Intensive OCD Service - Operational Framework

Table of Contents

Section A: Scope of the Framework             

A1.         Aims and Objectives      

A1.a)     Service Aims     

A1.b)     Service Objectives          

A2.         Hours of operation         

A3.         Service Location              

A3.a)     Location of service         

A3.b)     Assessment location     

A4.         Access to services           

A4.a)     Patient’s home location

A4.b)     Referral process              

A4.c)      Entry to service

A4.d)     Exit from service             

A4.e)     Waiting list         

Section B: Criteria for Service Provision      

B1.          Stepped care model for OCD     

B2.          Criteria for referral to the AIS    

B2.a)      Comments on criteria compared to other specialist services       

B2.b)     Inclusion criteria              

B2.c)      Exclusion criteria             

B3.          Criteria for intensive/inpatient treatment service            

B3.a)      Inclusion Criteria             

B3.b)     Exclusion Criteria             

B4.          Guidance on specific conditions               

B4.a)      Hoarding disorder           

B4.b)     Body Dysmorphic Disorder (BDD)            

B4.c)      Asperger’s syndrome

B4.d)     Schizophrenia and other psychotic disorders

B4.e)     Eating Disorders

Section C: Service Description        

C1.          Overview           

C2.          Duration of treatment  

C3.          Intervention     

C3.a)      Exposure and Response Prevention (ERP)           

C3.b)     Family work / work with carers 

C3.c)      Other activities

C4.          Location of treatment   

C5.          Detailed description of treatment intervention 

C5.a)      Phase 1: Assessment and pre-treatment             

C5.b)     Phase 2: Intensive inpatient treatment 

C5.c)      Phase 3: Home-based treatment             

C5.d)     Phase 4: Long-term follow-up   

C6.          Post-discharge follow-up            

C6.a)      Ongoing treatment        

C6.b)     Follow-up           

C6.c)      Support for local services            

Section D: Service Delivery

D1.         Links and interfaces       

D1.a)     Local services    

D1.b)     Other specialist services              

D2.         Patient disengagement

D3.         Training and Development         

D4.         Evaluation and audit      

D4.a)     Outcome reporting        

D4.b)     Audit

Section E: Outcome measurement

E1.          Standard assessment tools         

E1.a)      Diagnostic tools               

E1.b)      Symptom ratings             

E1.c)      Social functioning and quality-of-life measures 

E1.d)      Other rating scales         

E2.          Assessment timetable  

Section F: References



Download the Operational Framework (version 3.0) (PDF, 2.5Mb).

Download the criteria for service provision (for each tier) (PDF, 1.2Mb).