title: Residential treatment outcomes for adolescents with obsessive-compulsive disorder.
abstract: We examined outcomes from a residential treatment program emphasizing exposure and response prevention (ERP) to determine if the typically robust response to this treatment in outpatient settings extends to patients treated in this unique context.
  
  
  
  One hundred and seventy-two adolescents with primary Obsessive-compulsive disorder (OCD) completed measures at admission and discharge. Almost all (92.4%) participants had at least two diagnoses and nearly half (44.2%) had three or more. Treatment consisted of intensive ERP (i.e., approximately 26.5 hr per week), additional cognitive behavioral therapy interventions, and medication management within a residential setting. In contrast to the samples reported on in the vast majority of other pediatric OCD trials, participants in the current study were living apart from their families and were immersed within the treatment setting, with staff members available at all times.
  
  
  
  Paired sample t-tests revealed significant decreases in OCD and depression severity.
  
  
  
  Results suggest that residential treatment for adolescents with OCD using a multimodal approach emphasizing ERP can be effective for complex cases with significant comorbidity. Results were comparable with several randomized controlled trials.
authors: a Rogers Memorial Hospital , Oconomowoc , WI , USA.
authors: Rachel C
authors: RC
authors: Leonard
authors: b Department of Psychiatry , University of Pennsylvania School of Medicine , Philadelphia , PA , USA.
authors: Martin E
authors: ME
authors: Franklin
authors: a Rogers Memorial Hospital , Oconomowoc , WI , USA.
authors: Chad T
authors: CT
authors: Wetterneck
authors: a Rogers Memorial Hospital , Oconomowoc , WI , USA.
authors: Bradley C
authors: BC
authors: Riemann
authors: c Department of Psychiatry , Columbia University , New York , NY , USA.|d Division of Clinical Therapeutics , New York State Psychiatric Institute , New York , NY , USA.
authors: H Blair
authors: HB
authors: Simpson
authors: a Rogers Memorial Hospital , Oconomowoc , WI , USA.
authors: Kimberly
authors: K
authors: Kinnear
authors: e Department of Psychology , University of Wisconsin - Milwaukee , Milwaukee , WI , USA.
authors: Shawn P
authors: SP
authors: Cahill
authors: a Rogers Memorial Hospital , Oconomowoc , WI , USA.
authors: Peter M
authors: PM
authors: Lake
mesh_terms: D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007171:Implosive Therapy / Q000379:methods; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000628:therapy*; D017063:Outcome Assessment, Health Care / Q000379:methods*; D012114:Residential Treatment / Q000379:methods*
keywords: OCD; anxiety; cognitive behavior therapy; exposure therapy