Comprehensive multidisciplinary approach in the long-term hospitalization of a child with obsessive - compulsive

Mami Ono1, Ikuhiro Harada2, Kotoe Itagaki3

  • 1Department of Nursing, Kohnodai Hospital, National Center for Global Health and Medicine, Ichikawa, Japan.

GHM Open
|July 7, 2025
PubMed

Insights

This case study highlights how a multidisciplinary team, led by nurses, supported a boy with obsessive-compulsive disorder (OCD) and autism spectrum disorder. A supportive team environment and open communication were crucial for his self-determination and positive progress.

Area of Science:

  • Child and Adolescent Psychiatry
  • Neurodevelopmental Disorders
  • Mental Health Nursing

Background:

  • Presents a case of a boy with co-occurring obsessive-compulsive disorder (OCD) and autism spectrum disorder (ASD).
  • Highlights the necessity of long-term hospitalization for symptom management and family relationship improvement.
  • Focuses on the final year of compulsory schooling and a nurse-led multidisciplinary team's interventions.

Discussion:

  • Explores the challenges nurses faced in assisting with daily living without enabling compulsive behaviors.
  • Emphasizes the risk of negative emotional impact on healthcare providers.
  • Underscores the importance of a mutually supportive environment within the multidisciplinary team.

Key Insights:

  • A supportive team environment, including open discussion of concerns and emotional venting, is vital for patient self-determination.
  • Ongoing dialogue between medical staff, the individual, and parents facilitates positive advancement.
  • Nurse-led multidisciplinary approaches are effective in managing complex pediatric mental health conditions.

Outlook:

  • Further research into tailored multidisciplinary interventions for co-occurring OCD and ASD is warranted.
  • Developing robust support systems for healthcare professionals in complex care settings is essential.
  • Promoting patient self-determination through collaborative care models can improve long-term outcomes.

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