This trial is active, not recruiting.

Condition obsessive compulsive disorder
Treatments team erp (t-erp) intervention, treatment as usual (tau)
Sponsor Butler Hospital
Collaborator National Institute of Mental Health (NIMH)
Start date November 2012
End date February 2016
Trial size 60 participants
Trial identifier NCT02616341, 1005-008


The overall aim of this study is to determine modifications to Exposure and Response Prevention (ERP) therapy that are needed in order to effectively deliver treatment for Obsessive Compulsive Disorder (OCD) in a community mental health center. This study is the final study in a series of three projects executed to adapt and pilot-test a team ERP (T-ERP) intervention that will optimize therapist time by utilizing paraprofessionals to assist with group-ERP treatment plans. The intervention will be tailored to meet the unique needs of low-SES individuals with OCD and be implemented in a community mental health center (CMHC).

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Intervention model parallel assignment
Masking single blind (outcomes assessor)
Primary purpose treatment
The ERP team intervention (T-ERP) consists of 25 sessions over 20 weeks with four components: (a) 3-4 pretherapy individual session with therapist, (b) 12 weekly group sessions (90-mins) led by a therapist and, (c) 10 individual coaching sessions with a case manager during weeks 2-11 of the group, and (d) 2 booster group sessions to reinforce relapse prevention
team erp (t-erp) intervention
(Active Comparator)
Treatment as Usual (TAU) includes standard community treatment consisting of a personalized treatment plan and assistance with treatment referrals to available community resources
treatment as usual (tau)

Primary Outcomes

Changes in OCD symptom severity as measured by the Yale-Brown Obsessive Compulsive Scale (Y-BOCS)
time frame: Baseline, 6th week of treatment, 12th week of treatment, 3 months post-treatment, 6 months post-treatment

Eligibility Criteria

Male or female participants from 18 years up to 65 years old.

Inclusion Criteria: 1. 18 Years to 65 Years 2. English speaking 3. Primary DSM-IV OCD (identified by the patient and therapist as the most problematic disorder over the past year) 4. At least moderate severity OCD (YBOCS > 16) 5. Not currently on psychotropic medications or on the same psychotropic medications for at least 4 weeks prior to screening 6. Have never received 10 or more sessions of ERP 7. Not currently attending psychotherapy for OCD 8. Low-income based on the U.S. Housing and Urban Development (HUDs) threshold for RI (less than $41,000 per year for individuals). Exclusion Criteria: 1. Significant cognitive impairment (MMSE < 25) 2. Prominent suicidal ideation 3. Current psychosis, mania, alcohol or drug dependence as assessed by the SCID-P. 4. Prominent Hoarding

Additional Information

Official title Development of a Behavioral Team Intervention for Obsessive Compulsive Disorder
Principal investigator Maria Mancebo, Ph.D.
Trial information was received from ClinicalTrials.gov and was last updated in November 2015.
Information provided to ClinicalTrials.gov by Butler Hospital.