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  • Brigette A Erwin, PhD and Erin Roemer, PsyD - Evidence-Based Treatment of Youth with Treatment-Resistant OCD: Maximizing Outcomes with Intensive, Multisystemic Outpatient Treatment

Brigette A Erwin, PhD and Erin Roemer, PsyD - Evidence-Based Treatment of Youth with Treatment-Resistant OCD: Maximizing Outcomes with Intensive, Multisystemic Outpatient Treatment

  • 01/26/2018

Although a number of treatment approaches have been investigated in the treatment of pediatric Obsessive-Compulsive Disorder (OCD), cognitive-behavioral therapy with exposure with response prevention has been one of the most effective psychological treatments (Lewin et al., 2005; POTS, 2004), with an average response rate of 60-74% or higher (Connolly & Nanayakkara, 2009; van der Leeden et al., 2011). In order to further improve this treatment-response rate, empirical studies have identified several external and internal factors that are associated with pediatric treatment-resistant OCD (Bystritsky, 2006; Flessner et al., 2011; Franz et al., 2012; Storch et al., 2008). Accordingly, treatment gains can be maximized when mental health practitioners identify and intervene with factors external to the youth while also working directly with youth resistance. In order to improve outcomes and minimize the need for a higher level of care in inpatient and residential settings, there is a need to disseminate and deliver efficacious psychological treatment for pediatric treatment-resistant OCD within an outpatient setting. The complexity of pediatric treatment-resistant OCD typically requires an intensive treatment schedule, flexibility of treatment goals, and the use of a tailored multisystemic evidence-based approach that targets patient-specific external and internal factors (Bystritsky, 2006; Mennin, 2006; Storch et al., 2008). This talk will review basic information regarding the nature and evidence-based treatment of pediatric OCD. This talk will describe the delivery of intensive, multisystemic evidence-based treatment within an outpatient setting for youth with treatment-resistant OCD. Furthermore, the talk will present ways in which exposure with response prevention may be tailored to incorporate internal and external factors that maintain treatment resistance. Lastly, a model will be presented for a comprehensive individualized intensive outpatient treatment program which has the goals of maximizing compliance and treatment response among youth with treatment-resistant OCD.

CE Learning Objectives

Following this presentation, participants will be able to:

  1. Describe fundamental information regarding the nature and treatment of pediatric OCD and tailor evidence-based interventions to incorporate patient-specific internal factors.
  2. Intervene with parents, family, school, and community to treat factors that function to maintain treatment-resistant pediatric OCD.
  3. Design and deliver intensive, multisystemic evidence-based treatment within an outpatient setting to maximize outcomes among youth with treatment-resistant OCD.
About Dr. Erwin

Dr. Brigette Erwin founded and directs one of the few Philadelphia-area providers of evidence-based treatment for the anxiety and related disorders. The organization’s programs include The Anxiety and OCD Center, Dr. Erwin Consulting, and Coaching for Calm and Confidence™. Distinguished by its use of evidence-based practices and onsite training of all providers, The Anxiety and OCD Center is one of the Philadelphia region’s largest practices specializing in the treatment of the anxiety and related disorders. Dr. Erwin Consulting provides evidence-based strategies to meet and exceed client’s personal, professional, and corporate objectives. Coaching for Calm and Confidence™ delivers in digital format evidence-based strategies for creating calm, confidence, and successful relationships.

Dr. Erwin has close to twenty years of experience as a psychologist, business developer, and business owner. Dr. Erwin received her PhD from Temple University, completed a National Institute of Health postdoctoral fellowship at the University of Pennsylvania School of Medicine, and completed a pre-doctoral internship at the Medical University of South Carolina. Dr. Erwin is Clinical Associate Professor of Psychology at Philadelphia College of Osteopathic Medicine, Public Relations Chair of the Executive Board of the Philadelphia Behavior Therapy Association, and Admissions Board Member and Consultant to Saint Charles Borromeo Seminary. She is honored as a 2017 Woman on the Move by Main Line Today.

About Dr. Roemer

Erin Roemer is a licensed psychologist and the Assistant Director at the The Anxiety and OCD Center. Dr. Roemer has a wealth of experience providing evidence-based interventions to children, adolescents, adults, and families. Dr. Roemer received her PsyD in Combined Clinical and School Psychology from Kean University. She completed her postdoctoral fellowship at The Anxiety and OCD Center and completed an APA accredited predoctoral internship at Lincoln Hills/Copper Lake School. Dr. Roemer serves as Clinical Associate Professor of Psychology at Philadelphia College of Osteopathic Medicine and Public Relations Chair of the Philadelphia Behavior Therapy Association Executive Board.

Target Audience

This presentation is intended for mental health professionals, researchers, and graduate students. The instructional level of this presentation is intermediate.

Continuing Education

Philadelphia Behavior Therapy Association is approved by the American Psychological Association to sponsor continuing education for psychologists. Philadelphia Behavior Therapy Association maintains responsibility for this program and its content.

This program provides three (3) hours of CE credits. PBTA is also an authorized provider for CE credits for Professional Counselors, Marriage and Family Therapists, and Clinical Social Workers licensed in the state of Pennsylvania.

Full attendance is required to obtain CE credits for this program. APA guidelines do not permit PBTA to issue partial CE credits. No refunds are provided for CE programs. No exceptions allowed.

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