skills.
The OCDI leads the way in the advancement of clinical care, education, and research to help patients, families, and health care providers understand and more effectively treat OCD.
Our care for children and adolescents also extends to academics. Certified teachers who are extensively trained in mental health settings work with the children and teens’ local school districts for two hours of tailored instruction per day. Through this service, we create a supportive learning environment in which children can continue their studies and earn school credit during their stay.
The priority of family therapy is to provide education about OCD that best supports the patient’s home life. This can mean working to stop accommodating behaviors, which are very common in the families of people with OCD. Families also learn more helpful responses to a patient’s symptoms in the home environment. This close alliance and education of the family system significantly helps the patient transition back home successfully once treatment is over, and also helps to reduce the likelihood of relapse.
Each patient is assigned to one of the program’s independently licensed family therapists who facilitates weekly family sessions and works with the patient and family to create an aftercare plan. It is the expectation that incoming adult patients identify at least one person in their life to engage in the treatment, be it a family member or a friend.
Parents and caregivers of OCDI Jr. patients are required to be active partners in treatment.
Therapists meet with parents to help them become coaches in their child’s treatment to assist with applying skills and the transition to home and school environments. Sessions are conducted over the phone with family or significant friends who don’t live in the area. Toward the end of treatment, parents are invited to come and spend a week at OCDI Jr. to learn needed skills to help their children transition home and maintain the gains they have made.
Partial Hospital Program
The OCDI offers a day (partial hospital) program for individuals who do not require 24-hour care yet need more structure than is available in outpatient treatment.
This level of care is appropriate for patients whose symptoms do not interfere with their ability to travel to the program and who are able to successfully manage their symptoms while at home.
Many of our adult partial hospital patients have completed our residential program and are in need of less intensive treatment.
At OCDI Jr., we use partial hospital care as a step-down at the end of residential treatment. This allows us to gradually transition patients and prepare them to leave the program. Parents are invited to attend the program for 1-4 weeks, depending on their child’s progress, to ensure adequate transitional care.
Patients within the partial hospital program attend the same structured schedule and individual and group therapy sessions as residents while spending their evenings at home practicing the skills they have learned during the day.
The emphasis of the day program is to provide a sufficient level of stability for the patient to be able to gradually leave treatment.
The partial hospital program operates daily, Monday through Friday.