講演情報
[P-13-05]Virtual Hospitalization treatment for OCD
*Oded ben arush1 (1. OCD treatment center clinical director (Israel))
キーワード：
OCD treatment、Virtual Hospitalization、Intensive outpatient treatment
AbstractVirtual Hospitalization treatment for OCDOded Ben Arush, Joseph Zohar, Lior CarmiThe Israeli Center for the treatment for obsessive and compulsive disorders, Modiin Israel Obsessive-compulsive disorder (OCD), due to its distinct features, requires specialized behavioral and pharmacological interventions.
Virtual hospitalization is an innovative approach to delivering intensive, continuous care in the frame of outpatient clinic, and could also replace physical hospitalization.Virtual hospitalization utilizes technology—including WhatsApp groups, remote monitoring, and specialized applications—to provide real-time support. At the Israeli Center for OCD, patients and their families are integrated into dedicated WhatsApp groups, facilitating 24/7 immediate communication with the treatment team. Patients report obsessive thoughts or compulsive urges as they arise, enabling prompt intervention. Some patients are required to record and share videos of their exposure exercises, ensuring adherence to therapeutic guidelines and preventing maladaptive coping mechanisms, such as reassurance-seeking from family members.This model not only enhances patient accountability within their natural environment but also fosters independence rather than reliance on hospital staff. It allows for precise exposure therapy, guided by a consensus-driven approach among clinicians regarding intensity and technique. Furthermore, virtual monitoring enables the safe administration of high-dose serotonin reuptake inhibitors (SRIs) while closely tracking side effects.Over the past decade, this approach has demonstrated effectiveness across a wide spectrum of patients, particularly those with severe OCD.Exclusion criteria include individuals at risk of suicide, aggression, or severe impulse control issues, who require different programs before joining virtual care.
Virtual hospitalization is an innovative approach to delivering intensive, continuous care in the frame of outpatient clinic, and could also replace physical hospitalization.Virtual hospitalization utilizes technology—including WhatsApp groups, remote monitoring, and specialized applications—to provide real-time support. At the Israeli Center for OCD, patients and their families are integrated into dedicated WhatsApp groups, facilitating 24/7 immediate communication with the treatment team. Patients report obsessive thoughts or compulsive urges as they arise, enabling prompt intervention. Some patients are required to record and share videos of their exposure exercises, ensuring adherence to therapeutic guidelines and preventing maladaptive coping mechanisms, such as reassurance-seeking from family members.This model not only enhances patient accountability within their natural environment but also fosters independence rather than reliance on hospital staff. It allows for precise exposure therapy, guided by a consensus-driven approach among clinicians regarding intensity and technique. Furthermore, virtual monitoring enables the safe administration of high-dose serotonin reuptake inhibitors (SRIs) while closely tracking side effects.Over the past decade, this approach has demonstrated effectiveness across a wide spectrum of patients, particularly those with severe OCD.Exclusion criteria include individuals at risk of suicide, aggression, or severe impulse control issues, who require different programs before joining virtual care.