We read with interest the extremely helpful article by Heyman,Mataix-
Cols and Fineberg. The reference to the stepped-care model outlined in the
NICE Guidelines was particularly informative and easy to read. However, we
thought it may be useful to make people aware that there is a dearth of
services for the most severely ill patients with OCD. Indeed, for those
patients who require inpatient treatment as listed under Step 6 of the
NICE guidelines (www.nice.org.uk), there is only one 24-hour staffed NHS
facility who can deal with patients who are unable to cope with less
intensive support. This has been reported elsewhere (Drummond, 1993;
Drummond,Pillay,Kolb and Rani, 2006). Full details of the service can be
accessed via http://www.swlstg-
tr.nhs.uk/services/behavioural_and_cognitive_psychotherapy_unit_national.asp
References:-
Drummond,L.M. (1993) The treatment of severe, chronic, resistant Obsessive
-Compulsive Disorder.An evaluation of an Inpatient Programme using
Behavioural Psychotherapy in combination with other treatments. British
Journal of Psychiatry, 163, 223-229.
Drummond,LM, Pillay,A.,Kolb,PJ and Rani,RS (2006) Specialised
Inpatient Treatment for Severe, Chronic, Resistant Obsessive-Compulsive
Disorder. Psychiatric Bulletin, 30, in press.
Rapid Response:
Obsessive-Compulsive Disorder (OCD)
We read with interest the extremely helpful article by Heyman,Mataix-
Cols and Fineberg. The reference to the stepped-care model outlined in the
NICE Guidelines was particularly informative and easy to read. However, we
thought it may be useful to make people aware that there is a dearth of
services for the most severely ill patients with OCD. Indeed, for those
patients who require inpatient treatment as listed under Step 6 of the
NICE guidelines (www.nice.org.uk), there is only one 24-hour staffed NHS
facility who can deal with patients who are unable to cope with less
intensive support. This has been reported elsewhere (Drummond, 1993;
Drummond,Pillay,Kolb and Rani, 2006). Full details of the service can be
accessed via http://www.swlstg-
tr.nhs.uk/services/behavioural_and_cognitive_psychotherapy_unit_national.asp
References:-
Drummond,L.M. (1993) The treatment of severe, chronic, resistant Obsessive
-Compulsive Disorder.An evaluation of an Inpatient Programme using
Behavioural Psychotherapy in combination with other treatments. British
Journal of Psychiatry, 163, 223-229.
Drummond,LM, Pillay,A.,Kolb,PJ and Rani,RS (2006) Specialised
Inpatient Treatment for Severe, Chronic, Resistant Obsessive-Compulsive
Disorder. Psychiatric Bulletin, 30, in press.
Competing interests:
None declared
Competing interests: No competing interests