Closing the Gap to Evidence-Based OCD Care

Your directory lists behavioral health clinicians. Whether a member with obsessive-compulsive disorder reaches one equipped to treat it is a separate question, and for OCD the correct diagnosis is often missed for years — a stretch during which that member remains yours to cover. Network adequacy does not close that gap on its own. A referral into general behavioral health can land with a clinician who does not treat OCD specifically, and the member absorbs the mismatch. Closing it takes the full sequence: an assessment that identifies the condition, a handoff that holds and a partner on the other end equipped to deliver evidence-based treatment. This session walks through that sequence. Presenters will show how a digital front door and structured clinical assessments identify what a member is actually dealing with — OCD, hoarding disorder, tic disorders or a related presentation — and route them to matched care, covering members from age five up. They will also share early outcomes data from the partnership behind the model, including findings on level of care and emergency department utilization, plus a preview of a larger study now underway. The hour closes on what determines whether any of it works: whether members trust and use the benefit a plan already covers. In this session, you will learn: Where members are lost between first signs and evidence-based care, not just referral How assessments route members across OCD, hoarding disorder and related presentations Early findings on level of care and emergency department utilization, plus what the next study examines What drives member engagement with behavioral health benefits already in place

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