Laurie Johnson (2:46)

Absolutely. It's a great question and I think we'll kind of briefly cover some of the levels of care, but not really go into depth of, that's fine. But they range from, I think people think, okay, I'm really severe, I need to go to the hospital. Like, I'm gonna, I'm gonna have to do a residential program and some, something's easier, know something's happening for me and my whole life's going to be uprooted. And there are different levels of care that allow us to kind of bump up from outpatient psychotherapy. So you go up to the next level and there are different little nuances in different areas and different kinds of programs. So this next level is intensive outpatient program. And it is exactly what it says, intensive outcation. That means you are still involved in your life. You can go to a place in person or virtual for a certain amount of time. Anywhere from three hours a day or more, for anywhere from three days a week or more. The next level beyond that is a partial hospitalization program. And partial hospitalization, despite the name, hospitalized, being in there, you may or may not be in a hospital setting, but you still have some autonomy. It just bumps up the amount of hours that you're spending in that you're.

Patrick (4:10)

Not staying overnight, you're not staying overnight.

Laurie Johnson (4:13)

You may have lunch breaks or split session days. You're just really trying to integrate the skills that you're learning into your life. Perfect. Next bump up is residential and inpatient. There's really the main difference between residential and inpatient is the medical component. Some residentials have a medical component, medication management, etc. And some inpatient programs are more about like the, the risk and have, may have nurses and medical staff.

Patrick (4:46)

Yeah, I really don't, I don't even know that I could name a inpatient program for OCD at this point. I think they're all residential. Someone might go inpatient if they have ocd, if they're feeling, say, suicidal or a risk to self or others. And sometimes we know that OCD takes on those kind of themes. Right. And people may be so scared or overwhelmed that they try to check themselves into that. And sometimes the hospitals will say, you know, you're, you have ocd. You, here's the level of care you really need. And they'll send you to a residential or an IOP or php, even though your OCD may tell you the only safe place for you to be is in a locked unit on an inpatient unit where there's monitoring of you 24 hours a day, seven days a week. Right.

Laurie Johnson (5:37)

And I think that's what people think treatment is. Right. Treatment is like you're going to be locked down and doctors are going to be watching you and you're like hooked up to all these machines. No, there's like a lot of autonomy within this. So yes, you are correct. Inpatient would apply for someone who has some safety and risk concerns that are co occurring, aren't unheard of. And that doesn't mean that you're sicker than any other person. No. Or that you're worse off or anything. There's a ton of stigma about hospitalizations, but basically the residential and inpatient are like you're there, you're, you're living there, whether for a temporary period of time, a known amount of time, 30 days, 60 days, sometimes as minimal as two weeks. That's not our preferred stance as providers, but your insurance covers what it covers. And these, these really aren't scary either. Right. Just as with a person who's an outpatient, therapy or residential, like you need the help that you need and that is what it is. So those programs are more intense. They're 247 and someone's there supporting and watching you and you know, just like helping. You're involved in groups and other processing and a ton of exposure and response prevention, which we all know can be a painful plight of needing to rip that band aid off and do that work. So in general, those are the level of care and, and based on which level you're assessed for or recommended for placement for is really based on a couple of different things. Is your functioning in your life. So that's your job, your responsibilities, your activities of daily living, which self and hygiene and other components that help you be a human in your life and engaged in your life. The other is the amount of time that you are spending. So for a person with OCD, they may be engaged in compulsions anywhere from two hours a day to 10 hours a day and that goes back to functioning. If you are engaged in compulsions 10 hours a day, you're probably not functioning.

Patrick (7:55)

Very well or more or more. Yep.

Laurie Johnson (7:59)

It doesn't. OCD knows no boundaries. Everybody knows. So if based on the amount of time that you're spending is also kind of correlated with the level of functioning that you may or may not have. So intensive outpatient is the first level of care because we want the least restrictive level of care for you so that you can get better and kind of return back to your normal functioning.

NOCD Representative (8:28)

Well, I just think that it's great that people can learn that there are.

Patrick (8:33)

Multiple levels of treatment. Right. That some people will try individual therapy and they'll think it didn't help, and they think that's the end of the road. If that didn't help, there's nothing else. But let's celebrate that we have the opportunity to educate people that there is more available to them. And we hope that they will take advantage of those things that are available to them because they can be very, very helpful. So we hope you get out of this. To everyone watching that you have options for treatment that go above and beyond that individual therapy level if it's something that you need. And NOCD is excited to be starting an intensive outpatient program that will run three hours a day, four days a week, starting in Colorado. And we're going to be building that across the country will be our plan over time. So we're thrilled to have you here, Laurie, to start that up with us. Thank you very much. Glad to be able to introduce you to all of my friends out there who watch our Sunday drops and look forward to continuing to work together with you on the development of the programs.

Laurie Johnson (9:42)

Thanks, Patrick.

NOCD Representative (9:44)

Thank you, everyone.

Patrick (9:45)

We'll see you again soon.