Intensive Program for OCD and Anxiety Related Disorders

The Intensive Program for Obsessive-Compulsive Disorder (OCD) and Anxiety Related Disorders at Bradley Hospital provides treatment to children and adolescents, ages 5 to 18, who experience significant impairment in their daily lives due to OCD, anxiety, and obsessive-compulsive spectrum disorders.

Treatment takes place Monday through Friday at Bradley Hospital. Program hours depend on a child’s level of care. We offer a full-day partial program with community-based sessions every day, and a half-day program with community-based sessions two days per week. The average length of treatment is approximately eight weeks.

 

Among the conditions we treat are:

  • Obsessive-Compulsive Disorder (OCD)

  • Body Dysmorphic Disorder (BDD)

  • Panic Disorder

  • Social Anxiety

  • Separation Anxiety

  • Phobias

  • Hypochondria/health anxiety

  • Trichotillomania (hair-pulling)

  • Dermatillomania (skin-picking)

Treatment Approach

 

The goal of the Intensive Program for OCD treatment is to alleviate OCD symptoms while improving daily functioning and promoting further involvement in school, social, and family activities. Ours is the only program on the East Coast to use a milieu-based intensive treatment model with this age group.

At the forefront of OCD treatment and research, our clinical team uses a form of cognitive behavioral therapy called exposure with response prevention (ERP). The treatment of choice for individuals with OCD, exposure with response prevention strengthens a child’s ability to manage anxiety by gradually facing fears and reducing the repetitive rituals of OCD.

 

In line with PARC’s values of integrating research and clinical work to provide evidence-based treatment to children and adolescents, we offer a full spectrum of research informed services, including individual, family, group, and milieu therapy. Our clinicians create an individualized, age-appropriate treatment plan for each child. Parents and family members contribute to this plan, starting with the child’s evaluation and continuing throughout treatment.

The Intensive Program for OCD can be an effective care option for youth who have not responded to traditional once a week outpatient treatment or who lack specialized OCD services where they live.

Treatment Components

 
  • Individual therapy: Individual therapy occurs twice a week to develop and refine the child’s therapeutic plan, as well as practice exposure and response prevention exercises.

  • Psychiatric care: The program’s psychiatrist meets weekly with each patient. If a participant is already seeing a psychiatrist, the program psychiatrist will work in consultation with him or her. If a participant is in need of medication, the psychiatrist will work with parents to develop a medication plan.

  • Family therapy: OCD has an impact on the whole family and with family support children are much more likely to have positive outcomes. For these reasons, families are asked to commit to family therapy once a week. These meetings will focus on enhancing the relationship between parents and their children, as well as other members of the family.

  • Milieu therapy: Twice each program day milieu staff run exposure groups during which they assist patients with completing individualized exposure exercises devised by their doctors.  Art therapy groups are provided by a certified art therapist twice a week. In addition to exposure and art groups, all children participate in group activities designed to enhance their understanding of and motivation to engage in exposure therapy.  The specific content of these groups changes over time and is tailored to the needs of the patients.  Examples of group activities include process groups, team building, and mindfulness.

  • “Home” visits: Milieu staff run individualized exposure tasks in the community and child’s home, which helps reinforce the therapeutic benefits of the program in real-world settings. Visits are provided 5 days per week in the full-day partial program and 2 days per week in the half-day partial program. We ask that at least one parent is available to participate in these visits so that they can learn how to assist their child with the exposures.

  • Research: We pride ourselves on delivering cutting edge, research-informed treatment. This is an ongoing process and requires careful assessment of treatment outcome and treatment delivery. During your child’s first week in the program, a research assistant will approach you to ask if you would be willing to participate in research. Research includes using some of the forms you and your child complete during clinical care for research purposes. Participation in research is completely optional and will not affect the care your child receives in the program. Learn more about research at PARC here!

Care Team

 
  • Please refer to Who we are page for information regarding our care team.

 

Admissions

  • The Intensive Program for Obsessive-Compulsive Disorder is designed for children and adolescents who experience significant impairment in their daily lives and functioning due to OCD or obsessive-compulsive spectrum disorders. The child or teen, as well as his or her caretaker(s), must be committed to participating in all phases of treatment.

  • The program can be an effective care option for youth who have not responded to traditional outpatient treatment or who lack specialized OCD services where they live. Significant impact on children may be defined by school avoidance, withdrawal from family/friends, loss of interest in previously enjoyed activities, and problems eating, sleeping, and bathing.

  • For youth to participate in the program, they must:

    • Be between 5 and 18 years old

    • Not need 24-hour medical supervision

    • Be willing and able to maintain safe behavior during treatment

Bradley Hospital

1011 Veterans Memorial Pkwy

East Providence, Providence County

02915 USA