Overview
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.
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.
Eligibility
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.
- Access to the internet through a mobile device or computer
Exclusion Criteria:
- In the process of applying for or currently receiving disability benefits
- 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 such as psychotic disorders or bipolar disorder
