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Evidence to Improve Care

Obsessive-Compulsive Disorder

Care in All Settings




This quality standard addresses care for people with obsessive–compulsive disorder. It applies to care for people in all settings but focuses on primary and community care. This quality standard focuses on care for adults, but it includes content that is relevant for children and adolescents. This quality standard does not address care for some disorders that are related to obsessive–compulsive disorder (e.g., body dysmorphic disorder, hoarding disorder, excoriation disorder, or trichotillomania), because these are separate disorders that require different treatment.


Thank you for your comments and feedback. Based on all the feedback received we have updated the draft quality standard and patient guide and added resources.

The updated guides and resources below are in draft form. Please check back here in a few months for the finalized versions.

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Quality Standard

Know what quality care looks like, based on evidence and expert consensus

Download the Draft

The clinical guide cover

Patient Conversation Guide

If you have obsessive–compulsive disorder: Know what to ask for in your care

Download the Draft

Patient reference guide cover

Case for Improvement (slide deck)

Share why this standard was created and the data behind it, to get the support you need to put it into practice

Download the Draft

Quality Standards Draft

Data Table

Identify where there are gaps in care in your region, to inform resource planning and improvement efforts

Download the Draft

Quality Standards Draft

Measurement Guide

See the technical specifications for the indicators within the quality standard

Download the Draft

Quality Standards Draft


Health Quality Ontario thanks the following individuals for their generous, voluntary contributions of time and expertise to help create this quality standard:

Randi E. McCabe (co-chair)
Director, Anxiety Treatment and Research Clinic, St. Joseph’s Healthcare Hamilton

Peggy M.A. Richter (co-chair)
Head, Frederick W. Thompson Anxiety Disorders Centre, Sunnybrook Health Sciences Centre

Sharon Bal
Family Physician, Delta Coronation Family Health Organization

Mary Bartram
Registered Social Worker, Postdoctoral Researcher, McGill University

Jaime Brown
Lived Experience Advisor; Research Coach, Centre of Excellence for Child and Youth Mental Health

Suzanne Filion
Director of Strategic Development, Hawkesbury and District General Hospital

Cheryl Fiske
Occupational Therapist, Ontario Shores Centre for Mental Health Sciences

Mark Freeman
Lived Experience Advisor; Peer Support Specialist; Author

Judith Laposa
Psychologist and Clinician Scientist, Centre for Addiction and Mental Health; Assistant Professor, University of Toronto

Lisa Leblanc
Team Lead, Assertive Community Treatment Team, Canadian Mental Health Association, Kenora Branch

Melanie Lefebvre
Lived Experience Advisor; Program Coordinator, Cambrian College of Applied Arts and Technology; Previous Case Manager, Canadian Mental Health Association–Sudbury/Manitoulin

Barbara Loeprich
Nurse Practitioner, De Dwa Da Dehs Nyes>s Aboriginal Health Centre

Sandy Marangos
Program Director, Mental Health and Emergency Services, North York General Hospital

Carol Miller
Lived Experience Advisor; Knowledge Specialist, Gender at Work

Kimberly Moran
Lived Experience Advisor; Chief Executive Officer, Children’s Mental Health Ontario

Neil Rector
Senior Scientist and Psychologist, Sunnybrook Health Sciences Centre

Karen Rowa
Psychologist, Anxiety Treatment and Research Clinic, St. Joseph’s Healthcare Hamilton

Steven Selchen
Chief of Psychiatry, Joseph Brant Hospital

Noam Soreni
Psychiatrist, Pediatric OCD Consultation Team, Anxiety Treatment and Research Clinic, St. Joseph’s Healthcare Hamilton; Associate Professor, McMaster University

Lindsay Yarrow
Director of Clinical Service and Community Integration, Addiction and Mental Health Services, Kingston Frontenac Lennox and Addington

For more information, contact QualityStandards@HQOntario.ca.

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