CAMHS National and Specialist Services Directory - SLaM National ...

Obsessive Compulsive Disorder Service
Criteria
Eligibility
• Up to 18 years old
• Male or female
• Suspected diagnosis of OCD or related disorders, including body dysmorphic, tic and habit disorders, as well as Tourette’s syndrome
CBT Location: outcomes Maudsley for clinic patients: Hospital
OCD
Mode:
severity
Outpatient,
scores on children’s
day patient,
Yale-Brown
outreach
Obsessive Compulsive Scale (CY-BOCS)
Score
30
CBT outcomes for clinic patients:
25
OCD severity scores on children’s Yale-Brown
20 Obsessive Compulsive Scale (CY-BOCS)
15
Score
10
30
25
5
20
0
15
10
5
0
Before
treatment
Before
treatment
End of
treatment
End of
treatment
3 months
after treatment
3 months
after treatment
6 months
after treatment
6 months
after treatment
CBT outcomes for clinic patients:
impairment scores on
Child Global Assessment Scale (CGAS)
12 months
after treatment
Score
80
CBT outcomes for clinic patients:
70
60 impairment scores on
50 Child Global Assessment Scale (CGAS)
40
30
Score
20 80
10 70
60 0
50
40
30
20
10
0
Our service provides assessment and treatment for young
people with obsessive compulsive disorder (OCD) and
related conditions, including body dysmorphic disorder, tic
disorders, Tourette’s syndrome, anxiety and habit disorders,
including trichotillomania. We also assess and treat OCD
related anxiety disorders in young people with
a developmental disorder, e.g. high functioning autism
spectrum disorders or neurological conditions.
We provide a range of evidence-based care packages,
tailored to meet the needs of the young person and their
parents or carers.
Many of the young people we see are offered individual CBT,
which may involve parents or carers and other family members.
We have an active research programme and are committed
to increasing knowledge and understanding of the disorders
we treat, and developing our treatments to help improve
the outcomes for young people with OCD. We offer treatment
as part of a trial to the majority of young people we see.
Treatment trials provide the same package of care, but
under more controlled protocols.
We also offer an extensive programme of training and
consultancy in the assessment, treatment and management
of different aspects of OCD through seminars, workshops,
individual case supervision and research project supervision.
Interventions which may be provided
• Comprehensive assessment
• Psychometric and cognitive assessment
• CBT (flexible intensity)
• Medication management and review
• Network planning with referring service
• Working with the referring team to provide interventions
through local services
Outcomes
• Improved quality of life and functioning, like returning
to education and improved social functioning
• Understanding and managing anxiety
• Reduced obsessions and compulsions, and their impact
• Reduced family stress related to OCD, and improved
family functioning
Score
12
10
CY-BOCS obsessions
8
CY-BOCS obsessions and compulsions
CY-BOCS compulsions
6
Score
12
structure 4
2 which enabled
CY-BOCS obsessions
us to work towards
10
0
8
CY-BOCS compulsions
goals 6 each week and break problems down
4
2
into manageable chunks.” Parent
0
Baseline
End of
treatment
3-month
follow-up
6-month
Follow-up
12-month
Follow-up
Before
treatment
End of
treatment
Before
treatment
3 months
after treatment
6 months
after treatment
End of
treatment
12 months
after treatment
3 months
after treatment
6 months
after treatment
12 months
after treatment
12 months
after treatment
“Absolutely brilliant, it has definitely helped
me get my life back.” Tom
CY-BOCS obsessions and compulsions
“Treatment was well planned with good
Baseline
End of
treatment
3-month
follow-up
6-month
Follow-up
12-month
Follow-up
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