Delivery of Exposure and Response Prevention Among Veterans with Obsessive–Compulsive Disorder

Alyssa G. Hertz; Darius B. Dawson; Fenan S. Rassu; Anthony H. Ecker; Ashley Helm; Natalie E. Hundt; Terri L. Fletcher

doi:10.1007/s11414-023-09838-3

Delivery of Exposure and Response Prevention Among Veterans with Obsessive–Compulsive Disorder

Alyssa G. Hertz, Darius B. Dawson, Fenan S. Rassu, Anthony H. Ecker, Ashley Helm, Natalie E. Hundt, Terri L. Fletcher

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Veterans with obsessive–compulsive disorder (OCD) often face barriers to receiving evidence-based treatments such as exposure and response prevention (ERP). Through retrospective review of electronic medical records, this study examined the rates of ERP delivery in a national sample of 554 veterans newly diagnosed with OCD in the Veterans Health Administration between 2016 and 2017. Results indicated that only 4% of veterans (n = 22) received any ERP treatment; and, of those, 16 veterans received “true ERP.” Veterans who received any ERP were younger than those who did not. ERP was primarily delivered by psychologists in urban facilities along the East and West coasts of the USA. The findings from this study emphasize the need to train more providers to effectively deliver ERP in addition to providing telehealth services to increase access to care for veterans in rural areas.

Original language	English (US)
Pages (from-to)	514-523
Number of pages	10
Journal	Journal of Behavioral Health Services and Research
Volume	50
Issue number	4
DOIs	https://doi.org/10.1007/s11414-023-09838-3
State	Published - Oct 2023

ASJC Scopus subject areas

Health(social science)
Public Health, Environmental and Occupational Health
Health Policy

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10.1007/s11414-023-09838-3

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title = "Delivery of Exposure and Response Prevention Among Veterans with Obsessive–Compulsive Disorder",

abstract = "Veterans with obsessive–compulsive disorder (OCD) often face barriers to receiving evidence-based treatments such as exposure and response prevention (ERP). Through retrospective review of electronic medical records, this study examined the rates of ERP delivery in a national sample of 554 veterans newly diagnosed with OCD in the Veterans Health Administration between 2016 and 2017. Results indicated that only 4% of veterans (n = 22) received any ERP treatment; and, of those, 16 veterans received “true ERP.” Veterans who received any ERP were younger than those who did not. ERP was primarily delivered by psychologists in urban facilities along the East and West coasts of the USA. The findings from this study emphasize the need to train more providers to effectively deliver ERP in addition to providing telehealth services to increase access to care for veterans in rural areas.",

author = "Hertz, {Alyssa G.} and Dawson, {Darius B.} and Rassu, {Fenan S.} and Ecker, {Anthony H.} and Ashley Helm and Hundt, {Natalie E.} and Fletcher, {Terri L.}",

note = "Funding Information: This research was partially supported by the use of resources and facilities at the VA HSR&D Houston Center for Innovations in Quality, Effectiveness and Safety (CIN# 13–413), Michael E. DeBakey VA Medical Center, Houston, TX. The views expressed reflect those of the authors and not necessarily the policy or position of the Department of Veterans Affairs, the U.S. government, or Baylor College of Medicine. None of these bodies played a role in study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the article for publication. Publisher Copyright: {\textcopyright} 2023, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.",

year = "2023",

month = oct,

doi = "10.1007/s11414-023-09838-3",

language = "English (US)",

volume = "50",

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AU - Dawson, Darius B.

AU - Rassu, Fenan S.

AU - Ecker, Anthony H.

AU - Helm, Ashley

AU - Hundt, Natalie E.

AU - Fletcher, Terri L.

N1 - Funding Information: This research was partially supported by the use of resources and facilities at the VA HSR&D Houston Center for Innovations in Quality, Effectiveness and Safety (CIN# 13–413), Michael E. DeBakey VA Medical Center, Houston, TX. The views expressed reflect those of the authors and not necessarily the policy or position of the Department of Veterans Affairs, the U.S. government, or Baylor College of Medicine. None of these bodies played a role in study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the article for publication. Publisher Copyright: © 2023, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

PY - 2023/10

Y1 - 2023/10

N2 - Veterans with obsessive–compulsive disorder (OCD) often face barriers to receiving evidence-based treatments such as exposure and response prevention (ERP). Through retrospective review of electronic medical records, this study examined the rates of ERP delivery in a national sample of 554 veterans newly diagnosed with OCD in the Veterans Health Administration between 2016 and 2017. Results indicated that only 4% of veterans (n = 22) received any ERP treatment; and, of those, 16 veterans received “true ERP.” Veterans who received any ERP were younger than those who did not. ERP was primarily delivered by psychologists in urban facilities along the East and West coasts of the USA. The findings from this study emphasize the need to train more providers to effectively deliver ERP in addition to providing telehealth services to increase access to care for veterans in rural areas.

AB - Veterans with obsessive–compulsive disorder (OCD) often face barriers to receiving evidence-based treatments such as exposure and response prevention (ERP). Through retrospective review of electronic medical records, this study examined the rates of ERP delivery in a national sample of 554 veterans newly diagnosed with OCD in the Veterans Health Administration between 2016 and 2017. Results indicated that only 4% of veterans (n = 22) received any ERP treatment; and, of those, 16 veterans received “true ERP.” Veterans who received any ERP were younger than those who did not. ERP was primarily delivered by psychologists in urban facilities along the East and West coasts of the USA. The findings from this study emphasize the need to train more providers to effectively deliver ERP in addition to providing telehealth services to increase access to care for veterans in rural areas.

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Delivery of Exposure and Response Prevention Among Veterans with Obsessive–Compulsive Disorder

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