Helping Adults With Obsessive-Compulsive Disorder Succeed at Work
Purpose
The purpose of this study is to compare two models of employment services for people with obsessive-compulsive disorder (OCD) interested in finding and maintaining employment. All 40 participants will receive up to 12 sessions of the first-line treatment for OCD called exposure and response prevention, a form of Cognitive Behavioral Therapy (CBT). Assigned by chance, half of the people will also receive Individual Placement and Support (IPS); the other half will receive standard vocational services (SVS). This study will compare these two approaches for helping adults with OCD find and maintain work.
Condition
- Obsessive-Compulsive Disorder (OCD)
Eligibility
- Eligible Ages
- Between 18 Years and 60 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Currently unemployed and interested in finding competitive employment in New York State - Currently residing in New York State - Primary diagnosis of OCD - For those currently on psychiatric medication: On a stable dose of psychiatric medication (for at least 6 weeks) and willing to remain on this dose for the first three months of CBT.
Exclusion Criteria
- Currently receiving supported employment services - Active suicidality or recent suicide attempt - Active substance use problem (other than nicotine) that warrants treatment - Comorbid psychiatric conditions that significantly elevate the risk of study participation
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Health Services Research
- Masking
- Double (Investigator, Outcomes Assessor)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Active Comparator Standard Vocational Services plus Cognitive Behavioral Therapy for OCD |
Standard vocational services includes support in finding employment with support from the American Jobs Center over 12 months. Cognitive Behavior Therapy for OCD consists of a standard course of exposure and response prevention over 12 weeks, followed by monthly maintenance sessions for 12 months. |
|
|
Experimental Individual Placement and Support plus Cognitive Behavior Therapy for OCD |
Individual Placement and Support includes support in finding employment with support from an IPS employment specialist over 12 months. Cognitive Behavior Therapy for OCD consists of a standard course of exposure and response prevention over 12 weeks, followed by monthly maintenance sessions for 12 months. |
|
Recruiting Locations
More Details
- Status
- Recruiting
- Sponsor
- New York State Psychiatric Institute
Detailed Description
The purpose of this study is to compare two models of employment services for people with obsessive-compulsive disorder (OCD) interested in finding and maintaining employment. In a randomized controlled trial (RCT), we will compare the work and clinical outcomes of individuals with OCD (n=20) who receive CBT plus standard vocational services (SVS) to those who receive this same course of CBT but who also receive Individual Placement and Support (IPS) (n=20). Work and clinical outcomes will be measured before starting CBT, at the end of CBT treatment, and at 6, 9, and 12-month time points.
