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An In-patient Behavioural Psychotherapy Unit

Description and Audit

Published online by Cambridge University Press:  02 January 2018

Graham Thornicroft ,
Louise Colson  and
Isaac Marks
Graham Thornicroft
Affiliation:
Social and Community Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Louise Colson
Affiliation:
Behavioural Treatment Unit, Maudsley Hospital, Denmark Hill, London SE5 8AF
Isaac Marks*
Affiliation:
Institute of Psychiatry
*
∗Correspondence
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Abstract

An in-patient behavioural psychotherapy unit is described that emphasises self-treatment, teaching relatives to become cotherapists while resident in the unit, routine collection of outcome data, minimising use of medication, and absence of night nurses. Patients are referred from all over the UK, mostly with chronic disabling OCD. Treatment includes self-exposure and self-imposed response prevention. A year's cohort (52 patients) showed substantial improvement that consolidated during six-month follow-up (83% decrease in total ritual time per day, 58% fall in target ritual scores, better social adjustment), and families noted relief of burden; eight patients dropped out. Further such units are needed in the UK, perhaps on a regional basis; they could be run as specialist hostels.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 158 , Issue 3 , March 1991 , pp. 362 - 367
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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