Finding help for OCD in Australia: development and evaluation of a clinician directory

Cooper, David; Perkes, Iain; Lam-Po-Tang, John; Farrell, Lara J.; Brakoulias, Vlasios; Grisham, Jessica R.

doi:10.1080/00050067.2023.2189003

Cited by 2 publications

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Australia, results from a national survey of over 6,300 families with children aged 4 to 17 years, indicated that only ~ 5% of CYP with mental health disorders accessed specialist child and youth mental health services in the 12 months prior to the survey (Lawrence et al, 2016 ). Furthermore, in a recent study of adults with OCD and/or caregivers of those with OCD, the mean time of untreated illness with OCD was 9 years (Cooper et al, 2023 ). Even when families do access services, rarely do they receive evidence-based care (i.e.…”

Section: The Treatment Gap and Quality Gap For Cyp With Ocdmentioning

confidence: 99%

“…The “treatment gap” represents the difference between the 1 in 50 children who suffer from OCD at any point in time, and the negligible proportion who ever receive evidence-based treatment. The gap is further evident in the staggering delays in time to care, with Australian data suggesting more than 9 years of untreated illness for OCD (Cooper et al, 2023 ). Moreover, even when families do access services, they rarely receive evidence-based care, and if they do, often it is delivered sub-optimally (), thereby highlighting the “quality gap” in available services.…”

mentioning

confidence: 99%

See 1 more Smart Citation

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

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.

show abstract

Section: The Treatment Gap and Quality Gap For Cyp With Ocdmentioning

confidence: 99%

mentioning

confidence: 99%