Obsessive compulsive disorder: integration of cognitive-behaviour therapy and clinical psychology care into the primary care context
Abstract
In primary care, evidence-based psychological treatments for obsessive compulsive disorder (OCD), such as cognitive behaviour therapy (CBT), have not been readily available. We aimed to develop models of care for OCD that account for barriers to access and can be integrated into general practice settings. Multiple methodologies and sources were utilised, including literature reviews, a reference group, focus groups, interviews and questionnaire responses from consumers, psychologists and/or GPs. It was found that there were similarities and some differences among stakeholders in attitudes and knowledge about OCD, and views about treatment and assessment in primary care. Three models of care for patients with OCD were developed and integrated into a treatment program operating through a division of general practice. Participating GPs preferred referral to a specialist clinic, irrespective of participation in an educational program about OCD. Based on these findings, it is suggested that effective integration of specialist CBT treatments for OCD into primary care is possible if the needs and views of all stakeholders are accounted for.
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Access to evidence-based treatment for OCD is poor due to a shortage of appropriately qualified professionals, long waitlists, and individuals' financial constraints.
“For those that do present for help, access to evidence-based treatment is poor; a shortage of appropriately qualified professionals (especially in geographically remote areas), long waitlists, and individuals’ financial constraints mean that specialised evidence-based treatment is often unavailable [8].”
From Study protocol for a randomised controlled trial of internet-based cognitive-behavioural therapy for obsessive-compulsive disorder (2014) · cites this paper as [8]
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Kyrios, M., Nedeljkovic, M., Moulding, R., Klein, B., Austin, D., Meyer, D., & Ahern, C. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-209 · Cited by 12 · see citing works
“Behavioural experiments and other cognitive techniques that help test alternative interpretations of intrusions are a key strategy in the treatment of OCD [7], but these techniques are somewhat more specialised and less accessible than the more widely known exposure-based strategies [8].”
BackgroundSelf-citation
- Authors
- Kyrios, M., Moulding, R., & Jones, B.
- Affiliations
- Swinburne University of Technology (AU)
- Corresponding author
- Kyrios, Michael
- Venue
- Australian Journal of Primary Health
- Publisher
- CSIRO Publishing
- Published
- 2010-05-19
- Volume
- 16
- Issue
- 2
- Pages
- 167-173
- ISSN
- 1448-7527 (ISSN-L)
- 1836-7399
- OpenAlex
- W2127371016
- Cited by
- 9
- References
- 18
- Citations by year
- 2023: 1 · 2018: 2 · 2017: 1 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 1.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian Journal of Primary Health (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- obsessive-compulsive disorder, cognitive behavioral therapy, primary care integration, models of care, access barriers, general practitioners, clinical psychologists, specialist referral, stakeholder perspectives
- MeSH terms
- Humans, Health Knowledge, Attitudes, Practice, Obsessive-Compulsive Disorder, Primary Health Care, Psychology, Clinical, Surveys and Questionnaires, Victoria, Cognitive Behavioral Therapy, Focus Groups
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