Obsessive-Compulsive Disorder: Psychoeducation Program
| Manual Title |
Multifamily Behavioral Treatment of Obsessive-compulsive Disorder |
| Creators |
Barbara Van Noppen, MSW & Gail Steketee, Ph.D. |
| Reference |
Van Noppen, B., & Steketee, G. (2002). Multifamily
behavioral treatment of obsessive-compulsive disorder (pp. 291-310).
In W. R. McFarlane (Ed)'s Multifamily group treatment for severe
psychiatric disorders. New York: Guilford. |
| Price |
unknown |
| Contact Information: |
Barbara Van Noppen, MSW
Brown University
Department of Psychiatry and Human Behavior
Angell St. Wellness Collaborative
469 Angell St.
Providence, RI 02888
Phone: (401) 863-9524
Email: Barbara_Van_Noppen@Brown.edu
|
Program Overview:
Program Format:
The multi-family behavioral treatment (MFBT) for obsessive-compulsive
disorder (OCD) is similar to other family psychoeducation programs,
but also includes interventions specifically aimed at reducing obsessive-compulsive
symptoms and changing family communication patterns.
Treatment Goals:
- Encourage patient exposure and anxiety reduction
- Educate and model reasonable responses from family members
- Help family members to disengage from the patient's compulsions in a supportive way
Phases of Treatment:
This 20-session program includes three phases:
- Assessment
- Two 90-minute assessment sessions are held with the patient and family
- Includes screening for the group, assessments, etc.
- Family group sessions
- Includes 12, 2-hour family group sessions
- Sessions include 4-6 families (including patient and significant others)
- Sessions topics (sessions include much homework & self-monitoring):
- Psychoeducation about OCD
- Teaching the family behavioral contracting
- In vivo and imaginal exposure & response prevention
- Specific communication skills to minimize the family's involvement
- Problem-solving training;
- Clarification of boundaries
- Helping patient to avoid obsessions and compulsions
- Follow-up sessions (6 monthly sessions)
Research:
VanNoppen et al. (1997):
- Methods Pilot study of four family MFBT groups (n = 19 families)
- Results:
- 47% of MFBT families had reduced OC symptom severity & improved
family functioning at posttest.
- 58% of those maintained this status at 1-year follow-up (Note: these
results are comparable to those achieved in individual behavioral
therapy).
Note: Above description reviewed and approved by Dr. VanNoppen, 1-22-03
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