Day Theatments/Partial Hospitalizations
Day treatment programs and partial hospitalization provide more intensive therapy services on an outpatient basis. The person may come to therapy a few days or every day of the week for a certain number of hours. Most programs deal with larger general issues of mood regulation and anxiety management. The majority of programs do not involve individualized therapy focusing on exposure ritual prevention that is needed for OCD.
Except in the case of day programs and partial programs specifically designed for OCD, the more general programs are often helpful for someone with co-occurring depression or anxiety who can function somewhat outside of an inpatient setting.
intensive Residential treatment (IRT)
An IRT program for OCD is appropriate in the case of severe OCD that is refractory to standard outpatient medication and cognitive behavioral treatments.
Although data are limited, some research indicates that IRT can be an effective treatment and that patients generally seem to improve by 30-50% on symptom and disability scores after undergoing IRT. Research also suggests that improvement seems to be maintained over time, after discharge from the program.
Some research further suggests that living alone after discharge is a significant predictor of worsening of OCD after completing such a program. Therefore, where possible, patients should be encouraged to engage with social support groups in order to reduce social isolation and enhance motivation.
How long is IRT? There is no set length for most programs but generally speaking the few available studies suggest that individuals with severe OCD might need approximately 2 months of treatment in an IRT for optimal results.