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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 for children and adolescents, ages 5 to 18, who experience significant impairment in their daily lives due to OCD, anxiety, and obsessive-compulsive spectrum disorders.
To learn more, please call 401-432-1588
treatment approach
The goal of the Intensive Program is to alleviate OCD and anxiety symptoms while improving childrens' 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.
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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.
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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.
Obsessive-Compulsive Disorder
Obsessive-compulsive disorder (OCD) is characterized by recurrent, intrusive thoughts called "obsessions" and ritualized or repetitive behaviors called "compulsions".
Trichotillomania
Anxiety Disorders
Anxiety disorders include generalized anxiety disorder, separation anxiety disorder, social anxiety disorder, specific phobias, panic disorder, agoraphobia, and selective mutism.
Dermatillomania
Disorders treated in the intensive program
Body Dysmorphic Disorder
time & LOcation
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Treatment takes place Monday through Friday in-person at Bradley Hospital in East Providence, RI. We offer two levels of programming based on the child's treatment needs:
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​Full-day partial program (6 hours per day) with in home/community-based sessions four days per week.
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Half-day program (4 hours per day) with community-based sessions two days per week.
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Average length of treatment is approximately 8-12 weeks.
admission
The Intensive Program for Obsessive-Compulsive Disorder is designed for children and adolescents who experience significant impairment in their daily lives due to OCD or obsessive-compulsive spectrum disorders. To participate in the program, youth must: ​
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Be between 5 and 18 years old
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Not need 24-hour medical supervision
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Be willing and able to maintain safe behavior during treatment
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Be committed, along with their caretakers, 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.
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For questions about admission or waitlist status please call us at 401-432-1588.
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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
Milieu staff lead exposure groups twice each program day, guiding patients through individualized exposure exercises tailored by their doctors. Additionally, a certified art therapist facilitates art therapy sessions twice a week. Beyond exposure and art groups, all children take part in group activities designed to deepen their understanding of and motivation to engage in exposure therapy. These activities include process groups, team building, and mindfulness practice.
HOME VISITS
Milieu staff conduct individualized exposure tasks in both the community and child’s home, which helps reinforce the therapeutic benefits of the program in real-world settings. These visits take place four days per week in the full-day partial program and two days per week in the half-day partial program. To maximize effectiveness, we ask that at least one parent be available to participate, allowing them to learn how to support their child through exposure exercises.
clinical
RESEARCH
We pride ourselves in delivering cutting edge, research-informed treatment. This is an ongoing process and requires careful assessment of treatment outcomes. 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.