Internet-based cognitive-behavioural therapy for young people with obsessive-compulsive disorder: Lessons learned

- Engaging and psychometrically sound online assessment processes are needed to support iCBT.
- Parents/carers require clear guidelines on seeking further clinical support when indicated.
- iCBT program developers must consider a range of engagement, retention and fidelity strategies.
- iCBT programs must be built into clear and existing referral pathways.

Online interventions are increasingly recognised as an important low intensity treatment option within stepped care approaches to mental health among children and adolescents. While initial evidence supports the use of internet-based cognitive-behavioural therapy (iCBT) in the treatment of depression and anxiety among young people, relatively few studies have considered the role of iCBT in increasing availability and accessibility to effective treatment for young people with obsessive-compulsive disorder (OCD). The purpose of the current paper was to share lessons learned in designing and evaluating the first completely self-guided iCBT program for young people experiencing symptoms of OCD. Key issues identified included diagnosis and assessment, clinical risk management, engagement and attrition, treatment fidelity, and feasibility, integration and sustainability. Considerations for future research and development of online youth treatment programs are identified.